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目的了解某市各级医疗机构医院感染预防控制管理及传染病防治工作情况。方法通过实地察看和实物查证、现场提问等方法,对14个医疗机构医院感染控制管理现状进行全面的记录和分析。结果受检医院虽均有对传染病的主动监测制度,但仅14%的医院建立有传染病防治应急处理预案,86%的医院成立了医院感染管理组织机构,50%的医院制定了医院感染管理相关制度,86%的医院每年对医护人员进行了医院感染知识培训,64%的医院对医疗废物、污水、污物进行无害化处理,21%的医院具备开展消毒效果检测能力,43%的医院建立了消毒产品的进货审证、验证制度,43%的医院能提供相关的计划、总结、消毒灭菌效果监测记录以及医院感染控制工作记录等。结论医院感染预防控制工作存在有较多薄弱环节。
Objective To understand the hospital infection prevention and control management and prevention and treatment of infectious diseases in medical institutions at all levels in a city. Methods Through field observation and physical verification, on-site questioning and other methods, a comprehensive record and analysis of the status of hospital infection control and management in 14 medical institutions were conducted. Results Although there were active surveillance systems for infectious diseases in the hospitals under examination, only 14% of the hospitals established pre-treatment plans for the prevention and control of infectious diseases, 86% of the hospitals set up hospital infection management organizations and 50% of hospitals developed nosocomial infections In the management-related system, 86% of the hospitals train their healthcare workers in knowledge of nosocomial infection every year, 64% of hospitals treat them with harmless treatment of medical waste, sewage and dirt, 21% of hospitals have the ability to conduct disinfection tests, 43% Of the hospitals have set up the purchasing certification and verification system of disinfection products, and 43% of the hospitals can provide related plans, summarize, monitor the records of disinfection and sterilization effects and record the work of hospital infection control. Conclusion There are many weak links in the prevention and control of hospital infection.