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Analysis of the Structure and Management of Nosocomial Infection in Traditional Chinese Medicine Hospital in Shaanxi Province

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DOI: 10.23977/iemb.2019.034

Author(s)

Zhigang Zhang, Qiuxia Wei, Mei Han, Juwei Wang, Zhipei Yang, Xiaoya Liang

Corresponding Author

Zhigang Zhang

ABSTRACT

The infection monitoring and management systems in TCM hospitals in Shaanxi Province were found to be relatively adequate and the operation of the infection management agencies has been essentially established. Out of the 41 TCM hospitals, 39 were practically investigated. 74.36% of the TCM hospitals had established a separate nosocomial infection management department. The competent managers of the departments were in most cases the hospital deans or sub-deans (92.31%). Thirty-eight out of thirty-nine TCM hospitals had set up hospital infection management committees, and the members of these committees were meeting mostly two times a year (66.67%). Twelve assessments were executed in a year, accounting for the 43.59% of the TCM hospitals, while 5.13% performed no assessments. The proportion of pharmacy administration, medical record management, disinfection product procurement, and construction layout was 66.67%, 33.33%, 61.54%, and 58.97%, respectively. 17.95% of the TCM hospitals used the information monitoring system in nosocomial infection management. The effect of disinfection and sterilization was the highest (97.44%), followed by occupational exposure of medical staff (92.31%), sanitary science (89.74%), surveillance of nosocomial infection (79.49%), target surveillance (76.92%), microbiological inspection (43.59%), cross-sectional survey of nosocomial infection (35.90%), and special investigation or research on hospital infection (15.37%). The positive detection rate of microorganisms was 24.86% in 2014, and 20.46% in 2015, while the rate of performed cross-sectional surveys of nosocomial infections was 1.61% and 1.50%, respectively. However, the monitoring software for nosocomial infection management, microbiological inspection, cross-sectional survey of nosocomial infection, and special investigation or research on hospital infection need to be further improved.

KEYWORDS

Traditional Chinese Medicine Hospital, Nosocomial infection, Management, Current situation

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