某区社区卫生服务中心医院感染管理现状的调查分析

目的：通过对某区社区卫生服务中心医院感染管理现状调查，探讨促进基层医疗机构医院感染质量控制的措施。方法调查8家社区卫生服务中心医院感染管理现状，调查内容共包括医院感染管理组织、制度、培训、监测、消毒隔离、医疗废弃物以及手卫生现状。结果8家社区卫生服务中心医院感染组织建设、制度制定、人员要求、预防控制基础措施较规范。但人员培训、重点部门与环节管理欠规范；执行卫生行业标准不力，特别是未规范执行《医院消毒供应中心3个规范》、《医务人员手卫生规范》、《医疗机构消毒技术规范》；缺乏监督检查机制，各种监测方法欠准确。结论基层医疗机构医院感染组织体系较为规范，但还存在薄弱环节。应加大对基层医疗机构监督检查力度和加强培训频次；基层医疗机构应加大医院感染管理的投入，包括增加人员和增添设施。

Investigation of control situation of nosocomial infection in community health service centers in a district of Hefei

Objective To investigate the current control situation of nosocomial infection in 8 community health service centers in a district of Hefei,and to discuss how to promote the quality control of nosocomial infection in grassroots medical institutions. Methods 8 community health service centers were investigated,and the investigation contents included the control situation of organization,regulation, training,monitoring,disinfection and isolation,hand hygiene and medical waste of nosocomial infection. Results The organization con-struction,regulation establishment,personnel requirement,basic measures of prevention and control of nosocomial infection in these 8 com-munity health service centers were standard in general. But it was not perfect in the personnel training,management of key departments and links,and execution of the health industry standards,especially such as the three standards for central sterile supply department,Standard for hand hygiene for healthcare workers and Regulation of disinfection technique in health care settings,together with insufficiency of supervi-sion and inspection mechanism and accurate monitoring methods and tests. Conclusion In grassroots medical institutions,the organization systemof nosocomial infection is standard in general,although there a few of weak links exist. It means very much to improve the control situa-tion of nosocomial infection in grassroots medical institutions by intensifying supervision and strengthenning training. The grassroots medical institutions should increase investment of personnel and facilitiesin the nosocomial infection management.