Management on healthcare-associated infection in children’s hospitals in the past 30 years / 中国感染控制杂志

Objective To understand the development history and current situation of healthcare-associated infection(HAI)management in children’s hospitals in China during the past 30 years.Methods A retrospective survey was conducted in 20 children’s hospitals,the investigated contents included:basic situation of hospitals, HAI management organizations and professionals,the support of hospital leaders for the management of HAI, training on HAI knowledge,monitoring on HAI,and so on.Results Up to 2015,20 hospitals all set up independent HAI management departments and HAI management committees,46.15%(6/13)of hospitals with more than 1 000 beds were understaffed in HAI management.There were a total of 88 professionals in HAI management in 20 children’s hospitals in 2015,53.41% (n=47)of professionals had bachelor degree,34.09% (n=30)were with intermediate professional title,46.59%(n=41)were nursing staff.Up to 2015,incidences and missing report rates of HAI,antimicrobial usage rates,incidences of HAI in neonates all decreased compared with 2006.In 2015,20 (100.00%)hospitals all carried out monitoring on antimicrobial application,multidrug-resistant organisms,disin-fection and sterilization,and provided personnel protective equipment.In 2015,9(45.00%)hospitals used non-tou-ch faucets in all wards,19(95.00%)hospitals supplied hand-drying paper towel and alcohol-based hand rub in all wards.None of professionals in these hospitals participated in national-level training on HAI for ≥3 times in 1996, professionals in 11 hospitals (55.00%)participated in national-level training for ≥3 times in 2015.Conclusion In the past 30 years,the management of HAI in children’s hospitals in China has basically met the requirement,moni-toring on HAI gradually improved,but allocation of HAI professionals and personnel quality ability still need to be strengthened.

Discussion about Cooperative Relationship between Office of Nosocomial Infection Control and the Center for Disease Control and Prevention in Hospital / 中华医院感染学杂志

OBJECTIVE Discuss the cooperative relationship between The Office of Nosocomial Infection Control("the Office") and the Center for Disease Control and Prevention("the Center") in hospital.METHODS The cooperative relationship between the Office of Nosocomial Infection Control and the Center were analyzed,the third degree A Class hospitals in Beijing area.RESULTS 25 hospitals had set up Centers.Among them,there are special stuff in charge of the report of the infection in 17 hospitals which had the Office with the function of the Center.So far,none of the Offices with the function of the Center can operate all the functions of the office.CONCLUSIONS The setup of the Center is to detect and control infectious disease on the basis of nosocomial infection control.

Establishment of a Ventilator Management Center:A Discussion / 中华医院感染学杂志

OBJECTIVE To discuss the feasibility of the establishment of the ventilator management center.METHODS Through the investigation on the circumstances of the use of ventilator in 2005 to find out the risk factors of ventilator associated pneumonia(VAP).RESULTS In whole hospital-acquired infections cases,VAP occupied 54.3% in lower respiratory tract infections.CONCLUSIONS Ventilator management is an important and complex work and the establishment of a ventilator management center is a favorable measure to prevent nosocomial infections.It is not only grant the use of ventilator in emergency,but also reduces the incidence of nosocomial infections.It can raise the intact rate of ventilator use,reduce energy and human resources consumption greatly and create a good economic and social benefits.

Infection and Non-infection on Incision of Coronary Artery Bypass Grafting:A Comparative Analysis / 中华医院感染学杂志

OBJECTIVE To discuss the cause of CABG infection and its controlling methodology. METHODS In order to conduct comparative analysis of 40 cases of CABG incision infection and 40 cases of CABG without infection,the "rank sum test" statistical models were applied. RESULTS According to the analysis of statistics,the hospitalized days and costs in sample group with infection were higher than that of control group,and the difference had statistical significance.Compared with the control group,the hospitalized days of sample group with infection averagely increased 43.03 days(2.85 times),and the total hospitalized costs of it averagely increased RMB 84 314.38 yuan(2.02 times). CONCLUSIONS Apart from patients themselves,there are also many possibilities which will cause the infection,which request the on-going works on surgery skills improvement,standardizing the process of aseptic technique,disinfection and isolation,utilizing antimicrobial agents rationally,reducing patients′ hospitalized days before surgery,as well as improving the pre-operative management etc.