RESUMO
Objective To understand the changing trend of healthcare-associated infection(HAI)monitoring inde-xes in 50 secondary and higher grade hospitals in a city for 6 consecutive years from 2017 to 2022.Methods Infec-tion monitoring indexes from 50 secondary or higher grade hospitals in the city for 6 consecutive years were collec-ted,and changing trend of HAI monitoring indexes were compared.Results The number of full-time HAI manage-ment professionals increased from 91 in 2017 to 165 in 2022.The utilization rate of HAI information system in-creased from 17.00％in 2017 to 54.00％in 2022.In 6 consecutive years from 2017 to 2022,the incidence of HAI(0.91％vs 0.59％),prevalence rate of HAI(2.36％vs 1.08％),infection rate of class I incision surgical site in-fection(0.33％vs 0.16％)in 50 secondary or higher grade hospitals all showed downward trends,while health care workers'hand hygiene compliance rate showed an upward trend(61.03％vs 85.04％).Incidences of vascular cathe-ter-related bloodstream infection,ventilator-associated pneumonia,and catheter-associated urinary tract infection all showed downward trends.Incidence of HAI,prevalence rate of HAI,health care workers'hand hygiene compli-ance rate,and incidence of ventilator-associated pneumonia in tertiary hospitals were all higher than those in secon-dary hospitals,while surgical site infection rate of class Ⅰ incision in secondary hospitals was higher than that in tertiary hospitals,with statistically significant differences(all P＜0.001).Conclusion Standardizing the monitoring of HAI,as well as improving the prevention and control system and measures of HAI according to the monitoring results can reduce the incidence of HAI.
RESUMO
Objective To understand the current status of hand hygiene(HH) compliance among doctors and nurses,and strengthen the management of HH of health care workers(HCWs).Methods On-the-spot observation of HH implementation in clinical departments of the whole hospital was performed by a single-blind method,data were collected for statistical analysis.Results HH compliance rate of all clinical departments was 69.28％ (309/446),HH compliance rate of intensive care unit was the highest(87.93％),department of internal medicine was the lowest (63.03％),there were significant differences among different departments(P =0.001).Compliance rate of HH of nurses was higher than that of doctors(74.47 ％ vs 39.39 ％),difference was significant(P＜0.001);of different indications for HH,the lowest compliance rate was before contact patients(43.04％),HH of doctors after contact with patients and patients' surrounding were both lower than nurses,difference was significant(both P＜0.05).Conclusion HH compliance rate of doctors is lower than nurses,compliance rate of HH is the lowest before contact patients,awareness of HH among doctors and nurses before contact patients should be emphasized,targeted training should be conducted,thus reduce the incidence of healthcare-associated infection.