我国省级医院感染管理质量控制中心现状分析

Current situation analysis of provincial centers of nosocomial infections quality management and control in China

目的了解我国省级医院感染质量控制中心工作现状,为持续改进省级医院感染质量控制中心工作提供科学依据。方法采用网络问卷调查法,对我国各省级医院感染质量控制中心的管理、人员和运行等进行调查,同时通过对1 636所各级医疗机构的调查,了解其对省级医院感染质量控制中心工作的评价。结果截至2016年2月1日,除西藏以外,全国各省、自治区、直辖市和新疆生产建设兵团均成立了省级医院感染质量控制中心,剔除陕西、青海省不完整数据,我国29个省级医院感染质量控制中心工作人员共有443人,专职人员125人占28.22%,兼职人员318人占71.78%;进入统计的各级医疗机构共有1 359所,其中对省级医院感染质量控制中心工作有了解的有1 143所占84.10%;了解省级医院感染质量控制中心工作的医疗机构中对其评分在4分以上(5分满分)占90.46%。结论我国省级医院感染质量控制中心为促进我国医院感染预防控制水平的提高做出了大量的工作,起到了不可替代的作用,但是仍存在专职人员紧缺、政府经费支持力度不够等问题,仍需进一步明确中心职能定位、明晰工作范围,充分发挥各级医院感染质量控制中心作用,加强医院感染管理信息化监测水平。

OBJECTIVE To understand the current status of provincial centers of nosocomial infections quality management and control in China,so as to provide scientific basis for continuous improvement.METHODS Using internet-based questionnaire,the management,staff and operation of 31 provincial centers of nosocomial infections quality management and control in China were investigated,and 1636 different levels of hospitals were surveyed to evaluate the work of provincial centers of nosocomial infections quality management and control.RESULTS Up to February 1st,2016,there were 31 provincial centers of nosocomial infections quality management and control in China except Tibet.Eliminating incomplete data of Shanxi and Qinghai provinces,29 provincial centers had a total of 443 staff,including 125full-time staff and 318part-time staff,accounting for 28.22% and 71.78%.There were 1359 hospitals in the statistics after eliminating incomplete data.Totally 1143hospitals（84.10%）knew the provincial centers＇ work well,in which 90.46% hospitals gave the score at least 4points（out of 5）.CONCLUSION Provincial centers of nosocomial infections quality management and control has made a lot of work to improve the level of prevention and control of nosocomial infections in China,and it is an irreplaceable role of provincial centers of nosocomial infections quality management and control in China.As there are still some problems such as lack of full-time staff and government funding,it is necessary to define the position of provincial centers,clear the scope of work,give full play to the function of centers at all levels and strengthen informationized surveillance of nosocomial infections.