Running an infection control regular meeting is an effective way to develop and improve the communication between the infection control team and clinical units. This paper introduces the infection control regular monthly meeting which is held in the last week of each month in a newly-opened branch hospital of a university teaching hospital in China. Through collecting the issues for discussion beforehand, feeding back the surveillance data of last month including nosocomial infection, hand hygiene, multidrug-resistant organisms, occupational exposure, and medical waste, discussing the current infection control issues from each ward and trying to solve them together, and delivering and sharing new knowledge, skills, and information in terms of infection control, the monthly meeting achieves remarkable successes in the aspects of promoting the hospital infection control-related cultural construction, enhancing the supervision and implementation of infection control measures, and running new projects on hospital infection management, etc. Infection control regular monthly meeting builds up a study and work platform, promotes the multidisciplinary and multi-department communication and collaboration, and improves the quality of infection control eventually.
ObjectiveTo optimize procedures of going out for examination for patients with multidrug-resistant organism, strengthen prevention and control management of nosocomial infection, and prevent nosocomial infection.MethodsPatients with multidrug-resistant organism who went out for examination were selected from April to November 2018. April to July 2018 (before implementation) was process construction stage, and August to November 2018 (after implementation) was process optimization implementation stage. In April 2018, process and management system of going out for multidrug-resistant organism patients were formulated, training of transporters was strengthened, and measures such as checklist identification, accompany patients for examination, patient handover, isolation and protection, and disinfection of materials were implemented, to realize the infection prevention and control management in the whole process of going out for multidrug-resistant organism patients. We compared relevant indicators before and after implementation.ResultsA total of 262 cases times of patients with multidrug-resistant organism were included, including 134 cases times before implementation and 128 cases times after implementation. Compared with before implementation, the hand hygiene, wearing gloves, disinfection of inspection instruments and articles, patient transfer, isolation measures in waiting process (special elevator, isolation after waiting for inspection, arrange inspection time reasonably), education and training after implementation improved(P<0.05). Before and after implementation, the Methicillin resistant staphylococcus aureus detection rate difference was statistically significant (P<0.05).ConclusionsThe optimization of procedures of examination for patients with multidrug-resistant organism can increase implementation rate of indirect indicators such as hand hygiene, disinfection of inspection instruments and articles, isolation and protection, education and training in the prevention and control of multidrug-resistant organism in nosocomial infection. And it is important for the prevention and control of multi-disciplinary collaboration of multidrug-resistant organism.
Based on the national 2020 and 2022 versions of Accreditation Standards for Tertiary Hospital, the Hospitals Accreditation Office of the Sichuan Provincial Health Commission organized to develop Implementation Rules for the Accreditation Standards for Tertiary Comprehensive Hospitals in Sichuan Province (2023 Edition). In order to guide the evaluated hospitals to comprehensively understand and master the content of hospital infection prevention and control (IPC), this article interprets the main evaluation points and scoring methods of hospital infection management in the detailed rules, emphasizes on organizational management, system implementation, monitoring/supervision, and connotation improvement for IPC. The purpose is to make the evaluated hospitals attach importance to the standardized implementation of daily work of IPC, focus on the routine, objective, and quantitative approach to accreditation work, and continuously achieve the effect of quality improvement in IPC.
【摘要】 目的 了解學生對醫院感染職業防護的基礎知識的認知程度和學習需求。 方法 2010年3月采用自行設計問卷，對參加《醫院感染與職業防護》課程學習的醫學學生進行摸底調查。 結果 92.73%不知道標準預防措施和銳器傷后的正確處理方法及補救措施；27.27%不知道抽血時應戴手套；25.45%不清楚醫務人員“六步洗手法”；90.91%不知曉工作服應交醫院統一洗滌。 結論 學生防護知識薄弱，防護行為不全面、不規范。教學應重點幫助學生樹立標準預防觀念，掌握正確職業防護知識，在臨床工作中以避免和減少各種危險因素的侵襲。【Abstract】 Objective To examine and evaluate the students’ knowledge and needs in studying hospital infection control and occupational protection. Methods Using a self-designed questionnaire in March 2010, we did a survey on students who attended the course of hospital infection control and occupational protection. Results Among all the students, 92.73% did not know standard prevention measures, and the correct treatment and remedial measures for sharp injuries; 27.27% did not know gloves should be worn at the time of blood drawing; 25.45% did not know the "six-step" hand-washing; and less than one out of ten students used hospital laundry to wash their uniform. Conclusions The students have a low level of relevant knowledge on occupational protection, and their protection behaviors were not complete or standard. Therefore, the teaching should help and support students to have a concept of standard prevention, and acquire sound knowledge and behavior of occupational protection in order to avoid and reduce the risk factors from their future clinical practices.
目的 了解艾滋病高發區醫務人員血源防護情況以及培訓所取得的效果。 方法 采用自行設計的問卷，對涼山州某醫院參加培訓的職工進行培訓前后調查。 結果 培訓前89人參加調查，培訓后93人參加調查；女性、護士和初級職稱者占絕大多數；培訓前調查參加者中84.3%接受過預防銳器傷培訓，79.8%工作中被銳器刺傷，38.2%報告過職業暴露，95.5%接種過乙肝疫苗；6道知識考核題培訓后答對率比培訓前均有不同程度的提高，其中4道比較具有統計學上的意義（P＜0.05）。 結論 該院醫務人員已具備一定職業防護意識，對一些知識點掌握較好，但培訓強化可提高職業暴露報告依從性和預防治療及時性，更好維護艾滋病高發區醫務人員的職業健康。
ObjectiveTo study the feasibility of using paper hand towels instead of sterilized hand towels in non-rinse surgical hand antisepsis, and make a hygienic and economic evaluation on sterilized hand towels and paper hand towels.MethodsFrom July to September 2016, a cluster sampling method was used to study the hand samples of all health care workers who performed surgical hand sanitization in the operating room on Thursday. According to their work contents, they were asigned into the intervention group (using paper hand towels to dry hands) and the control group (using sterilized hand towels to dry hands); further, according to the odd or even number of the staff identification number, the intervention group was divided into Group A (using Likang hand towels to dry hands) and Group B (using Qingfeng hand towels to dry hands). The packing specifications and costs of hand-drying items in the warehouse were surveyed, as well as the average number of medical workers performing an operation and the number of sheets of sterilized hand towels or paper hand towels used per person, and the cost of different hand dryers for each procedure was calculated. Finally, the hygienic and economic effects of using paper hand towels were evaluated.ResultsThere were 30, 39, and 30 hand hygiene samples collected in the control group, Group A, and Group B, respectively. The total bacterial count of each group was less than 5 cfu/cm2, which met the hygienic requirements of surgical hand disinfection in the manual hygiene standard for medical personnel (WS/T 313－2019), i.e., the passing rate of each group was 100%. According to the calculation that each operation required at least 4 medical workers, each operation consumed 8 sterilized hand towels at a cost of 15.2 yuan; if using paper hand towels, each operation consumed 16 sheets at a cost of 0.8 yuan.ConclusionThe hygienic effect of surgical hand disinfection is not affected by the use of paper hand towels before applying hand sanitizer, while the operating cost of hospital operating room can be significantly reduced by using paper hand towels instead of sterilized hand towels.
ObjectiveTo analyze the risk factors of multidrug-resistant organism (MDRO) nosocomial infection, and to provide the scientific basis for the prevention and control of MDRO nosocomial infection.MethodsPatients with MDRO in Chengdu Shangjin Nanfu Hospital from 2014 to 2015 were retrospectively collected. The patients were divided into the MDRO nosocomial infection group and the MDRO non-nosocomial infection group. The MDRO infection/colonization, bacterial strain type, specimens type and distribution characteristics of clinical departments were analyzed. Single factor and multiple factor logistic regression analysis were used to analyze the risk factors of MDRO nosocomial infection.ResultsA total of 357 patients of MDRO infection/colonization were monitored, of which 147 times (144 patients) were with nosocomial infections and 213 times (213 patients) were without nosocomial infections. MDRO nosocomial infection incidence rate/cases incidence rate were 0.18%. A total of 371 MDRO bacterial strains were detected, of which 147 (39.62%) were with nosocomial infection and 224 (60.38%) were without nosocomial infections. The MDRO non-nosocomial infections included 175 strains (47.17%) in community infection and 49 strains (13.12%) in colonization. Carbapenem-resistant Acinetobacter baumannii (52.83%) was the main MDRO strains. Sputum (57.14%) and secretion (35.04%) were main specimens. The top three departments of MDRO nosocomial infection strains were orthopedics (32.65%), ICU (27.89%), neurosurgery (13.61%). ICU [odds ratio (OR)=3.596, 95% confidence interval (CI) (1.124, 11.501), P=0.031], surgical history [OR=2.858, 95%CI (1.061, 7.701), P=0.038], indwelling urinary catheter [OR=3.250, 95%CI (1.025, 10.306), P=0.045], and using three or more antibiotics [OR=4.228, 95%CI (1.488, 12.011), P=0.007] were the independent risk factors of MDRO nosocomial infection.ConclusionEffective infection prevention and control measures should be adopted for the risk factors of MDRO nosocomial infection to reduce the incidence rate of MDRO nosocomial infection.
Objective To survey the current situation of the sharp injury in medical workers, and to provide scientific evidence for the prevention and protection of sharp injury. Methods Through applying the questionnaire of sharp injuries designed by Zhongshan Hospital, Shanghai Fudan University, 10% of the workers in all departments of West China Hospital of Sichuan University were selected as respondents according to their job categories. The main contents of the survey included the general information of respondents, reporting after sharp injuries, training participation, and the exposure sources, operations, premises and equipments related to sharp injuries over the past one year.Results Of 840 questionnaires distributed, 100% were valid. The ratio of male was 23% while the female was 72%. There were 50.20% of all respondents who once got injured, and 75% of the respondents having the history of sharp injury worked less than 10 years. The nurses, house keepers and physicians were in the top three positions of suffering from sharp injury; and the operating room was ranked as the highest risk department for sharp injuries. The known haematogenous exposure sources were 69 cases of hepatitis B, 19 syphilis, 6 hepatitis C, and 3 HIV. There were 62% of the respondents who had ever attended related training, and only 11.61% of the injured respondents reported their sharp injuries. Conclusion The incidence rate of the sharp injury is high, but the report rate is low. The operating room is the high risk department, and nurses, house keepers, and physicians are the high risk population for sharp injuries. The prevention and protection and training for sharp injury in target departments and population should be strengthened.