Study On Current Situation And Counter Measure Of Infection Management In Secomd General Hospitals In Luo Yang

Major ObjectivesInfection in hospital has always been an important problem in public health field. To know the current situation of hospital infection in Luo Yang, this article taken second general hospitals in Luo Yang as sample. And found out the infection rate, the infection part, the prevalent factor and the existing problems in management of infection, and also raised countermeasure, which provided basis for policy-making.MethodThis research adopts cross-sectional study and reviewing method to investigate. Designing the questionnaire about the monitor of hospital infection and the questionnaire about hospital infection management, the researcher investigate these hospitals in person or by telephone. The respondent is the special staffer who is in charge of the infection management. The special staffer answers these questions faithfully one by one after he consulted the data that he had monitored previously. Collecting and analyzing the data about the infection which had taken place in these hospitals form 1999 to 2003, the building of organization and system against hospital infection, the applying situation of computer and management software, the training situation which includes disinfection and personal protecting knowledge and the physical examination situation of the medical staff, the establishment ofdisinfecting II level atmosphere and method dealing with medical waste.22 hospitals investigated were all second general hospital of Luo Yang.ResultsThe result is all the 22 hospitals have established infection management committee,81.82% of them including the member from logistics, architecture, disposition of waste water department. All the 22 hospitals have control measures of infection and plan or regulations for meeting infection in public health emergency; In 16 hospitals, the infection section office has not been independent, in 9 hospitals it is in the health care section, in 3 hospitals it is in the medical affairs section, in 4 hospitals it is in the nurse section;68.18% of them has the full-time staffers in charging of infection.25.00% of 24 people who manages the infection in hospital don't know the concept of "standard prevention";40.91% of them has the special computer for infection, but none of them using software of infection management; In all the 22 hospitals doctors and nurses have been trained about antisepsis on time and controlling measures of infection and personal protecting knowledge, but only in 9.09% of them the logistics people has been trained, and in 27.27% of them the health officers (including casual laborer) have not been trained all along. In 94.27% of 157 II kind environment, the method of atmosphere antisepsis was not according to the request of "criterion of antisepsis technique "from Ministry Of Health. All of the 22 hospitals have established regulation about using of antibiotic, but only in 5 hospitals (22.73%) patients were done experiments to avoid medicine allergic; In all of the 22 hospitals medical waste were set on fire in hospital; In all of the 22 hospitals the total infection rate in hospital was 3.66% in the past 9 years; The infection rate in hospital was different in different department, and medical department was highest (4.98%), but E.N.T. department was lowest(1.38%); The infection rate was different indifferent part, and low aspiratory tract was highest(5O.89%), the following infective part was stomach and intestines tract, urinary tract, cut after surgery, the infection rate was 80.90% in this four parts. The infection rate was different in different basic hospital, blood and hematopoietic system disease was highest(8.52%), the following was neural disease(7.87%), cancer(7.59%), endocrinopathy and immunity disease(6.51%), infectious and helminthes disease(5.07%), skin and hypodermic disease( 1.70%); 11.73% of the 4594 patients which have been infected in this 22 hospitals in 2001-2003 had been treated by intubatton in urinary tract, and 3.29% had used respirator, 5.86% had been treated by intubatton in arteriovenous tract, 4.85% was in ICU. 20.25% of the 1521 infective patients in surgical ,gynecology and obstetric department had been treated by intubatton in urinary tract.Conclusion and SuggestionsThis study revealed that organization and system of infection was entire, but infection department was not independent; Defect existed in management and law consciousness of the special staff was not adequate; The special staff was not only lack but also talentless; The funds in management was so little that equipment was laggard; Ignoring training and physical examination of logistic staff and dustmen; The method of dealing with medical waste needed to amend; The infection factor and rate varied from different departments; The antibiotic using was not reasonable; The management of infection was laggard and inefficient.Several suggestions are brought forward according to our research: Changing existing management system of infection in hospital and improving effectiveness of macroscopical management; Strengthening the infection and law consciousness of medical staff; Establishing hospital infection major and building a professional team; Strengthening foundation and facilities building; Exploring rational and effective measure about infection management such as pushing full-scale systemicscientific management model, pushing system of information feedback and regular meeting, building perfect monitoring system to infection, exerting the harmony function full in infection hospital, evaluating everything by achievement, improving existing method management, quickening the computer using in management of infection in hospital.