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Analysis of the current situation of nosocomial infection management in primary medical institutions in a county |
Zhong Jie1, Dai Jiangying2, Yu Tingting3 |
1 Nosocomial Infection Prevention and Control Office, Changle People′s Hospital, Weifang 262499, China;
2 Public Health Section, Changle People′s Hospital, Weifang 262499, China;
3 Pathology Department, Changle People′s Hospital, Weifang 262499, China |
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Abstract Objective To investigate and analyze the current situation of nosocomial infection management in primary medical institutions in a county.Methods Twentysix primary medical institutions (17 public hospitals and 9 private hospitals) were investigated by the questionnaire survey for statistical analysis.Results The organizational system of nosocomial infection management and the allocation of full-time nosocomial infection management and the management of medical waste were constantly improved and standardized. Related systems and measures of nosocomial infection management were partially divorced from reality, and performed incompletely. There was lack of effective targeted training, with incomplete coverage of training and poor results. Hand hygiene, disinfection and sterilization, safe injection, occupational exposure and other measures needed to be further strengthened. The risk awareness and the ability of differential diagnosis and monitoring about nosocomial infection were insufficient, and the relevant work was poorly carried out. Public hospitals were superior to private hospitals only in the aspects of ultraviolet lamp radiation intensity monitoring, heat sentinel and dental settings, but inferior to private hospitals in the aspect of risk assessment (P<0.05).Conclusion Strengthening the administrative supervision, making full use of the county level quality control center of nosocomial infection management, strengthening the methods of training education, enhancing the capacity-buil-ding of nosocomial infection monitoring and risk assessment and intervening measure, intensifying the enforcement of fundamental standard precautions, clearing the responsibilities of relevant departments, and bringing the results of nosocomial infection examination into performance appraisal system, can promote the sustainable development of nosocomial infection management.
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Received: 09 November 2021
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