上海市公立医院医院感染管理现状调查  

Current status of healthcare-associated infection management in public hospitals in Shanghai City

作　　者：侯冷晨 王鹏[2] 钱香玲 高晓东 傅小芳[5] 邹妮[6] 张燕[7] 余松轩 赵蓉 HOU Leng-chen;WANG Peng;QIAN Xiang-ling;GAO Xiao-dong;FU Xiao-fang;ZOU Ni;ZHANG Yan;YU Song-xuan;ZHAO Rong(Development Center Medical Division,Shanghai Shenkang Hospital,Shanghai 200041,China;Division of Medical Affairs,Shanghai Sixth People’s Hospital,Shanghai 200233,China;Department of Healthcare-associated Infection Management and Disease Control,Shanghai Tenth People’s Hospital,Shanghai 200072,China;Department of Healthcare-associated Infection Mana-gement,Fudan University Zhongshan Hospital,Shanghai 200032,China;Department of Healthcare-associated Infection Management,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200001,China;Department of Healthcare-associated Infection Management,Shanghai First People’s Hospital,Shanghai 200080,China;Department of Healthcare-associated Infection Management,Shanghai Cancer Center,Fudan University,Shanghai 200032,China)

机构地区：[1]上海市申康医院发展中心医疗事业部,上海200041 [2]上海市第六人民医院医务处,上海200233 [3]上海市第十人民医院院内感染与疾病控制处,上海200072 [4]复旦大学附属中山医院感染管理科,上海200032 [5]上海交通大学医学院附属仁济医院感染管理科,上海200001 [6]上海市第一人民医院院内感染管理科,上海200080 [7]复旦大学附属肿瘤医院院内感染管理科,上海200032

出　　处：《中国感染控制杂志》2021年第11期1016-1021,共6页Chinese Journal of Infection Control

基　　金：上海市申康医院发展中心管理研究项目(2020SKMR-36)。

摘　　要：目的调查上海市市级公立医院医院感染管理现状,并提出改进建议。方法采用问卷对39所上海市市级公立医院的分管副院长和医院感染管理部门负责人进行专家访谈。专家访谈内容主要包括市级公立医院医院感染管理部门组织体系建设情况、医院感染管理部门人才配备情况、制度建设情况、医院感染管理工作实施过程中的困难以及亮点等。结果39所市级公立医院中有37所(94.9%)设置了医院感染管理委员会,建立了完备的市级医院感染管理体系并开展相应工作职责。30所(76.9%)医院的医院感染管理委员会的部门成员构成符合要求,主任委员由医院院长或医疗副院长担任的有38所(97.4%)。有37所(94.9%)市级公立医院设置了独立的医院感染管理部门,31所(79.5%)医院的医院感染管理部门由医疗副院长直接管理,28所(71.8%)定位为职能部门。39所市级公立医院平均每239张床位配备1名医院感染管理专职人员,符合规范要求,但在不同医院间存在差异。医院感染管理部门负责人专业方向主要为临床医学(59.0%),感染管理专职人员的专业方向主要为护理学(41.9%)。39所市级公立医院医院感染管理工作亮点主要是能够采用个性化和多样化的培训方式(100.0%)、建立医院感染病例监测预警机制(89.7%)、实行感染防控网格化管理和MDT多学科协作管理模式(87.2%)等;建设难点主要集中在员工发展前景受限及晋升难(41.0%)、医院经费投入不够(33.3%)、岗位人员待遇低(23.1%)等问题。结论市级医院需要健全医院感染管理组织建设,完善医院感染管理体系,优化医院感染管理队伍培养机制,落实人员晋升激励措施,加大医院感染管理经费投入,保障科学规范资源配置,不断推进医院感染管理水平的科学化、精细化和规范化。Objective To investigate the current status of healthcare-associated infection(HAI)management in municipal public hospitals in Shanghai City,and put forward suggestions for improvement.Methods Questionnaires were used to interview deputy directors in charge of 39 municipal public hospitals and heads of HAI management departments of 39 municipal public hospitals in Shanghai City.The content of interview mainly included the organizational system construction of HAI management departments of municipal public hospitals,assignment of professionals and system construction of HAI management departments,difficulties and highlights in the implementation of HAI management,etc.Results 37(94.9%)of the 39 municipal public hospitals have set up HAI mana-gement committees,established a complete municipal HAI management system and carried out corresponding work responsibilities.The composition of the department members of HAI management committees of 30 hospitals(76.9%)met the requirements,38 hospitals(97.4%)appointed medical directors or medical deputy directors as chairman of HAI management departments.37(94.9%)municipal public hospitals have set up independent HAI management departments,31 hospitals(79.5%)had HAI management departments directly managed by medical deputy director,and 28 hospitals(71.8%)were as functional departments.39 municipal public hospitals had an ave-rage of one full-time HAI management professionals for every 239 beds,which met the standard requirements,but there were differences among different hospitals.The professional direction of heads of HAI management departments was mainly clinical medicine(59.0%),professional direction of full-time infection management professionals was nursing(41.9%).The highlights of HAI management in 39 municipal public hospitals were mainly the adoption of personalized and diversified training methods(100.0%),establishment of HAI case monitoring and early warning mechanism(89.7%),implementation of HAI control grid management and multi-disciplinary team(MDT)collaborative man

关 键 词：医院感染管理 公立医院 现状 调查 

分 类 号：R197.323[医药卫生—卫生事业管理]