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目的探讨预防和控制院内感染,使院内感染管理逐步形成规范化、制度化、科学化的管理模式。方法根据院内感染相关法律法规以及近年国内医院频发的交叉感染恶性事件,调查分析上海市普陀区人民医院院内感染发生情况及管理中存在的问题。针对问题,结合自查结果,制定措施,采取院内感染管理人员与临床医师共同学习法律法规、宣传教育和行政命令与监督检查相结合方式进行院内感染管理。结果管理措施实施以后,该院重点科室院内感染发生率明显下降,抗生素合理使用比例等方面均明显改善(P<0.05),院内感染管理逐步规范化、常态化、制度化、科学化。结论该管理模式为预防和控制院内感染,减少医患矛盾、稳定医疗秩序提供了一套有效可行的方法。
Objective To explore the prevention and control of nosocomial infections so that the management of nosocomial infections gradually formed a standardized, systematic and scientific management mode. Methods According to the relevant laws and regulations of nosocomial infection and frequent malignant cross-infection in domestic hospitals in recent years, the incidence and management of nosocomial infections in Putuo District People’s Hospital of Shanghai were investigated. In response to the problem, combined with self-examination results, the development of measures to take the hospital infection management and clinical doctors to learn laws and regulations, publicity and education and administrative order and supervision and inspection combined with the way of nosocomial infection management. Results After the implementation of management measures, the incidence of nosocomial infections in key departments of the hospital decreased significantly, and the proportion of rational use of antibiotics was significantly improved (P <0.05). The management of nosocomial infections was gradually standardized, regularized, institutionalized and scientifically oriented. Conclusion This management mode provides a set of effective and feasible methods for preventing and controlling nosocomial infections, reducing contradictions between doctors and patients and stabilizing medical order.