在中国的医疗保健机构实施结核病感染预防和控制的持续质量改进框架,2017-2019年
Canyou Zhang1, Stephanie O'Connor2, Sarah E Smith-Jeffcoat2
1National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Infection control and hospital epidemiology
|January 25, 2024
概括
实施结核病 (TB) 感染预防和控制 (IPC) 框架显著改善了医疗机构的实践. 培训加强了医疗保健工作者管理结核病传播风险的能力,并为国家指导提供了信息.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 医疗保健管理的管理
背景情况:
- 与医疗保健相关的结核病 (TB) 传播具有重大风险.
- 医疗机构的有效感染预防和控制 (IPC) 措施对于减轻结核病传播至关重要.
- 一个结构化的TB IPC改进框架,包括培训和指导,在中国医疗保健机构进行了试点.
研究的目的:
- 评估一个系统的TB IPC改进框架的有效性.
- 评估TB IPC核心组件和特定控制措施的变化.
- 确定影响TB IPC战略实施的因素.
主要方法:
- 在中国9个医疗机构实施了长达18个月的结核病IPC框架.
- 使用可量化的指标进行季度标准化TB IPC评估.
- 对IPC核心组件,行政,环境和呼吸道保护控制以及复合分数的百分比变化进行分析.
主要成果:
- 结核病IPC核心组件的平均得分在18个月内增加了72%.
- 在行政 (39%),环境 (46%) 和呼吸道保护 (30%) 控制方面观察到显著改善.
- 综合IPC分数增长了45%,其中最显著的增长发生在实施后的前六个月内.
结论:
- 实施的TB IPC框架导致了政策和实践的早期和实质性改进.
- 培训显著提高了医疗保健专业人员管理结核病传播风险的能力.
- 调查结果为完善国家TB IPC指南提供了宝贵的见解.
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