哈萨克斯坦设施级感染预防和控制计划的核心组成部分:关键挑战和机会
Anna Deryabina1, Ainur Aiypkhanova2, Almat Juvashev3
1Mailman School of Public Health, ICAP at Columbia University, 34/1 Samal-3, 050051, Almaty, Kazakhstan. ad2906@columbia.edu.
Antimicrobial resistance and infection control
|June 22, 2023
概括
哈萨克斯坦 哈萨克斯坦 哈萨克斯坦
科学领域:
- 医疗保健管理的管理
- 预防和控制感染的预防和控制.
- 公共卫生政策 公共卫生政策
背景情况:
- 哈萨克斯坦正在制定国家感染预防和控制路线图 (IPC).
- 此前,缺乏对设施层面的IPC绩效差距进行全国性评估.
- 这项研究解决了对哈萨克斯坦IPC实践进行全面评估的需求.
研究的目的:
- 评估哈萨克斯坦医院感染预防和控制 (IPC) 实施的现状.
- 为了确定IPC核心组件和最低要求的性能差距.
- 为制定有针对性的IPC改进策略提供信息.
主要方法:
- 2021年进行的一项横截面研究,涉及17个地区的78家随机选择的医院.
- 利用适应的世界卫生组织 (WHO) 工具进行评估.
- 包括场地评估,员工采访 (n=320),实践观察和文档审查.
主要成果:
- 虽然大多数医院都有IPC委员会和指导方针,但只有9%的医院使用监测数据进行改进.
- 对医疗相关感染 (HAI) 监测实验室的准入率很高 (93%),但系统监测很少 (1家医院).
- 在IPC基础设施中存在重大缺口,例如足够的床间距 (35%) 和手部卫生用品 (肥62%,纸巾38%).
结论:
- 哈萨克斯坦的医院拥有有效实施IPC的基础要素.
- 需要改进的关键领域包括制定和传播与世卫组织一致的IPC指南.
- 加强IPC培训和实施系统监测是目标改进的关键第一步.
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