都江堰市重建乡镇卫生院院感管理现状调查
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摘要
目的了解都江堰市"5.12"大地震灾区重建乡镇卫生院医院感染管理状况,为提出预防控制措施提供参考。方法采取问卷调查、现场查看、面对面访谈、资料查询的方法,对13所地震后重建乡镇卫生院的院感管理现状进行调查。结果结果显示13家灾区重建乡镇卫生院的医院感染管理三级组织健全的只有30.8%,院感知识培训、院感自查、院感会议等管理活动开展率为38.5%～61.5%,院感监测开展不足1/3,传染病预检分诊开展率为30.8%,1/3以上的重点科室消毒隔离、物品管理、手卫生设施不到位,消毒灭菌质量监测开展率平均不足50%,53.8%的机构能提供合格个人防护用品,但仅30.8%的机构员工能正确穿戴。结论都江堰市"5.12"大地震灾区重建乡镇卫生院医院感染管理组织不健全,院感防控存在薄弱环节。
Objective To understand the situation of hospital infection in rebuilt township hospitals in disaster areas in DujiangYan city after '5·12' Wenchuan earthquake,so that to provide reference for the prevention and control of hospital infection.Methods The situation of hospital infection management in 13 rebuilt health clinics was investigated by means of questionnaire survey,site view,face to face interview and data inquiry.Results In total 13 rebuilt health clinics,only 30.8% had perfect hospital infection managing mechanism;38.5%-61.5% carried out management activities such as training,self-check,conference,etc;less than 1/3 of the clinics conducted monitoring on hospital infection;and 30.8% ran triage system of communicable diseases;over 1/3 critical departments were not in place in disinfection and isolation,articles management and hand hygiene facilities.Less than 50% surveilled disinfecting quality;53.8% provided eligible personnel protective equipment,and only 30.8% of the crew could put on properly.Conclusion The organization and management of hospital infection in rebuilt township clinics of Dujiangyan are to be enhanced.
Objective To understand the situation of hospital infection in rebuilt township hospitals in disaster areas in DujiangYan city after '5·12' Wenchuan earthquake,so that to provide reference for the prevention and control of hospital infection.Methods The situation of hospital infection management in 13 rebuilt health clinics was investigated by means of questionnaire survey,site view,face to face interview and data inquiry.Results In total 13 rebuilt health clinics,only 30.8% had perfect hospital infection managing mechanism;38.5%-61.5% carried out management activities such as training,self-check,conference,etc;less than 1/3 of the clinics conducted monitoring on hospital infection;and 30.8% ran triage system of communicable diseases;over 1/3 critical departments were not in place in disinfection and isolation,articles management and hand hygiene facilities.Less than 50% surveilled disinfecting quality;53.8% provided eligible personnel protective equipment,and only 30.8% of the crew could put on properly.Conclusion The organization and management of hospital infection in rebuilt township clinics of Dujiangyan are to be enhanced.
引文
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[4]邓小华,刘竹,安寒,等.成都市2008-2010年医疗机构消毒质量监测分析[J].医学动物防制,2011,27(8):699-701.
[5]肖桂琴,王冬梅,杨育松.北京市密云县不同级别医疗机构消毒灭菌效果监测[J].中国消毒学杂志,2007,24(6):568.
[6]黄露香,罗日标,马智超.深圳市社康中心及个体诊所消毒效果监测与分析[J].热带医学杂志,2005,5(2):216
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[8]Pittet D,Hugonnet S,Harbarth S,et al.Effectiveness of a hospital-wide program to improve compliance with hand hygiene[J].Lancet,2000,356:1307-1312.
[9]中华人民共和国卫生部.WS/T-2009医务人员手卫生规范[S].2009.
[10]李开波,张小凡,叶蓉春.江苏省农村医疗机构医疗废物管理现状与对策[J].中国卫生监督杂志,2007,14(4):245-247.
[2]周敏,滕燕,叶子,等.乡镇卫生院医务人员压力反应与应对方式及社会支持的相关性[J].中国行为医学科学,2007,16(12):1108-1110.
[3]刘竹,马林,窦丰满,等.都江堰市板房卫生院医院感染管理现状及对策[J].现代预防医学,2011,38(2):278-280.
[4]邓小华,刘竹,安寒,等.成都市2008-2010年医疗机构消毒质量监测分析[J].医学动物防制,2011,27(8):699-701.
[5]肖桂琴,王冬梅,杨育松.北京市密云县不同级别医疗机构消毒灭菌效果监测[J].中国消毒学杂志,2007,24(6):568.
[6]黄露香,罗日标,马智超.深圳市社康中心及个体诊所消毒效果监测与分析[J].热带医学杂志,2005,5(2):216
[7]张翠玲.沈阳市铁西区医疗机构消毒效果监测分析[J].中国公共卫生,2009,25(5):591.
[8]Pittet D,Hugonnet S,Harbarth S,et al.Effectiveness of a hospital-wide program to improve compliance with hand hygiene[J].Lancet,2000,356:1307-1312.
[9]中华人民共和国卫生部.WS/T-2009医务人员手卫生规范[S].2009.
[10]李开波,张小凡,叶蓉春.江苏省农村医疗机构医疗废物管理现状与对策[J].中国卫生监督杂志,2007,14(4):245-247.
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