Challenges and strategies of healthcare-associated infection control_West China Medical Journal

Authors：

 WU Anhua

Center of Nosocomial Infection Control, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P. R. China;

Corresponding author：

WU Anhua, Email: dr_wuanhua@sina.com

Keywords：

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

DOI：

10.7507/1002-0179.201903002

Video：

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Medical institutions of China still face two challenges in hospital infections currently: 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 adhering to evidence-based infection control.

Citation： WU Anhua. Challenges and strategies of healthcare-associated infection control. West China Medical Journal, 2019, 34(3): 227-232. doi: 10.7507/1002-0179.201903002 Copy

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16.	蒋苗, 张惠英, 刘玲. 2011-2015年某县级医院医院感染现患率调查. 中国感染控制杂志, 2017, 16(9): 866-869.
17.	高晓东, 胡必杰, 崔扬文, 等. 中国大陆46所医院呼吸机相关肺炎发病率多中心前瞻性监测. 中国感染控制杂志, 2015, 14(8): 540-543.
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1. Balkhy HH, Alenazi TH, Alshamrani MM, et al. Notes from the field: nosocomial outbreak of Middle East respiratory syndrome in a large tertiary care hospital-Riyadh, Saudi Arabia, 2015. MMWR Morb Mortal Wkly Rep, 2016, 65(6): 163-164.
2. Fagbo SF, Skakni L, Chu DK, et al. Molecular epidemiology of hospital outbreak of Middle East respiratory syndrome, Riyadh, Saudi Arabia, 2014. Emerg Infect Dis, 2015, 21(11): 1981-1988.
3. Atabani SF, Wilson S, Overton-Lewis C, et al. Active screening and surveillance in the United Kingdom for Middle East respiratory syndrome coronavirus in returning travellers and pilgrims from the Middle East: a prospective descriptive study for the period 2013-2015. Int J Infect Dis, 2016, 47: 10-14.
4. Koul PA, Mir H, Saha S, et al. Influenza not MERS CoV among returning Hajj and Umrah pilgrims with respiratory illness, Kashmir, North India, 2014-15. Travel Med Infect Dis, 2017, 15: 45-47.
5. Al-Tawfiq JA, Benkouiten S, Memish ZA. A systematic review of emerging respiratory viruses at the Hajj and possible coinfection with Streptococcus pneumoniae. Travel Med Infect Dis, 2018, 23(23): 6-13.
6. World Health Organization. Middle East respiratory syndrome coronavirus (MERS-CoV) - Republic of Korea. (2015-05-30)[2019-01-01]. https://www.who.int/csr/don/30-may-2015-mers-korea/en/.
7. Wang Y, Wang X, Liu X, et al. Epidemiology of imported infectious diseases, China, 2005-2016. Emerg Infect Dis, 2019, 25(1): 33-41.
8. 国家卫生和计划生育委员会. 中国抗菌药物管理和细菌耐药现状报告(2017). 北京: 中国协和医科大学出版社, 2017: 7-18.
9. 国家卫生和计划生育委员会. 中国抗菌药物管理和细菌耐药现状报告(2018). 北京: 中国协和医科大学出版社, 2018: 19-31.
10. 黄勋, 邓子德, 倪语星, 等. 多重耐药菌医院感染预防与控制中国专家共识. 中国感染控制杂志, 2015, 14(1): 1-9.
11. 胡付品, 郭燕, 朱德妹, 等. 2017年CHINET中国细菌耐药性监测. 中国感染与化疗杂志, 2018, 18(3): 241-251.
12. 任南, 细毛, 吴安华. 2014年全国医院感染横断面调查报告. 中国感染控制杂志, 2016, 15(2): 83-87.
13. 曾翠, 任南, 黄勋, 等. 湘雅医院15年间医院感染现患率调查. 中国感染控制杂志, 2016, 15(6): 367-373.
14. 杨远秋, 陈长蓉, 刘泉, 等. 某三甲综合医院2010-2016年医院感染现患率调查结果. 中国感染控制杂志, 2018, 17(5): 408-412.
15. 张国杰, 孙芳艳, 郭勤, 等. 某三级甲等医院3年医院感染现患率调查. 中国感染控制杂志, 2014, 13(9): 544-547.
16. 蒋苗, 张惠英, 刘玲. 2011-2015年某县级医院医院感染现患率调查. 中国感染控制杂志, 2017, 16(9): 866-869.
17. 高晓东, 胡必杰, 崔扬文, 等. 中国大陆46所医院呼吸机相关肺炎发病率多中心前瞻性监测. 中国感染控制杂志, 2015, 14(8): 540-543.
18. 刘思娣, 黄勋, 曾翠, 等. 不同类别重症监护病房持续3年医院感染前瞻性目标性监测. 中国感染控制杂志, 2019, 18(1): 17-21.
19. 国家卫生健康委员会. 2018年中国卫生健康统计年鉴. 北京: 中国协和医科大学出版社, 2018.
20. 刘思娣, 李春辉, 李六亿, 等. 中国医院感染管理组织建设30年调查. 中国感染控制杂志, 2016, 15(9): 648-653.

West China Medical Journal

Challenges and strategies of healthcare-associated infection control

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