全国妇幼保健机构医院感染管理体系建设现况调查报告  

A nationwide investigation report on the current situation of construction of healthcare-associated infection management system in maternal and child health care institutions

作　　者：李硕[1] 姚希[1] 贾会学[1] 李卫光[2] 黄勋[3] 孙树梅[4] 程曦[5] 孟庆兰[6] 张翔 张静萍[8] 邢亚威[9] 姜青青 吴联萱 张冰丽 刘晓静[1] 李六亿[1] LI Shuo;YAO Xi;JIA Hui-xue;LI Wei-guang;HUANG Xun;SUN Shu-mei;CHENG Xi;MENG Qing-lan;ZHANG Xiang;ZHANG Jing-ping;XING Ya-wei;JIANG Qing-qing;WU Lian-xuan;ZHANG Bing-li;LIU Xiao-jing;LI Liu-yi(Department of Infection Management-Disease Prevention and Control,Peking University First Hospital,Beijing 100034,China;Healthcare-associated Infection Management Office,Shandong Provincial Hospital,Jinan 250021,China;Center for Healthcare-associated Infection Control,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Healthcare-associated Infection Management,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Healthcare-associated Infection Management Office,The Second Affiliated Hospital of Kunming Medical University,Kunming 650033,China;Department of Healthcare-associated Infection Management and Disease Prevention and Control,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010000,China;Department of Healthcare-associated Infection Management,Jiangsu Provincial Maternal and Child Health Care Hospital,Nanjing 210036,China;Healthcare-associated Infection Management Office,The First Affiliated Hospital of China Medical University,Shenyang 110002,China;Department of Infection Management,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China;Department of Healthcare-asso-ciated Infection Management,Yantai Qishan Hospital,Yantai 264001,China)

机构地区：[1]北京大学第一医院感染管理-疾病预防控制处,北京100034 [2]山东省立医院医院感染管理办公室,山东济南250021 [3]中南大学湘雅医院医院感染控制中心,湖南长沙410028 [4]南方医科大学南方医院医院感染管理科,广东广州510515 [5]昆明医科大学第二附属医院医院感染管理办公室,云南昆明650033 [6]内蒙古医科大学附属医院医院感染管理与疾病预防控制部,内蒙古呼和浩特010000 [7]江苏省妇幼保健院感染管理处,江苏南京210036 [8]中国医科大学附属第一医院院内感染管理办公室,辽宁沈阳110002 [9]河北医科大学第四医院感染管理科,河北石家庄050011 [10]烟台市奇山医院院感管理科,山东烟台264001

出　　处：《中国感染控制杂志》2023年第11期1298-1304,共7页Chinese Journal of Infection Control

基　　金：国家卫生健康委妇幼健康司委托项目(2022年)。

摘　　要：目的了解全国各级妇幼保健机构医院感染管理体系建设现况,为加强妇幼保健机构的医院感染管理工作提供政策依据。方法从8个省/市/自治区的省部级、地市级和区县级妇幼保健机构中分层抽样,设计统一的调查问卷,以“问卷星”的形式开展线上调查。结果共123所妇幼保健机构的数据纳入统计分析,其中97.56%的妇幼保健机构设立了医院感染管理委员会,98.33%的医院感染管理委员会每年至少召开两次感染监控专题会议;87.81%的妇幼保健机构设立了独立的医院感染管理部门,该部门92.68%由院长或副院长直接领导;90.24%妇幼保健机构的病区设立了临床医院感染管理小组。医院感染管理专职人员数量符合要求的妇幼保健机构占比52.03%,专职人员数量和专业结构均符合要求的比率仅为11.38%。纳入调查的12项医院感染管理制度中有9项在妇幼保健机构中建立的比率超过90%。结论全国各级妇幼保健机构普遍建立了较为完善的组织架构和医院感染管理制度,但医院感染管理专职人员队伍建设有待加强。Objective To investigate the current situation of the construction of healthcare-associated infection(HAI)management system at all levels of maternal and child health care(MCH)institutions in China,and provide reference for national policy-making on strengthening HAI management in MCH institutions.Methods A stratified sampling was conducted in MCH institutions at provincial,municipal,and district/county levels in 8 provinces/ci-ties/autonomous regions,and online surveys were carried out via a unified survey questionnaire designed through“questionnaire star”.Results The data of 123 MCH institutions were included for analysis.Among all the HCM institutions,97.56%have set up HAI management committees;98.33%convened special meeting sessions on HAI management at least twice a year;87.81%have set up independent HAI management departments;92.68%were directly led by the directors or deputy directors of the institutions;90.24%have set up clinical HAI management teams.52.03%of the institutions met the quantity requirements of full-time infection prevention and control(IPC)personnel,only 11.38%met both major and quantity requirements.More than 90%of institutions had established 9(out of the 12)HAI management systems included in this survey.Conclusion All levels of national MCH institutions have generally established relatively complete organizational structures and HAI management systems,but the construction of a dedicated team of HAI personnel needs to be strengthened.

关 键 词：医院感染管理 医院感染管理体系 组织架构 妇幼保健机构 专职人员 抽样调查 

分 类 号：R197.323.4[医药卫生—卫生事业管理]