Research on the current conditions of hospital infection management in milk preparation room of neonatal wards of maternal and child health institutions in Chengdu
Objective To learn about the current conditions and main problems of hospital infection management in milk preparation room of neonatal wards of maternal and child health institutions in Chengdu and provide data support to standardize the management in milk preparation room of neonatal wards in future.Methods In this study,from October 2022 to December 2022,a total of 21 maternal and child health institutions in Chengdu were selected for survey,including 4 Grade A Class 3 institutions(19.05％),Grade B Class 3 institutions(66.67％),and Grade A Class 2 institutions(14.28％).The layout process,building layout,operation environment,character management,quality control,and others of milk preparation room of neonatal wards of maternal and child health institutions in Chengdu were collected and analyzed.Results All 21 healthcare institutions prepared milk in independent milk preparation room of neonatal wards and developed the management regulations and related process for the milk preparation room.Among them,3 institutions(17.29％)did not post the related procedures on the wall and 1 institution(4.76％)did not conduct education on quality management of breast milk for patients;16 institutions(76.20％)heated breast milk with water bath or milk warmer and most of them used tap water for heating(62.50％);12 institutions(57.14％)had specialized cleaning tools for milk utensils,and 50.00％of these institutions did not clean and disinfect specialized cleaning tools for milk utensils after each use;only 15 medical institutions(71.43％)had specially-assigned personnel for the management of milk preparation room;18 institutions(85.71％)had handwashing facilities of running water in the milk preparation room and the distance between handwashing facilities and the milk preparation operation table in 9 institutions was equal to or less than 1m;spoons used for taking formula milk were stored in formula milk containers in 14 institutions(66.67％),while the remaining milk was kept for future use in 1(4.76％)medical institution;and 2 institutions(9.52％)did not conduct hygiene monitoring on sterilized utensils and 5 institutions(23.80％)did not establish hospital infection supervision standards for milk preparation room.Conclusion In this survey,there were significant differences in the hospital infection management in milk preparation room of neonatal wards in maternal and child health institutions in Chengdu and a portion of them is not sufficiently standardized.It is recommended to refer to existing guidelines,strengthen hospital infection management in milk preparation room,and improve related laws,regulations,and evidence-based guidelines for hospital infection management in milk preparation room in China.
万方数据
维普
