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江苏省62所基层医疗机构医院感染管理现状研究

赵梦寒 祁琪 郭紫晴 刘金平 马瑶瑶 茅一萍

中国感染控制杂志2025,Vol.24Issue(4):539-544,6.
中国感染控制杂志2025,Vol.24Issue(4):539-544,6.DOI:10.12138/j.issn.1671-9638.20256908

江苏省62所基层医疗机构医院感染管理现状研究

Current status of healthcare-associated infection management in 62 prima-ry medical institutions in Jiangsu Province

赵梦寒 1祁琪 2郭紫晴 1刘金平 1马瑶瑶 1茅一萍2

作者信息

  • 1. 徐州医科大学护理学院,江苏 徐州 221004
  • 2. 徐州医科大学护理学院,江苏 徐州 221004||徐州医科大学附属医院感染管理科,江苏 徐州 221000
  • 折叠

摘要

Abstract

Objective To understand the application of healthcare-associated infection(HAI)quality control indi-cators and current status of HAI management in primary medical institutions in Jiangsu Province,and provide refe-rence and basis for primary medical institutions to improve HAI management quality and for health administrative departments to formulate HAI management relevant policies.Methods Data on HAI quality control indicators co-llected by Jiangsu Provincial Primary Healthcare Professional Quality Control Center from the first batch of 62 pri-mary sentinel medical institutions in the province were analyzed.Results of on-site inspections and assessments of 20 institutions were summarized and analyzed.Results From July 2023 to May 2024,a total of 145 814 inpatients were monitored,219 patients had 220 episodes of HAI.The incidence and case incidence of HAI were both 0.15%,and the main HAI site was upper respiratory tract(40.45%).The compliance rate and correct rate of hand hygiene were 81.34%(14.29%-100%)and 87.90%(18.46%-100%),respectively.The removal rate of surface pollu-tant from environmental objects was 77.24%(20.00%-100%),and the qualified rate of cleaning of device,appli-ances,and articles was 98.76%(10.00%-100%).The monitoring data records of quality control indicators in most primary healthcare institutions during on-site inspections didn't match the monthly data reported to the Jiangsu Provincial Primary Healthcare Professional Quality Control Center.Most healthcare workers in primary healthcare institutions lacked sufficient awareness and knowledge in infection prevention and control.Multiple HAI-related safety hazards existed in key departments of most primary medical institutions.Conclusion After nearly a year of continuous monitoring on HAI,the primary sentinel medical institutions have established their own data on the inci-dence of HAI.The compliance rate and correct rate of hand hygiene,as well as the removal rate of surface pollu-tants from environmental objects are still relatively low in some medical medical institutions,and there is much room for improvement.There is still a significant gap in terms of HAI prevention and control in some primary medical in-stitutions when referring to the standards.

关键词

基层医疗机构/医院感染/管理/现状/质量控制指标

Key words

primary medical institution/healthcare-associated infection/management/current status/quality control indicator

分类

医药卫生

引用本文复制引用

赵梦寒,祁琪,郭紫晴,刘金平,马瑶瑶,茅一萍..江苏省62所基层医疗机构医院感染管理现状研究[J].中国感染控制杂志,2025,24(4):539-544,6.

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