目的通过调查杭州市血液透析室院内感染管理控制现状,提出相关预防对策,以保障患者生命安全。方法调查杭州市2012年5月-2015年5月4所三级医院与5所二级医院血液透析室的院内感染控制管理情况,并根据《医疗机构血液透析室管理规范》进行现场评估,评价指标为透析液、基本情况、病案管理等,共计100分。结果杭州市三级医院总分为(95.1±3.7分)与二级医院(89.9±6.7分)比较,差异无统计学意义(t=1.38,P>0.05)。各级医院均存在透析室辅助用房少、工作流程及环境布置不合理等问题。在水质监测方面,三级医院得分为(9.6±0.3分),高于二级医院(7.1±1.7分),差异有统计学意义(t=2.87,P<0.05)结论为控制院内感染的发生,必须加强透析室管理,严格规范操作流程,制定洗消制度,加强透析用水监测,合理布局透析室环境。 Objective To investigate the current status of nosocomial infection control in hemodialysis patients in Hangzhou and put forward relevant preventive measures to ensure the safety of patients. Methods To investigate the management and control of nosocomial infection in four hemodialysis hospitals in 4 hospitals of Grade 3 and 5 in Hospitals from May 2012 to May 2015 in Hangzhou and to conduct on-site evaluation and evaluation according to the Regulation of Hemodialysis Room in Medical Institutions Indicators for the dialysis fluid, the basic situation, medical records management, a total of 100 points. Results The total score of Hangzhou tertiary hospital was (95.1 ± 3.7) compared with that of secondary hospital (89.9 ± 6.7), the difference was not statistically significant (t = 1.38, P> 0.05). All hospitals have dialysis room auxiliary room less, the work flow and the layout of the environment unreasonable and other issues. In the aspect of water quality monitoring, the scores of tertiary hospitals were (9.6 ± 0.3) higher than those of secondary hospitals (7.1 ± 1.7), the difference was statistically significant (t = 2.87, P <0.05) Conclusion To control the occurrence of nosocomial infections , We must strengthen dialysis room management, strictly regulate the operation process, the development of disinfection system, to strengthen dialysis water monitoring, rational distribution of dialysis room environment.