Assessment of infection prevention and control management in 82 pharmacy intravenous admixture service centers in Henan Province
Objective To investigate the management status of infection prevention and control in pharmacy intravenous admixture service(PIVAS)centers across Henan Province,providing data to support the standardization of management practice.Methods A cross-sectional study was conducted from July 1st to 15th,2023,surveying operational PIVAS centers in Henan Province.The survey retrospectively investigated six aspects of infection management:facilities and equipment,organization and training,quality monitoring,cleaning and disinfection,occupational protection,and medical waste management.Results Of the 82 PIVAS centers surveyed,95.12％regularly conduted self-examination of infection control quality management,and 84.15％held monthly training activities.Hands sinks were presen in 54.88％had of locker rooms,and hand disinfectant was available in 73.17％of operating rooms.Bacterial settlement was monitored quarterly by 97.56％of the centers,and annual dust particle monitoring was conducted by 81.71％.Only 4(4.88％)monitored the hand disinfection effect when wearing gloves,and 68.29％monitored hand disinfection quality.Daily cleaning and disinfection of clean area floor was performed by 98.78％of the centers,but 13(15.85％)centers failed to clean the air purification system weekly.Non-woven filter material for horizontal laminar flow tables was not regularly replaced by 15(18.29％)centers.Occupational exposure disposal boxes were available in 97.56％of centers,and liquid overflow treatment kits in 96.34％.Safety injection and intelligent dosing equipment were present in 6.10％and 3.66％of centers,respectively.Goggles or face shields were not worn by 58.54％during dosing operations.Sharp injuries occurred in 47.56％of centers,the most frequent occupational safety risk during the past three years.Pharmaceutical waste classification was correctly managed by 61(74.39％),while only 15(18.29％)treated sealed bottles with general drugs as recyclables.Conclusions While the organizational and training aspects of infection prevention and control are relatively standardized in Henan's PIVAS centers,improvements are needed in hand sanitation facilities,quality monitoring,environmental cleaning and disinfection,occupational protection,and medical waste management.It is recommended that all infection prevention and control measures be strictly implemented and that quality control evaluation standards specific to preparation practices be introduced to promote scientific,effective,and standardized infection prevention and control.
Pharmacy intravenous admixture serviceInfection prevention and controlManagementHenan Province
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NSTL
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