综合性医院医院感染风险评估方法构建

Construction on nosocomial infection risk assessment model of general hospital

目的建立医院感染风险评估模型,加强重点部门的管理。方法采用德尔菲法进行风险因素识别,采用定性、半定量和定量方法对风险因素进行评价,定性法确定干预指数。结果识别的风险因素分为全院综合性因素、重症监护病区相关因素、手术相关因素、新生儿病区相关因素、血液净化及接入相关因素、医院感染控制措施执行相关因素等6个部分。总风险指数最高的前5位科室分别为重症医学科、神经外科、烧伤科、新生儿科、心胸外科。总干预指数排名最高的前5位科室分别为重症医学科、神经外科、心胸外科、烧伤科、呼吸科。

Objective To establish the risk assessment model of nosocomial infection,strengthen the management of key departments. Methods Risk factors were identified by Delphi method and evaluated by qualitative and semi-quantitative and quantitative methods,the intervention index was determined by qualitative methods. Results Risk factors were divided into six parts： comprehensive factors,factors related to the intensive care ward,surgery-related factors,factors related to the neonatal ward,blood purification and access related factors,hospital infection control measures to implement the relevant factors. The departments of highest risk index were critical care medicine department,neurosurgery,burn unit,neonatology,cardiothoracic surgery. Total intervention index highest-ranking former five departments were critical care medicine,neurosurgery,cardiothoracic surgery,burns,respiratory. Conclusions Determine priority sectors and aspects of hospital infection based on risk assessment can enhance the efficiency of hospital infection prevention and control.