华西医学

华西医学

医院感染控制当前面临的严峻挑战及对策

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我国医疗机构在医院感染方面当前仍面临 2 个方面挑战,一是来自感染的挑战,包括传染病、多重耐药菌医院感染及经典医院感染;二是来自医院感染管理方面的挑战,如专职人员匮乏及能力不够、感染控制组织不健全、医务人员感染控制意识不强和发展不平衡等。应对这些严峻挑战必须做好以下 3 个方面工作:建立医院感染学科,以人为本提升感染控制能力;健全医院感染管理组织与制度;提高全员感染控制意识,依法科学防控和坚持循证感染控制。

In current, medical institutions of China still face two challenges in hospital infections: one challenge is from infection, including infectious diseases, multidrug-resistant bacteria healthcare-associated infection (HAI), and classic HAI; the another challenge comes from the management of HAI in medical institutions, such as lack of full-time staff and insufficient capacity, inadequate infection control organizations, insufficient awareness of infection control among medical staff, and unbalanced development. To cope with these severe challenges, we must do the following three aspects: establishing the discipline of HAI, and improving people’s infection control ability through human-orienting; improving the management organization and system of HAI; improving the awareness of infection control among all medical staff, carrying out scientific and orderly infection prevention and control work in accordance with the law and adhere to evidence-based infection control.

关键词: 医院感染; 新发传染病; 多重耐药菌; 专业人员; 培训教育

Key words: Healthcare-associated infection; Emerging infectious diseases; Multidrug-resistant bacteria; Professional; Training and education

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