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目的了解成都市民营医院预检分诊与隔离防护工作现状,分析其医院感染管理中存在的问题。方法采用问卷和现场调查的方式对成都市不同圈层分布的48家民营医院进行调查。结果 56.3%的民营医院设有预检分诊处,39.6%设有感染性疾病门诊,且以发热门诊为主;普通病区和手术病区隔离执行记录设置率最低,合计仅为6.3%;调查院级管理层和科级执行层关于医务人员职业暴露和防护管理的相关制度、措施和文件,其设有比例为23.3%~45.7%。结论被调查民营医院在预检分诊和隔离防护管理中尚存在较多问题,需通过完善内部管理和执法监管等手段,提高成都市民营医院感染防控能力。
Objective To understand the status quo of pre-screening and isolation work in private hospitals in Chengdu and to analyze the existing problems in hospital infection management. Methods The questionnaires and field surveys were used to investigate 48 private hospitals in different circles in Chengdu. Results 56.3% of the private hospitals had pre-screening clinics and 39.6% of them were outpatients with infectious diseases, with fever clinics as the mainstay. The isolation rate of common wards and surgical wards was the lowest, accounting for only 6.3% Investigate the hospital-level management and section-level executive staff on occupational exposure and protection of medical personnel management system, measures and documents, which has a ratio of 23.3% ~ 45.7%. Conclusion There are still many problems in the pre-screening and isolation prevention and management of private hospitals under investigation. It is necessary to improve the prevention and control of infection in private hospitals in Chengdu by means of improving internal management and law enforcement supervision.