Tracking evaluation of"Regulations for prevention and control of health care-associated infection in intensive care unit"(WS/T509-2016)in Shaanxi Province
OBJECTIVE To understand the status of implementation of"Regulations for prevention and control of health care-associated infection in intensive care unit"(WS/T509-2016)"(The Regulations,in short)in medical institutions of Shaanxi province so as to provide scientific bases for revision of The Regulations.METHODS By means of the unified questionnaire designed by the national research group of the project,the secondary and above secondary hospitals of Shaanxi province were extracted by using stratified multi-stage sampling method.The full-time staff of infection management department and doctors/nurses who took infection control as part-time job in ICU were recruited as the research subjects,and the online questionnaire survey was conducted among the sub-jects.RESULTS A total of 122 various grades of hospitals were selected for the survey,involving 182 full-time staff and 243 part-time staff.The result of survey showed that 94.12%of the participants were quite familiar and partly familiar with The Regulations,75.29%have received the training for The Regulations;90.82%thought that The Regulations were scientific,88.71%thought that it was practical,and 89.88%thought that it was ad-vanced;46.59%thought that The Regulations needed to be revised.The various grades of hospitals did a good job in implementing the basic requirements for infection control in ICU,training of infection control knowledge,sur-veillance of hospital-acquired infection,environmental cleaning and disinfection,and prevention and control of in-strument-associated infection and multidrug-resistant organisms(MDROs)infection.The compliance rates of usa-ble areas of ICU bed units and space between beds,rate of implementing prevention and control training for cen-tral line-associated bloodstream infection(CLABSI)and targeted surveillance rate of CLABSI and catheter-associ-ated urinary tract infection(CAUTI)were higher in the tertiary hospitals than in the secondary hospitals(P<0.05).CONCLUSIONS The Regulations has great significance in guiding the prevention and control of hospital-associated infection in ICU.It is implemented well in the secondary and above hospitals of Shaanxi Province.It is necessary for the hospital to continue to enhance the implementation of The Regulations according to the actual situation.
Intensive care unitHospital-associated infectionPrevention and controlStandardTracking evalua-tionSurvey