A Strategy Study Of Modern Hospital Infection Under The New Situation

Hospital infection is the patient at the hospital-acquired infections, including infections occurring during hospitalization and in hospital-acquired infections occurring after discharge from hospital, but does not include hospital admission prior to the beginning or when there is infection. Hospital infection with a "easy to pass, fickle, easily fatal," character, it has become a tough medical resistance, is the focus of the study hospital management projectIn China,10 billion to 150 billion yuan lost every year because of hospital infection during the early 80s.1986, China, associated with the World Health Organization, start to work for hospital infection. Ministry of Health and WHO carried out a joint training of nosocomial infection in the same year so as to establish the country hospital infection committee. The army, provinces, municipalities and autonomous set up a hospital infection surveillance network by the year 2000. The Ministry of Health then issued a series of the hospital infection management norms, such as "Hospital Infection Control Practice (draft)", subsequently, hospital infection management was formally included in the China's health regulations, it means that China set up an organization to control the hospital infection.However, compared to overseas, the domestic management of nosocomial infection still have a gap. Due to health economic policy constraints, the awareness of state administrators in the hospital infection control is not enough. medical staff lack of cognition to the importance of hospital infection, hospital infection rate is generally estimated as 10% to 15%, sometimes even to 20%. In China, many hospitals were lack of management and control for the infection. What's below shows the weakness of us:1. health-care. hospital infections are related with hand hygiene, inadequate ventilation, as well as lack of hospital equipment sterilization that is in the medical procedures, hospital in china generally does not attach the importance of nursing that resulted in nosocomial infection;2. hospitals'administrator paid inadequate attention and are lack of knowledge in hospital infection. After neighboring survey in few hospitals, we found that there are eight hospitals, accounting for 42%, who have set up Hospital Infection Control department; six hospitals are equipped with full-time staff, accounting for 31.5%; some although the establishment of hospital infection management branches, but the organization and management lack of proper authority, no infection management is included into the comprehensive quality assessment.3. hospital infection management organization system is not perfect. While hospitals have been established many levels of hospital infection management committee, but because of the lack of professional and technical constraints, the corresponding sections of the hospital personnel are not worked. they cannot play their due role.4. regulations are imperfect. Some of the Hospital Infection Control regulations and imperfect, or the implementation of the system is not strict.5. the lack of infection control training for medical staff. Survey of full-time staff of the Hospital Infection found that 56% of the practitioners have never participated in any hospital infection literacy training. they don't even know the "Hospital Infection Control Measures", "Disinfection technical specifications", "medical waste management practices" or hospital management laws and regulations, can not carry out infection inspection effectively.6. disinfection and sterilization quality problems highlighted. Pairs investigation of seven hospitals to the disinfection equipment found that 36.8% in seven hospital have no specific cleansing and disinfection rooms; the investigation of the dental clinic shows that 52.6% with a total of 2 to 3 equipments stand by,63.1% with alcohol disinfection method, this method does not kill the virus, can not be rubbed into the interior,which have hardly been the role of disinfection.7. the weak monitoring of hospital infection. Survey of drug monitoring in eight hospitals shows 42.0% are not carrying out hospital infections and antimicrobial drug investigation. some hospital infections are reported by clinical physicians' self-reporting whose description is untrue. Although three hospitals are set up bacteria room, routine monitoring can not be carried out. individual hospitals pressure cooker is not carried out biological monitoring, cannot be used to monitor the disinfectant.The article produced by the analysis of hospital infection control unit, combined with the current new situation for medical procedures and clinical characteristics, depicting problems and further bring forward measures and suggestions.Emphasize methods. It is necessary for hospital to strengthen nursing and cares, strengthen organization and leadership, focusing on aspects of quality control; improve hospital infection management system, rules and regulations, to strengthen supervision and inspection. At the same time, we must aware the importance of daily management, paying attention to hand hygiene, setting strict implementation of aseptic technique operations, disinfection and isolation system, and to improve the disinfection of equipment and personnel to control the spread of bacteria in the hospital. Enhance the examination of nursing staff training, new doctors and nurses enter the hospital should be in the hospital infection education, starting from scratch to do prevention work. Strengthen main departments and personnel focusing on the management of departments and improvement of the medical staff self-protection.Improve hospital infection control system, including hospital infection management organizational system, rules and regulations. draw rules and regulations by fact and new policies, with continuous improvement, combines management with control. Establish records of infection in daily management, strengthen the investigation of hospital Infection Control Division and early warning, control, monitoring and advisory training functions to build a complete system for hospital infection control.Strengthen the hospital disinfection control system:strict implementation of disinfection and isolation, infection control, and constantly improve the quarantine measures. Strengthen the hospital indoor air, surface disinfection, to enhance materials handling, hand disinfection and sterilization of the disinfection, proper handling of medical wastes. To carry out the incidence of nosocomial infection surveillance, establish and improve medical waste management systems, strengthen the entire staff training in medical waste management. Develop the medical waste management principles. Attach importance to all kinds of waste classification, packaging, labeling and delivery to enhance awareness of occupational safety and protection. Establish a medical waste registration, centralizing incineration specifications. Pharmaceutical sectors and clinical departments should be aware of the regulation of antibiotics using, strict aseptic technique operations and wastewater treatment. Improving the clinical prevention process to prevent infection.Administrators should focus on the details of hospital management, and working-out the strict standards of infection control to meet the requirements. Wards, intensive care unit, treat room and supply room should establish monitoring and warning system. Knowledge of infection control would publicized by propaganda and education to improve awareness of infection management. Strict work flow, strengthen the management of each responsible area, strengthen the management of the infection in the contaminated areas and packaging process, enhance the management of prepare sterile room, to ensure the quality of sterile goods.Build the hospital infection control team, hospital infection surveillance and control the information feedback to enhance the hospital infection knowledge by training, as well, full the patients'knowledge of hospital infection. Update manager's knowledge, improve hospitals and office personnel concepts, strengthening the inspection, examination, implement various rules, regulations and management goals, improve interdepartmental coordination, developed various departments'co-operation, prevents by principle, governs by science, control the hospital infection from the origin.At last, article conducted prospects of the hospital infection in studies. With new pathogens continued finding, types of drug-resistant strains are continuously being upgraded, the hospital infection through molecular epidemiology, statistics, clinical medicine and multidisciplinary research in conjunction with the trinity concept of community- physiology- psychological in hospital Infection control and management. Computer information systems combined with clinical pathway system control hospital infection prevention. biological agents and vaccines would be developed to solve the acute infectious diseases, developed new sterilization methods, new drugs to control the occurrence and spread of hospital infection. Finally, strengthening hospital staff infection surveillance and education. Developing the hospital infection control and management as a curriculum to newly doctors,nurse and health workers. Focus on education during the school era, directly prevent the occurrence of hospital infection by the entrance to hospital. Full-text quoted year 2009, data of hospital inpatient and hospital infection, combined with a worldwide hospital infection ratio and controlling effect, analysis and development the post-hospital infection control thought, put forward a comprehensive infection control measures. To address the future direction of research on hospital infection, incidence of nosocomial infection, reducing infection rates and improve the effectiveness of therapy to achieve the goal of avoiding infection.