成都西部医联体医院感染防控体系构建现状调查

Current status of construction of nosocomial infection control system in the Western Chengdu Medical Association

目的了解成都西部医联体各级医疗机构医院感染防控构建重要维度的现状,探索医联体医院感染防控体系建设的考核指标,为区域化医联体医院感染防控体系协同网建设提供参考意见。方法采用自制问卷量表,在2017年5月-2018年10月对成都西部医联体机构医务人员、保洁人员进行调查,分析有关医院感染预防与控制指标的差异。结果本次调查研究涉及到医疗机构90家,二级以上医疗机构19家,基层卫生院71家,占医联体机构94.7%(90/95);调查医务人员910人,保洁人员137人。不同级别的医疗机构医务人员及保洁人员在性别、年龄、婚姻状况等方面不存在差异,医务人员的经济收入比较差异有统计学意义(P<0.05)。不同级别医疗机构院感部门建设、院感防控信息系统建设、院感防控培训情况、环境清洁情况、院感防控体系认可程度比较差异具有统计学意义(P<0.05),消毒供应中心建设比较无明显差异;不同级别的医疗机构医垃处置能力、多重耐药菌的防控、职业暴露的处置能力比较差异明显(P<0.05)。结论成都西部医联体不同级别医疗机构医院感染防控体系建设水平参差不齐,总体水平较低,医疗机构需要加大对医务人员医院感染防控能力的提升,主管牵头部门应加大医联体内部院感防控体系建设,整合内部资源,为医联体医疗质量安全、健康快速发展提供有力保障。

OBJECTIVE To understand the current status of construction of important dimensions of nosocomial infection control systems in the medical institutions of the Western Chengdu Medical Association and explore the evaluation indexes for construction of nosocomial infection control system so as to provide reference advice for the construction of coordinated network of infection control system in regional medical association. METHODS The self-designed questionnaires were employed to investigate the health care workers and cleaning staff of the medical institutions of the Western Chengdu Medical Association from May 2017 to Oct 2018, and the indexes for prevention and control of nosocomial infection were observed. RESULTS Totally 90 medical institutions were involved in the survey, including 19 secondary or above medical institutions and 71 grass-roots health care hospitals, accounting for 94.7%(90/95) among the medical institutions of the Western Chengdu Medical Association.Totally 910 health care workers and 137 cleaning staff were involved.There were no significant differences in the age, gender, and marriage status of the health care workers or cleaning staff among the medical institutions involved;there was significant difference in the economic income of the health care workers(P<0.05).There were significant differences in the construction of infection control department, construction of information system of infection control, status of training of infection control, status of environmental cleaning and satisfaction with the infection control system among the medical institutions(P<0.05).There was no significant difference in the construction of central sterile supply center;there were significant differences in the ability of disposal of medical waste, control of multidrug-resistant organisms and ability of disposal of occupational exposure(P<0.05). CONCLUSION The medical institutions of Western Chengdu Medical Association show uneven level of construction of nosocomial infection control system, the overall level is low.It is necessary for the medical institutions to boost the health care workers′ capability of control of nosocomial infection, and the leading departments should strengthen the construction of infection control system inside the medical association and integrate the internal resources so as to ensure the safety of medical quality and safeguard the rapid development of health care.