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目的:调查分析我县下属11所乡镇中心卫生院的医院感染管理工作现状,深刻剖析问题所在,对其提出优良的解决方法。方法:采用回顾性分析的方法,运用统一问卷调查、严谨的考核制度,对我县11所乡镇中心卫生院的医院感染管理工作(管理制度、医疗人员培训、医疗用品消毒工作、消毒工作质量监测、职业防护工作、医疗废物管理等)进行调查。结果:制定管理制度的组织仅45.45%,约36.36%的乡镇中心卫生院对医院感染管理的工作人员进行了系统的培训。医疗用品消毒工具较为健全,流程较为规范。专门设置监测人员的只有1所,情况不太理想。职业防护工作,执行的医院数量较少。全部乡镇中心卫生院都能做到对医疗废物进行分门别类存放、丢弃,防止医疗废物污染。结论:我们要规范、完善相应的制度,对相关医疗工作人员进行全面培训,保证医疗用品消毒工作,并采取严密的监测,保护好医疗人员的工作环境;对废物进行分类管理。只有这样,才能保证乡镇中心卫生院医院感染管理工作的顺利进行,带给患者安全放心的医疗服务。
OBJECTIVE: To investigate and analyze the current situation of hospital infection management in 11 township health centers affiliated to our county, to deeply analyze the problems and provide an excellent solution to them. Methods: A retrospective analysis of the use of unified questionnaires, rigorous assessment system, the 11 township hospitals in our county hospital infection management (management system, medical staff training, disinfection of medical supplies, disinfection work quality monitoring , Occupational protection, medical waste management, etc.). Results: Only 45.45% of the organizations that set up the management system and about 36.36% of the township center hospitals conducted systematic training on the staff of hospital infection management. Medical supplies disinfection tools more sound, the process is more standardized. There are only 1 monitoring personnel specially set up, which is not in a satisfactory situation. Occupational protection work, the implementation of the hospital a small number. All township health center hospitals can do medical treatment of different types of medical waste storage, discarded, to prevent medical waste pollution. Conclusion: We need to standardize and perfect the corresponding system, carry out comprehensive training on relevant medical staff, ensure the disinfection of medical supplies, and take close monitoring to protect the working environment of medical personnel; carry out classified management of waste. Only in this way can we ensure the smooth progress of hospital infection management in township hospitals and hospitals, and bring patients safe and assured medical services.