摘要
目的分析门诊医院感染风险相关因素,探讨控制门诊医院感染的管理措施,以达到降低医院感染的目的。方法对2012年1月-2013年12月某三级甲等综合医院门诊环境卫生清洁、手卫生、通风、诊疗流程的状况,采用回顾性调查的方法进行研究,通过比较该院新门诊楼启用前后医院感染管理措施的变化,探讨门诊医院感染风险因素及管理对策。结果门诊通过环境保洁与手卫生降低经接触传播疾病的风险,通过通风与预检分诊降低经空气传播疾病的发生;新门诊楼启用后,环境硬件条件明显改善,通过加强医院感染管理,环境卫生满意度由80.17%提高至93.22%,医务人员手卫生依从性由11.65%提高至82.85%,预检分诊制度及就诊流程优化减少了患者聚集和流动,降低医院感染发生的风险。结论在改善医院硬件条件的基础上,通过管理手段提高保洁质量和手卫生依从性、优化就医流程、开展健康宣教等,均是有效控制门诊医院感染的重要措施。
OBJECTIVE To explore the risk factors for nosocomial infections in outpatient department and put for-ward the control countermeasures so as to reduce the incidence of nosocomial infections .METHODS From Jan 2012 to Dec 2013 ,a retrospective survey was conducted for the cleaning of environment of outpatient department ,hand hygiene ,ventilation ,diagnosis and treatment in a three A general hospital ;the control measures of nosocomial in-fections were compared before and after the new outpatient building was launched ,the risk factors for the nosoco-mial infections were explored ,and the control countermeasures were put forward .RESULTS The incidence of the infectious diseases that transmitted through conduct has been reduced through the environmental cleaning and hand hygiene ,the incidence of infectious diseases that transmitted through air has been reduced through ventilation , preview ,and triage .After the new outpatient building was launched ,the environmental hardware condition has been significantly improved .Through the enhancement of the control of nosocomial infections ,the satisfaction with the environmental hygiene increased from 80 .17% to 93 .22% ,the compliance of hand hygiene of the medical staff increased from 11 .65% to 82 .85% .The implementation of the preview and triage system and the optimiza-tion of diagnosis procedure decreased the accumulation and mobility of the patients and reduce the risk of nosoco-mial infections .CONCLUSION On the basis of improvement of hardware condition of the hospital ,it is an effective way to improve the cleaning quality through management strategies and the compliance of hand hygiene ,optimize the diagnosis procedure ,and conduct the health education and propaganda so as to control the nosocomial infec-tions in the outpatient department .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第21期5412-5414,共3页
Chinese Journal of Nosocomiology
基金
中美新发和再发传染病合作基金资助项目(5U2GGH000018)
关键词
医院感染
风险因素
控制对策
门诊
Nosocomial infection
Risk factor
Control countermeasure
Outpatient department
