湖北省二级医疗机构新生儿病房医院感染管理过程指标执行结果调查  

Execution of process indexes of nosocomial infection management in neonatal wards of second-level hospitals in Hubei province

作　　者：梁艳芳[1] 许川[1] 谭莉[1] 陈茜[1] 熊薇[1] 赖晓全[1] LIANG Yan-fang;XU Chuan;TAN Li;CHEN Xi;; XIONG Wei;LAI Xiao-quan(Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan , Hubei 430000, Chin)

机构地区：[1]华中科技大学同济医学院附属同济医院医院感染管理科,湖北武汉430000

出　　处：《中华医院感染学杂志》2018年第11期1735-1739,共5页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(71473098)

摘　　要：目的了解湖北省二级医疗机构新生儿科医院感染管理现状,为医疗机构医院感染评价指标选择提供依据。方法 2016年5-6月采用现场查看及问卷调查的方法,对湖北省45所二级医疗机构新生儿病房设置、人员管理、手卫生管理、消毒隔离状况、医疗废物管理等医院感染过程指标进行调查与分析。结果综合医院普通病室的设置达标率为88.00%(22/25)高于专科医院40.00%(8/20)(P=0.001);综合医院隔离病室的设置达标率为92.00%(23/25)高于专科医院35.00%(7/20)(P<0.001),综合医院重症监护病室达标率为76.00%(19/25)高于专科医院30.00%(6/20)(P=0.002)。综合医院病房入口处设置洗手设施及放置速干手消毒剂、盛放奶瓶的容器每日清洁消毒及湿化瓶、吸痰瓶每日更换清洁消毒达标率分别为72.00%(18/25)和84.00%(21/25)、96.00%(24/25)及84.00%(21/25)均高于专科医院(P<0.05);其余指标达标率综合医院与专科医院之间差异无统计学意义。结论调查的五大体系过程指标中,二级医疗机构综合医院总体指标达标率高于专科医院,部分指标两者无差异,但达标率均较低,对二级医疗机构尤其是专科医院医院感染管理力度仍需进一步加强。同时,可将五大体系过程指标进行筛选,从而更好地运用于不同等级、不同类别医院感染管理评价体系中。OBJECTIVE To know about the present situation of nosocomial infection management in second-level medical institutions in Hubei province,so as to provide basis for the selection of evaluation indexes of nosocomial infections in medical institutions.METHODS From May to June 2016,the method of on-the-spot inspection and questionnaire survey were used,nosocomial infection process indicators such as the neonatal wards setting,personnel management,hand hygiene management,disinfection and isolation,and medical waste management of 45 second-level medical institutions in Hubei province were investigated and analyzed.RESULTS The setting rate of general wards was 88.00%（22/25）in general hospitals,which was significantly higher than 40.00%（08/20）in specialized hospitals（P=0.001）.The setting rate of isolation rooms in general hospitals was 92.00%（23/25）,which was significantly higher than 35.00%（7/20）in specialized hospitals（P〈0.001）.The qualified rate of intensive care units in general hospitals was 76.00%（19/25）,which was significantly higher than 30.00%（6/20）in specialized hospitals（P=0.002）.The cleansing and disinfecting qualified rates of general hospital wards equipped with hand-washing facilities and quick-disinfectant hand sanitizers,containers containing bottles for daily cleaning and disinfection,and humidifying bottles and sucking bottles for daily replacement were 72.00%（18/25）,84.00%（21/25）,96.00%（24/25）,and 84.00%（21/25）,which were significantly higher than those of specialized hospitals（P〈0.05）.The qualified rates of other indexes were not different between general and specialized hospitals.CONCLUSION Among the investigated five system process indexes,the qualified rate of overall index of general hospitals of second-level medical institution is higher than that of specialized hospitals,some of them have no obvious differences,but the qualified rate is lower.The management of nosocomial infection in second-level medical institutions,especially in speci

关 键 词：医院感染 过程指标 新生儿病房 综合医院 专科医院 

分 类 号：R184[医药卫生—流行病学]