云南省262所县乡镇医疗机构医院感染管理现状调查和分析  

Investigation and Analysis of the Current Situation of Hospital Infection Management in 262 County and Township Medical Institutions in Yunnan Province

作　　者：范丽[1,2,3] 唐婷 袁晨宇 张磊 FAN Li;TANG Ting;YUAN Chen-yu;ZHANG Lei(Department of Infection Management,The First People's Hospital of Yunnan Province,Kunming Yunnan 650000,China;Yunnan Provincial Hospital Infection Quality Control Center,Kunming Yunnan 650000,China;Department of Infection Management,Affi liated Hospital of Kunming University of Science and Technology,Kunming Yunnan 650000,China)

机构地区：[1]云南省第一人民医院感染管理科,云南昆明650000 [2]云南省医院感染质量控制中心,云南昆明650000 [3]昆明理工大学附属医院感染管理科,云南昆明650000

出　　处：《中华养生保健》2024年第19期88-90,94,共4页CHINESE HEALTH CARE

摘　　要：目的了解云南省县、乡镇医疗机构医院感染管理部门现状,探讨在县域医共体背景下如何提高县、乡镇医疗机构医院感染管理质量。方法通过问卷调查对云南省262所县、乡镇医疗机构的医院感染管理部门设置现状进行调查。结果91.60%的医院设立了独立的医院感染管理部门,其中84.58%的部门属于一级科室,直接隶属正副院长管辖。专职人员大专及以下学历占42.74%,高级职称占32.69%,8.40%的医院不满足每150~200张实际使用床位配备一名专职人员的要求。25.57%的医院建立了医院感染信息化监控系统,乡镇卫生院参与各项目标性监测的比例均低于县级医院,两组差异有统计学意义(P<0.05)。结论云南省部分县、乡镇医疗机构医院感染管理部门设置尚未达到要求、专职人品配备结构层次不合理、医院感染监测开展总体落后,建议加强科室建设和专业队伍培养,使县、乡镇医疗机构医院感染管理更加完善。Objective To understand the current situation of hospital infection management departments in secondary and lower medical institutions in Yunnan Province,and to discuss how to improve the quality of hospital infection management in county and township medical institutions under the background of county-level medical community.Methods A questionnaire survey was conducted to investigate the status quo of hospital infection management departments in 262 county and township medical institutions in Yunnan Province.Results 91.60%of the hospitals have set up independent hospital infection management departments,of which 84.58%belong to the first-level departments,which are directly under the jurisdiction of the president and vice president.Among the full-time staff,42.74%have a college degree or below,32.69%have senior professional titles,and 8.40%of the hospitals do not meet the requirement of one full-time staff for every 250 beds actually used.25.57%of the hospitals established an information monitoring system for nosocomial infection,and the proportion of township health centers participating in various targeted monitoring was lower than that of county-level hospitals,and the difference between the two groups was statistically significant(P<0.05).Conclusion It is suggested that the construction of departments and the training of professional teams should be strengthened to improve the management of hospital infection in county and township medical institutions.

关 键 词：县域医共体 基层医疗机构 医院感染 现状调查 

分 类 号：R184[医药卫生—流行病学]