卫办妇社发〔2009〕70号各省、自治区、直辖市卫生厅局,新疆生产建设兵团及计划单列市卫生局:近期,个别妇幼保健机构发生院内感染事件,导致孕产妇感染和新生儿死亡,造成恶劣的社会影响。经调查发现,其主要原因为领导和医务人员院内感染防控意识淡薄,管理制度不健全,基本操作不 Health Office Women’s Association (2009) No. 70 Health Bureaus of provinces, autonomous regions, and municipalities directly under the Central Government, Xinjiang Production and Construction Corps and the Municipal Health Bureau of the City of Planned Individuals: In recent years, there have been cases of nosocomial infections in individual maternal and child care institutions, which have led to maternal infections and neonatal deaths. Poor social influence. After investigation, it was found that the main causes were the weak awareness of prevention and control of infections in hospitals and medical staff, the unsound management system, and the basic operation.