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目的了解成都市公立二级医院和民营医院感染管理工作现状,分析二者存在的差异。方法采用问卷调查和现场抽查形式,对公立二级医院及部分民营医院进行医院感染管理基本情况调查。结果公立二级医院感染管理规章制度健全率达到了91.5%,民营医院则仅达47.8%;民营医院与公立医院相比,消毒液盛装容器每周灭菌两次的执行率(82.6%)、无菌物品分类摆放和明确标识(56.5%)的执行率均比后者低;手术室的器械专用清洗池配置率(50%)和多酶清洗剂的配备率(50%)也显著低于后者(分别为88.4%和79.1%),而三氧机的安装率显著高于公立医院。在医院感染专兼职人员结构方面,二者无显著性差异。结论被调查医疗机构的医院感染管理工作尚存在诸多薄弱环节,而其中公立医院在规章制度建立、消毒灭菌制度执行、器械清洗设施用品配置方面优于民营医院,而民营医院手术室空气消毒设施优于公立医院。应通过强化规章制度执行力、优化医院感染管理人员队伍、加强监管等手段进一步提高成都市的医院感染管理水平。
Objective To understand the current status of infection management in public secondary hospitals and private hospitals in Chengdu and to analyze the differences between the two. Methods A questionnaire survey and on-site spot check were used to investigate the basic situation of nosocomial infection management in public secondary hospitals and some private hospitals. Results The rate of sound management of public secondary hospitals was 91.5%, while that of private hospitals was only 47.8%. Compared with public hospitals, the implementation rate of disinfectant containers twice weekly (82.6%) was significantly lower than that of public hospitals The implementation rate of sterile object classification and clear identification (56.5%) was lower than that of the latter. The equipment-specific cleaning pool allocation rate (50%) and multi-enzyme cleaning agent preparation rate (50%) were also significantly lower in the operating room The latter (88.4% and 79.1%, respectively), while the installation rate of the three oxygen machine was significantly higher than the public hospital. There was no significant difference in the structure of part-time staff in hospital infection. Conclusion There are still many weaknesses in the management of hospital infection in the investigated medical institutions. Among them, the public hospitals are superior to private hospitals in the establishment of rules and regulations, the implementation of disinfection and sterilization systems, and the configuration of equipment for cleaning equipment, while the air disinfection facilities Better than public hospitals. We should further improve the level of nosocomial infection management in Chengdu by strengthening the implementation of rules and regulations, optimizing the ranks of hospital infection management personnel and strengthening supervision.