广西地区妇幼保健机构医院感染体系建设与监测现况调查  

Current status of construction and monitoring of healthcare-associated infection system in Guangxi area

作　　者：韦艳妮 廖桂姨[1] 梁明兰 马张杰[1] 梁文婷[1] 廖丹[1] WEI Yanni;LIAO Guiyi;LIANG Minglan;MA Zhangjie;LIANG Wenting;LIAO Dan(Department of Healthcare-associated Infection Management,Maternal and Child Health Care Hospital of Guangxi Zhuang Autonomous Region,Nanning 530003,China;Department of Healthcare-associated Infection Management,Maternal and Child Health Care Hospital of Cenxi,Wuzhou 543200,China)

机构地区：[1]广西壮族自治区妇幼保健院医院感染管理科,广西南宁530003 [2]岑溪市妇幼保健院医院感染管理科,广西梧州543200

出　　处：《中国感染控制杂志》2025年第3期343-353,共11页Chinese Journal of Infection Control

摘　　要：目的了解广西壮族自治区妇幼保健机构医院感染体系建设与监测开展情况,为提高医院感染管理质量提供依据。方法由广西妇幼保健协会医院感染防控专业委员会专家组成员讨论后统一设计《广西壮族自治区妇幼保健机构医院感染体系建设与监测开展情况调查表》,以“问卷星”的形式向区域内所有妇幼保健机构下发问卷,并组建微信群负责对问卷中的内容进行答疑。结果共纳入104所妇幼保健机构,其中一级6所,二级74所,三级24所。所有妇幼保健机构均设置了医院感染管理部门,95.19%(99所)至少半年召开一次医院感染管理委员会。201名专职医院感染管理人员以女性(90.55%)、护理专业(72.64%)、本科学历(66.17%),年龄31~50岁(73.13%)人员居多。仅有30.77%的妇幼保健机构拥有医院感染监测系统。70所(67.30%)已开展提高住院患者抗菌药物治疗前病原学送检率专项行动,其中55所(78.57%)由医院感染管理部门牵头。97所(92.27%)妇幼保健机构展开了手术相关监测,其中50.96%的妇幼保健机构采用纯手工监测,目前已开展“夯实围手术期感染防控,保障手术质量安全”专项行动的仅有30.77%。结论广西地区妇幼保健机构医院感染管理体系基本已构建完成并能开展监测工作,但人员构成较单一,人才储备后劲不足。医院感染监测信息化建设较差,专项行动滞后。上级行政部门应对基层妇幼保健机构的感染防控工作加强指导和扶持,同时各级妇幼保健机构应多沟通交流,交换工作经验。医院应加大对医院感染信息化建设的支持力度,提升医院感染监测水平和防控能力。Objective To investigate the current status of construction and monitoring of healthcare-associated infection(HAI)system in maternal and child health care institutions in Guangxi Zhuang Autonomous Region,and provide reference for improving the quality of HAI management.Methods After discussed by members of expert group of HAI Prevention and Control Professional Committee of Guangxi Maternal and Child Health Care Association,the“Questionnaire on the construction and monitoring of HAI system in maternal and child health care institutions in Guangxi Zhuang Autonomous Region”was designed.The questionnaires were distributed to all maternal and child health care institutions in the region via“Questionnaire Star”,and a WeChat group was established to address any questions in questionnaires.Results A total of 104 maternal and child health care institutions were included in the study,including 6 primary,74 secondary,and 24 tertiary level institutions.All maternal and child health care institutions have established HAI management departments,95.19%(n=99)of institutions held HAI management committee meeting at least once every six months.Among 201 HAI management professionals,most were female(90.55%),with nursing specialty(72.64%),with a bachelor’s degree(66.17%),and aged 31-50 years old(73.13%).Only 30.77%of the maternal and child health care institutions had HAI monitoring system.Seventy institutions(67.30%)have carried out the special action of improving the pathogen detection rate before antimicrobial therapy for hospitalized patients,out of which 55(78.57%)were led by the HAI management department.Ninety-seven(92.27%)maternal and child health care institutions conducted surgery-related monitoring,with 50.96%of institutions relying on manual monitoring;only 30.77%of institutions have carried out the special action of“Strengthening perioperative infection prevention and control to ensure surgical quality and safety”.Conclusion HAI management system in maternal and child health care institutions in Guangxi h

关 键 词：妇幼保健机构 医院感染体系 医院感染监测 广西地区 

分 类 号：R181.32[医药卫生—流行病学]