基于疫情防控常态化评价医院普通外科感染防控的效果  

Evaluation of the Effect of Infection Prevention and Control in Department of General Surgery Based on the Normalization of Epidemic Prevention and Control

作　　者：李妍[1] 张洁[1] 曾萍[2] 蔡爱琴 马会洁 游琨 LI Yan;ZHANG Jie;ZENG Ping;CAI Aiqin;MA Huijie;YOU Kun(Hospital Quality and Safety Control Office,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China;Department of Hospital Infection Management,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China;Department of General Surgery,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China)

机构地区：[1]新乡医学院第一附属医院医院质量与安全控制办公室,河南新乡453100 [2]新乡医学院第一附属医院感控管理部,河南新乡453100 [3]新乡医学院第一附属医院普通外科,河南新乡453100

出　　处：《河南医学研究》2021年第7期1153-1157,共5页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190473)。

摘　　要：目的基于疫情防控常态化评价医院普通外科感染防控的效果。方法选取2019年1月18日至8月31日新乡医学院第一附属医院普通外科收治的9339例患者为对照组,选取2020年1月18日至8月31日该科收治的6386例患者为观察组。对照组接受医院常规感染防控措施,观察组接受疫情防控常态化措施。深入科室实地调查医院感染率,评价病区管理、环境卫生学监测、医务人员手卫生、个人防护及重点环节管理等。结果对照组和观察组医院感染率分别为4.66%(435/9339)和3.85%(246/6386),两组医院感染率比较,差异有统计学意义(χ2=5.942,P=0.015)。与对照组相比,观察组医务人员防控知识的理论测试、病区管理质量考核、环境卫生学监测项目中除“医务人员手表面监测”外、医务人员手卫生项目中除“接触患者血液及体液后”外、个人防护项目中除“职业暴露处理物品配备”外、重点环节管理项目中除“可复用用品消毒”和“中心静脉管维护”外得分均较高(P<0.05)。结论实施疫情防控常态化措施可减少医院感染的发生,为做好医院感染防控工作积累经验。Objective To evaluate the effect of infection prevention and control in Department of General Surgery based on the normalization of epidemic prevention and control.Methods A total of 9339 patients admitted to Department of General Surgery,the First Affiliated Hospital of Xinxiang Medical University from January 18 to August 31,2019 were selected as control group,and 6386 patients admitted to the department from January 18 to August 31,2020 were selected as observation group.Control group adopted routine nosocomial infection prevention and control measures,while observation group adopted normal epidemic prevention and control measures.The nosocomial infection rate in the department was investigated,and the ward management,environmental hygiene monitoring,hand hygiene of medical personnel,personal protection and key link management,etc were evaluated.Results The nosocomial infection rates in control group and observation group were 4.66%(435/9339)and 3.85%(246/6386),respectively.There was a a statistical difference in the nosocomial infection rate between the two groups(χ2=5.942,P=0.015).Compared with control group,observation group in the scores of theoretical test of prevention and control knowledge of medical personnel,ward management quality assessment,environmental hygiene monitoring except“medical staff hand surface monitoring”,hand hygiene of medical personnel except“after contact with the patient’s blood and body fluids”,personal protection except“occupational exposure to handle items with”,key link management except“reusable supply disinfection”and“center vein pipe maintenance”were all higher(P<0.05).Conclusion The implementation of normal epidemic prevention and control measures can reduce the incidence of nosocomial infection and accumulate some experience for the prevention and control of nosocomial infection.

关 键 词：医院感染 疫情防控常态化 普通外科 效果 

分 类 号：R197.3[医药卫生—卫生事业管理]