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近几年来,尽管我们在医院感染管理方面作了许多工作,也取得了一些经验,但从22所医院的检查情况看,医院感染管理存在的问题是严重的。1996年4月20日至24日,河南省卫生厅组织20名专家及医院感染专职人员,对省辖两个市22所省、市、县、乡四级医院进行了检查。这次检查除一般检查外,还对医院的重点部门、消毒仪器、输血标本等采集了标本,进行了微生物的检测。 一、主要问题 (一)领导重视不够,组织机构不健全。部分医院没有按照卫生部、省卫生厅的规定成立医院感染科,配足专职人员,有的医院领导连医院感染的基本概念、基本知识都不知道。 (二)对卫生部、卫生厅下发的有关文件、规定落实不够。例如卫生部颁布的《医院感染管理规范》要求每个病区都要有
In recent years, although we have done a lot of work in hospital infection management and have gained some experience, from the inspection of 22 hospitals, the problems with hospital infection management are serious. From April 20 to 24, 1996, the Health Department of Henan Province organized 20 experts and full-time personnel for hospital infections to inspect the hospitals in 22 provinces, cities, counties, and townships in two cities under the jurisdiction of the province. In addition to general inspections, this inspection also collected specimens from key hospital departments, disinfection instruments, blood transfusion specimens, etc., and conducted microbiological tests. First, the main issues (A) insufficient attention to leadership, organizational structure is not perfect. Some hospitals did not establish hospital infection departments in accordance with the provisions of the Ministry of Health and the Health Department of the province and allocated full-time staff. Some hospital leaders did not even know the basic concepts and basic knowledge of hospital infections. (2) Insufficient implementation of relevant documents and regulations issued by the Ministry of Health and the Health Department. For example, the “Nosocomial Infection Management Practice” promulgated by the Ministry of Health requires that each ward have