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Public hospitals in Shanghai Disinfection Management Situation and Countermeasures Research

Author: MaZuoZuo
Tutor: ChenGang
School: Fudan University
Course: Public Health
Keywords: Hospital Disinfection Management Key departments disinfection Disinfection Effect
CLC: R187
Type: Master's thesis
Year: 2009
Downloads: 127
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Abstract

Background on Earth in 325 AD, the hospital this medical form of iatrogenic infection that is attendant to. Today, iatrogenic infection is still one of the main factors of threat to patient safety, the global annual infection of hundreds of millions of patients in the medical services. Iatrogenic infection control and progress first breakthrough disinfection and sterilization. Mistakes caused due to disinfection and sterilization of hospital infection often found reported in the country, the consequences are serious, very profound lesson. One of the countries with high infection rates for hospitals in China. Monitoring and research of nosocomial infections in the 1980s, the survey showed that the nosocomial infection rate of between 5% to 18%. The study shows that the to strengthen hospital disinfection Management, to establish the of disinfection management system and the evaluation criteria, can promote the development of the disinfection work and reduce iatrogenic infection. In order to understand the status quo of domestic disinfection management, the Task Force conducted a literature search and reviewers. The results show that a domestic research characterized by a significant surge in the number of 2003 literature. Although the SARS medical institutions, a general increase in attention to disinfection work, but there are still many weak links in the implementation and management of. Such as: hospital leadership and management of the hospital disinfection paid insufficient attention; medical staff lack of knowledge of sterilization, disinfection and sterile sense; sterilization equipment obsolescence; Optional improper sterilization method first, not the operating rules, such as items package is too large, crowded place the sterilization items stored too long; disinfectant application is unreasonable, and even abuse, the preparation of the use of non-standard, the effective concentration is low, and can not be changed regularly; sterilization effect of self-monitoring is not standardized; disposable medical chaotic management of health supplies; isolation work does not get the attention of the application; medical staff awareness of self-protection is weak. As medical technology continues to evolve, the interventional diagnosis, treatment technology commonly used in clinical radiotherapy, chemotherapy, and antimicrobial drugs widely used, combined with changes in disease spectrum, and the degree of population aging raise iatrogenic infection source of infection The mode of transmission has changed significantly in susceptible populations. Hospital sterilization management also face a bigger challenge. Research purposes through the on-site investigation and disinfection detect disinfection management understand Minhang public hospitals the key departments disinfection, disinfection effect the status quo and to carry out the situation, found the weak links and the main problems that exist in the management of medical institutions disinfection by key informants interviews analysis of the causes and countermeasures to improve the the Minhang District medical institutions disinfection management level to provide the necessary reference. Methods This study comes from the on-site investigation, disinfection detection and key informant interviews. Minhang existing medical institutions, according to the number of beds in the public hospitals in the 12-level, geographical, serving on outpatients paired randomly 6, and the district three two public hospitals As the object of the investigation. Survey data oil Epidata3.0 entry database, and using the SPSS11.5 statistical software for data processing and analysis, mainly descriptive statistical analysis. Results disinfection work basic configuration: (1) the establishment and implementation of the system: Minhang District, two medical institutions have constructed the hospital infection control, and disinfection and isolation system system, and initially to improve the content of related systems. (2) disinfection and isolation infrastructure construction: a medical institution and two medical institutions disinfection and isolation infrastructure construction as well as the propaganda work has achieved certain results. This hospital infection prevention and control as well as the guidance of medical staff proper disinfection and isolation to prevent cross-infection and occupational infection has played a very active role. 2. The disinfection effect monitoring situation: First, the two medical institutions disinfection effect monitoring work has achieved initial success. Part of a medical institution is not to carry out key departments use in chlorine disinfectant concentration monitoring, two medical institutions were not carried out the endoscopy room using glutaraldehyde concentration monitoring. The majority of one, two medical institutions do not carry out the monitoring of the the use disinfectants Ranjun amount. The proportion of hospital infection surveillance network owner. Medical institutions disinfection effect monitoring cycle does not meet specifications, and in fact not achieve proper monitoring role. The key departments disinfection Status: (1) infectious disease outpatient used independently rate the degree of attention the seasonal sexual orientation. (2) key departments normative construction is not in place. (3) The medical staff personal protection is not in place, is not conducive to the bi-directional protection of nosocomial infections. (4) there are occupational hazards of disinfection and isolation measures. Suggestions: 1. Medical institutions management level, practical emphasis on the establishment and implementation of management system. Limited funds under the conditions as much as possible to improve the infrastructure of disinfection and isolation, personal protective equipment and medical personnel. On sterilization effect monitoring and disinfection and isolation for work of equal status. Strengthen the supervision and inspection of the daily assault of infectious diseases outpatient infectious disease outpatient truly play its isolation and treatment to reduce the spread of the function. Fully aware of the key departments of disinfection and isolation pivotal significance of hospital infection management throughout the organization, should overcome the hardware limitations of the objective and subjective to enhance the degree of attention, gradually put in place the infrastructure of the key departments in priority sectors. Further enhance the protection awareness of the medical staff, to establish the concept of two-way protection. Fully aware of the dangers of occupational exposure to create a safe and healthy working environment, improve the monitoring system, establish and improve the relevant rules and regulations, and effectively protect the health and safety of the medical staff. As external regulatory body health administrative departments should earnestly implement the supervision and management functions, to establish improve disinfection and isolation system of to guide medical institutions according to various laws and regulations, industry technical specifications and standards, and urge them to effectively implement these systems. Promotional channels initiative to expand the use of television, radio, newspapers and magazines, such as expanding the coverage of public education, the majority of patients to raise awareness, new oversight model of external forces medical institutions. Positive communication and contact with all kinds of technical departments and the media, and integration of many forces to strengthen the monitoring and technical support of the disinfection and isolation publicity and education efforts of the medical institutions and disinfection effect. Contact with the Centers for Disease Control and Prevention, within the industry, quality control organization, strong technical force department, providing support for the medical institutions disinfection effect monitoring. Strengthen infectious disease outpatient day-to-day supervision and inspection, to put an end to the phenomenon of seasonal fluctuations. Come up with the awareness of the service guidance, to help medical institutions to overcome the limitations of the hardware facilities.

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CLC: > Medicine, health > Preventive Medicine,Health > Epidemiology and Prevention of Disease > Disinfection
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