首页|陕西省《重症监护病房医院感染预防与控制规范WS/T509-2016》应用跟踪评价

陕西省《重症监护病房医院感染预防与控制规范WS/T509-2016》应用跟踪评价

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目的 了解《重症监护病房医院感染预防与控制规范(WS/T 509-2016)》(以下简称《规范》)在陕西省医疗机构的实施情况,为《规范》的修订提供科学依据。方法 采用该项目全国课题组设计的统一调查问卷,按照分层多阶段抽样方法,抽取陕西省二级及以上医院,以感染管理部门专职人员和重症监护病房(ICU)兼职感控医生/护士为调查对象,进行网络问卷调查。结果 共抽取不同等级医院122家,调查专职人员182人,兼职人员243人。调查对象对《规范》非常熟悉及熟悉部分的比例为94。12%;接受过《规范》宣贯培训为75。29%;认为《规范》有较高的科学性、实用性和先进性的比例分别为90。82%、88。71%和89。88%;认为《规范》需要修订的比例为46。59%。不同等级医院对ICU感控基本要求、感控知识培训、医院感染监测、环境清洁消毒、器械相关感染及多重耐药菌(MDROs)感染防控等要求落实较好;三级医院ICU床单元使用面积及床间距符合率、中央导管相关血流感染(CLABSI)防控培训落实率、CLABSI和导尿管相关尿路感染(CAUTI)目标性监测率高于二级医院(P<0。05)。结论《规范》对ICU医院感染防控有较强的指导意义,在陕西省二级及以上医院的宣贯执行情况较好,各医院应结合实际情况继续加强标准的落实。
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

范珊红、靳亚飞、林吉、许文、王强

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空军军医大学第二附属医院疾病预防控制科,陕西西安 710038

四川大学华西医院感染管理部,四川成都 610041

国家卫生健康委医疗管理服务指导中心,北京 100044

重症监护病房 医院感染 预防与控制 标准 跟踪评价 调查

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(24)