关键词: 县域医共体, 基层医疗机构, 医院感染, 现状调查

Abstract: Objective To understand the current situation of hospital infection management departments in secondary and lower medical institutions in Yunnan Province, and to discuss how to improve the quality of hospital infection management in county and township medical institutions under the background of county-level medical community. Methods A questionnaire survey was conducted to investigate the status quo of hospital infection management departments in 262 county and township medical institutions in Yunnan Province. Results 91.60% of the hospitals have set up independent hospital infection management departments, of which 84.58% belong to the first-level departments, which are directly under the jurisdiction of the president and vice president. Among the full-time staff, 42.74% have a college degree or below, 32.69% have senior professional titles, and 8.40% of the hospitals do not meet the requirement of one full-time staff for every 250 beds actually used. 25.57% of the hospitals established an information monitoring system for nosocomial infection, and the proportion of township health centers participating in various targeted monitoring was lower than that of county-level hospitals, and the difference between the two groups was statistically significant (P<0.05). Conclusion It is suggested that the construction of departments and the training of professional teams should be strengthened to improve the management of hospital infection in county and township medical institutions.

Key words: county-level medical community, primary medical institutions, nosocomial infections, survey of the current situation