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[目的]了解灾区板房卫生院医院感染管理状况,为提出预防控制措施提供参考。[方法]采取问卷调查、抽样检测的方法,对13所板房卫生院的院感管理现状和消毒灭菌效果进行调查。[结果]灾区板房卫生院缺乏院感管理组织和人员的占23%,发热门诊一房多用的占69.2%,消毒供应室、发热门诊布局流程合格率为0,且近1/3无流动水洗手设施,医疗废物管理不规范,空气监测合格率仅15.4%。[结论]灾区板房卫生院院感管理问题较为突出,应进一步强化人员防控意识和能力、推行手卫生措施、规范医疗废物管理、加强指导和监管,并在今后的灾区板房医院建设中重视前期规划和卫生学评估、充分整合卫生资源。
[Objective] To understand the status of nosocomial infection management in Banfang Hospital of disaster-hit areas and provide references for proposing prevention and control measures. [Methods] By means of questionnaire survey and sampling test, the status quo of hospital management and disinfection and sterilization of 13 houses were investigated. [Results] In the disaster area, the boarding hospitals lacked 23% of the hospital management organizations and staffs, 69.2% of the patients were in the fever outpatient rooms, and the passing rate of disinfection supply room and fever clinic layout process was 0, with nearly 1/3 no flow Hand washing facilities, medical waste management is not standardized, the air monitoring pass rate of only 15.4%. [Conclusion] The problem of nosocomial management in the boarding hospitals in disaster-stricken areas is more prominent. It is necessary to further strengthen the staff awareness and ability of prevention and control, implement the hand hygiene measures, standardize the management of medical waste, strengthen guidance and supervision, and in the future construction of boarding hospitals in disaster areas Emphasis on early planning and hygiene assessment, fully integrated health resources.