聊城市基层医疗机构医院感染管理现状分析  

Analysis on the current situation of nosocomial infection management in primary medical institutions in Liaocheng city

作　　者：闫青芳[1] 宓托阳 杜桂英[1] 宁吉沪 袁慧[1] 马静[2] 王光伟 YAN Qingfang;MI Tuoyang;DU Guiying;NING Jihu;YUAN Hui;MA Jing;WANG Guangwei(Institute of Primary and Rural Public Health,Liaocheng Center for Disease Control and Prevention,Liaocheng,Shandong 252000,China;Public Health Department of Liaocheng People's Hospital,Liaocheng,Shandong 252oo0,China;Tieta Institute,Market Supervision and Administration Bureau in Dongchangfu District,Liaocheng,Shandong 252000,China)

机构地区：[1]聊城市疾病预防控制中心基层与农村公共卫生所,山东聊城252000 [2]聊城市人民医院公共卫生处,山东聊城252000 [3]东昌府区市场监督管理局铁塔所,山东聊城252000

出　　处：《社区医学杂志》2024年第22期786-790,共5页Journal Of Community Medicine

基　　金：2023年度山东省医药卫生科技科研课题(202312071056)

摘　　要：目的了解辖区基层医疗机构医院感染管理现状,为制定基层医疗机构医院感染管理政策提供理论技术依据。方法2023-11-01-2024-05-31通过现场查看、问卷调查的方式对聊城市140所基层医疗机构医院感染制度和工作开展情况进行调查分析。采集空气、物表等样本5017份,通过细菌定量检验方法,对基层医疗机构的消毒效果进行评价。采用χ^(2)检验对数据进行统计分析。结果制度方面,140家基层医疗机构均实行了院长负责制,乡镇卫生院无独立医院感染科,无专职医院感染负责人。建立组织网络、管理制度健全和将医院感染纳入绩效考核的乡镇卫生院构成比分别为41.09%、39.73%和2.74%,低于社区卫生服务中心(86.21%、75.86%、34.48%)和中心卫生院(100.00%、81.59%、71.05%),差异有统计学意义,χ^(2)值分别为16.999、22.547、58.830,均P<0.001。医院感染工作方面,定期召开医院感染会议、开展应急演练、风险评估和消毒效果监测的乡镇卫生院构成比分别为16.44%、4.11%、4.11%和12.33%,与中心卫生院(65.79%、36.84%、13.16%和60.53%)和社区卫生服务中心(58.62%、41.39%、27.59%和34.48%)比较,差异有统计学意义,χ^(2)值分别为31.894、25.814、10.686和27.995,P值分别为<0.001、<0.001、0.003和P<0.001。消毒监测方面,使用中的消毒剂合格率最高为100.00%,重点科室空气合格率最低为72.95%,不同项目消毒质量合格率差异有统计学意义,χ^(2)=195.567,P<0.001;乡镇卫生院的医疗用水和工作人员手合格率较低,分别为69.73%和83.06%,社区卫生服务中心和中心卫生院的空气合格率相对较低,分别为63.79%和64.10%。结论聊城市基层医疗机构医院感染管理现状有待提升。基层医疗机构尤其是乡镇卫生院应进一步健全医院感染管理组织,制定切实可行的制度措施,提高医院感染监测及风险评估能力,并将医院感染工作纳入绩效管理。卫生行政部门应进�Objective To understand the current situation of nosocomial infection management in primary medical and health institutions in the district,to provide a theoretical and technical basis for the establishment of hospital infection management policy in primary health care institutions.Methods Through inspections and questionnaire surveys,the study investigated and analyzed the implementation of infection control systems and the progress of work at 140primary healthcare institutions in Liaocheng city from 2023-11-01to 2024-05-31.A total of 5 017samples of air and surfaces were collected,and the disinfection effect of these institutions was evaluated using quantitative bacterial testing methods.Statistical analysis was conducted on the data using the chi square test.Results In terms of the system,all 140primary medical institutions had implemented the principal-in-charge system,while there were no independent infection control departments or full-time infection control managers in township health clinics.The proportions of township health centers with established organizational networks,complete management systems,and performance evaluations that include infection control were 41.09%,39.73%,and 2.74%,which were significantly lower than those of community health service centers(86.21%,75.86%,and 34.48%)and central health clinics(100.00%,81.59%,and 71.05%),the differences were statistically significant,with χ^(2) values of 16.999,22.547,and 58.830,respectively,all P<0.001.In terms of infection control,the proportions of township health centers that hold regular infection control meetings,conduct emergency drills,conduct risk assessments,and monitor disinfection effectiveness were 16.44%,4.11%,4.11%,and 12.33%,which were significantly different with central health centers(65.79%,36.84%,13.16%,and 60.53%)and community health service centers(58.62%,41.39%,27.59%,and 34.48%),the differences were statistically significant,with χ^(2) values of 31.894,25.814,10.686,and 27.995,Pvalues of<0.001,<0.001,0.003,and P<0.001,respect

关 键 词：基层医疗机构 医院感染 感染管理 聊城市 

分 类 号：R197.323[医药卫生—卫生事业管理]