Objective To understand the current situation of hospital infection management related to the hospital maternity ward, learn the risks of infection, discover problems existing in hospital infection management, and seek appropriate solutions for hospital infection.
Methods Between January 2011 and December 2012, using uniform questionnaire for prospective survey and field interviews, we investigated the hospital infection situation in medical health care workers, pregnant women, and live newborns.
Results A total of 2 225 questionnaires were retreated with a retreat rate of 100%. Hospital infection occurred in 23 cases, of which 15 cases were maternal infection (1.35%) and 8 cases were neonate infection (0.72%). Maternal infection was mainly focused on reproductive tract, surgery incision and urinary tract. Neonate infection was mainly focused on lower respiratory tract and skin. The management system of hospital infection in the maternity ward was basically strengthened, but the infection monitoring work was still not timely, and staff training in infection control knowledge was not in place. The overall environment, sterilization, disinfection and isolation should be strengthened, and there were also some other safety hazards.
Conclusion The management of infection in hospital maternity ward is the key to control the infection in maternity ward. The infection management seems perfect, but there are still some hidden dangers. The management system needs to be improved and the management should be implemented strictly according to the system, in order to avoid the occurrence of infection in maternity ward and ensure the safety of patients.
Citation:
YUMei, LIDong-jing. Current Situation of Hospital Infection Management in the Delivery Room in A Hospital. West China Medical Journal, 2015, 30(8): 1484-1487. doi: 10.7507/1002-0179.20150424
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 崔秀虹, 吴耀全, 陈汉芳. 护理安全管理在产房中的应用[J]. 护理实践与研究, 2010, 7(13):63-65.
- 2. 王惠. "7S"管理在产房的应用体会[J]. 护理实践与研究, 2011, 8(12):111-113.
- 3. 中华人民共和国卫生部. 医院感染诊断[EB/OL]. (2001-11-07)[2015-04-03].http://www.moh.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
- 4. 中华人民共和国卫生部. 医院感染管理办法[EB/OL]. (2006-07-06)[2015-04-03]. http://www.moh.gov.cn/zhuzhan/wsbmgzl/200804/5a92cc5c37234062834ed79bb0329c3b.shtml.
- 5. 中华人民共和国卫生部. 三级综合医院评审标准(2011版)[EB/OL]. (2011-04-22)[2015-04-03]. http://www.moh.gov.cn/yzygj/s3585u/201104/c6fa4cc981d4429ba8caa7666aa13710.shtml.
- 6. 周军, 刘劲红, 陈黎. 发生医院感染的病历质量问题与对策[J]. 中国病案, 2011, 12(2):10-12.
- 7. 尚秀娟. 医院感染管理在提高医疗质量中的重要性[J]. 中国病案, 2010, 11(2):62-64.
- 8. 卢长伟, 张宏雁, 梁娜, 等. 感染管理是提高医疗质量的基础[J]. 中国卫生质量管理, 2011, 18(6):36-37.
- 9. 彭检妹, 厉晓萍, 陈浪. 产房风险分级评分及风险告知在产房管理中应用的效果[J]. 中华现代护理杂志, 2010, 16(31):3813-3815.
- 10. 汪颖, 邵银雪, 金和秋. 产房医院感染因素及干预措施[J]. 中华医院感染学杂志, 2014, 24(22):5660-5661, 5669.
- 11. 朱丽红, 李丽, 罗志弘. 产妇医院感染分析及预防措施探讨[J]. 中华医院感染学杂志, 2014, 24(21):5383-5385.
- 12. 支佩颖, 杜迎辉, 吴爱雪, 等. 产科感染因素分析与预防对策[J]. 中华医院感染学杂志, 2012, 22(12):2553-2554.
- 13. 吉丽珍. 基层医院新生儿医院感染因素分析与护理对策[J]. 当代护士, 2011, 4:124-126.
- 14. 杨雪华. 产科感染因素分析与预防[J]. 中国现代药物应用, 2010, 4(2):72-73.
- 15. Bhat R, Vidyasagar D. Delivery room management of meconium-stained infant[J]. Clin Perinatol, 2012, 39(4):817-831.
- 16. Aguilar AM, Vain NE. The suctioning in the delivery room debate[J]. Early Hum Dev, 2011, 87(Suppl 1):S13-S15.
- 17. 王惠. 9S管理在产房感染管理中的应用[J]. 护理实践与研究, 2012, 9(4):92-93.
- 18. 李兴山. 现代管理学[M]. 北京:中共中央党校出版社, 2010:49-62.