绵阳市276所乡镇卫生院医院感染管理现状分析

Status of healthcare-associated infection management in 276 township hospitals in Mianyang City

目的了解乡镇卫生院医院感染管理现状,分析存在的问题,提出初步改进对策。方法采用问卷调查方式对某市276所乡镇卫生院医院感染管理情况进行调查。结果成立了医院感染管理委员会、医院感染管理科和医院感染管理小组的乡镇卫生院数分别为201所(72.83%)、274所(99.28%)、166所(60.14%)。128所(46.38%)乡镇卫生院开展了医院感染相关监测;39所(14.13%)乡镇卫生院开展了医院感染现患率调查;68所(24.64%)乡镇卫生院开展了手卫生依从性监测;254所(92.03%)乡镇卫生院开展了医院感染相关知识培训;建立了职业防护制度、职业暴露后处置流程及宣教指导的乡镇卫生院数分别为181所(65.58%)、162所(58.70%)、137所(49.64%)。结论本市乡镇卫生院医院感染管理存在组织体系不健全、人员配置严重不足、制度不完善、消毒灭菌落实较差、监测体系未建立等诸多问题,乡镇卫生院的医院感染管理工作亟待进一步加强。

Objective To understand current status of healthcare-associated infection（HAI）management in township hospitals in a city,analyze the existing problems,and put forward the preliminary improvement measures.Methods A questionnaire survey was adopted to investigate HAI management in 276 township hospitals in a city.Results 201（72.83%）,274（99.28%）,and 166（60.14%）hospitals established HAI management committee,HAI management department,and HAI management group respectively.128（46.38%）hospitals carried out HAI-related monitoring;39（14.13%）hospitals carried out point surveillance survey;68（24.64%）hospitals carried out monitoring of hand hygiene compliance;254（92.03%）hospitals carried out training on HAI knowledge;181（65.58%）,162（58.70%）,and 137（49.64%）hospitals established occupational protection system,disposal process after occupational exposure,and educational guidance respectively.Conclusion There are many problems in HAI management in township hospitals in this city,such as imperfect organization,shortage of personnel,imperfect system,poor implementation of disinfection and sterilization,and no monitoring system,HAI management work in township hospitals needs to be further strengthened.