| Objective:To make clear the CDC’s position and the function in the hospital disinfection and infection control work,to support medical institutions carrying out disinfection and infection control work targetedly,and to provide basic data support for the disinfection and infection control development.Methods:The questionnaire was designed according to the laws,regulations,standards of disinfection and hospital infection control as well as the status quo of hospital disinfection and hospital infection control in Hubei Province.The questionnaire was issued through the provincial CDC to 1086 hospitals.By analyzing the questionnaires we had got and discussed the results.Results:1.A total of 381 questionnaires we had got,including 70 tertiary hospitals,117 secondary hospitals and 194 primary hospitals.The sample size was consistent with factor analysis that the ratio between each item and the sample size is about 1: 5 to 1:10.69.8% of the hospitals had set up a full-time hospital infection control department.The average number of full-time hospital infection control staff was 2,while the tertiary hospital had 4 full-time staffs on average.68.0% of hospital infection control staffs had college(college)diploma,and 63.7% full-time hospital infection control staffs had a professional background of nursing.2.85.0% of the hospitals expressed that they needed or were in urgent need of assisting them in carrying out routine disinfection technical guidance and disinfection effectiveness evaluation.The primary hospitals had higher demand than secondary(P = 0.003)and tertiary hospitals(P <0.001).3.85.8% of the hospitals needed or were in desperate need to monitor the surface of the objects,hospital sewage,medical staffs’ hands surface,air as well as infectious waste,and the tertiary hospitals’ demand was lower than the others(P<0.001,and P <0.001).4.95.8% of the hospitals indicated that they needed or urgently needed the CDC to assist and guide the hospital to response in public health emergencies.Secondary hospitals had a higher degree of demand on the hospital infection outbreak investigation and disposal than tertiary hospitals(P=0.002).The expect frequency of hospital infection outbreak control exercise from high to low was the primary > the secondary and the tertiary(P=0.002,and 0.002).86.8% of the hospitals indicated that they needed or were in urgent need to develop a major,new infectious disease control disinfection technology program,while the secondary hospitals and the tertiary hospitals had lower need than the primary hospitals(P<0.001,and P=0.001).5.86.3% of the hospitals needed or were in urgent need to assist in the assessment and supervision of the quality of disinfection and infection control.And 88.2% of the hospitals needed or urgently needed the technical guidance on disinfection and infection control,while 79.7% of the hospitals needed or urgently needed to develop or revise the standards,norms and work programs.And the primary hospitals’ demand was higher than the tertiary hospitals(P=0.001,P <0.001,and P <0.001).6.87.1% of the hospitals needed or urgently needed the CDC to carry out training about the characteristics and the using methods of commonly used disinfectant,the using methods of the commonly used disinfection and sterilization equipment,special medical equipment disinfection and sterilization as well as disinfection of different items and places.And the three levels hospitals’ demands were not exactly the same(P<0.001).81.1% of the hospitals needed or were in urgent need to carry out health education activities on a regular basis,personal protection of common infectious diseases,transmission methods,hand sanitization methods,as well as seasonal infectious diseases to preach.7.Hospitals which had full-time hospital infection control staffs with college and below needed to carry out daily disinfection technical guidance and effect evaluation,to assess and supervise the quality of disinfection and infection control and to assist the hospitals to develop a major,new infectious disease control disinfection technology program,and the demand on disinfection and infection control technology training was lower.8.The hospitals which had public health doctors were more in need of guiding daily disinfection technical,assessing disinfection effects and monitoring nosocomial infection,while assessing and supervising the quality of the disinfection and infection control at the same time,but had lower degree need for the hospital disinfection and infection control technology guiding.Conclusions:1.The hospitals’ infection control departments and personnel equipment were in line with the relevant provisions of the state,but were still lack of full-time hospital infection control personnel and highly educated personnel,and professional quality of personnel was not balanced,especially low-level hospital.2.The degree of demands to carry out daily disinfection technical guidance and disinfection effect evaluation from high to low was: the primary hospitals > the secondary and tertiary hospitals.3.The degree of demands to carry out monitoring of the surface of the object,hospital sewage,medical staff hand surface,air,infectious waste from high to low was: the primary and secondary hospitals> the tertiary hospitals.4.Hospitals needed to assist and guide the hospital emergency to response to public health emergencies.The secondary hospitals needed nosocomial infection outbreak investigation and disposal more than the tertiary hospitals.The expected frequency of hospital infection outbreak control exercise ranged as follows: the primary hospitals > the secondary and tertiary hospitals.The demands of developing infectious disease disinfection technology program ranged as follows: the primary hospitals > the secondary and tertiary hospitals.5.Hospitals needed to assess and supervise the quality of their disinfection and infection control and to carry out disinfection and infection control technical guidance,while developing major,new infectious disease control disinfection technology program,the degree from high to low was: the primary hospitals> the tertiary hospitals.6.The hospitals needed training in the field of disinfection and infection control,and the demand level ranged as follows: the secondary and tertiary hospitals> the primary hospitals.Health education activities needed to be carried out regularly,to disseminat personal protection of common infectious diseases,transmission routes,hand sanitization methods,and seasonal infectious diseases.7.Hospitals whose infection control staffs’ educational background was lower or had the public health doctor’s professional background,the need to help disinfecting and controlling nosocomial was stronger. |
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