医院感染管理是全程医疗质量的重要环节。1989年国家卫生部将医院感染工作列为医院分级管理标准中的重要指标。我院是一所肿瘤专科医院,感染管理工作起步较晚,1991年成立“医院感染管理委员会”、1995年成立“控制院内感染办公室”即控感办。全科人员,积极工作,几年来取得了一些成绩,院内感染率由原来的12.10％降到5.23％,漏报率由88.90％逐渐降到12.30％,无菌手术 Hospital infection management is an important part of the whole medical quality. In 1989, the Ministry of Health listed hospital infection as an important indicator in the classification of hospital management standards. Our hospital is a cancer hospital, infection management started a bit late in 1991 to set up a “hospital infection management committee” in 1995 to set up “control nosocomial infection office” that sense of control office. General practitioners, active work, made some achievements in the past few years, nosocomial infection rate decreased from 12.10% to 5.23%, false negative rate decreased gradually from 88.90% to 12.30%, aseptic surgery