Investigation and analysis of difficulties in nosocomial infection management in medical institutions of Shanghai_West China Medical Journal

Authors：

GUO Jianing ¹ , GAO Xiaodong ² , SHI Qingfeng ² , WANG Yanting ³ ,  ZHANG Kun ⁴

1. Quality Management Department, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P. R. China;
2. Department of Hospital Infection Management, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, P. R. China;
3. Nursing Department, Shanghai Skin Disease Hospital, Shanghai 200443, P. R. China;
4. Shanghai Hospital Association, Shanghai 200040, P. R. China;

Corresponding author：

ZHANG Kun, Email: sh.yyxh@163.com

Keywords：

Medical institutions; nosocomial infection management; difficulty; professional title promotion; full-time personnel for nosocomial infection control

DOI：

10.7507/1002-0179.202501190

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Objective To investigate and analyze the difficulties of nosocomial infection management in different-level medical institutions in Shanghai, and to provide scientific basis for improving the level of nosocomial infection management. Methods A questionnaire was designed to include 10 difficulties in nosocomial infection management such as professional title promotion, salary, and personnel allocation. In October 2023, the Shanghai Nosocomial Infection Quality Control Center, in collaboration with the Shanghai Hospital Association, conducted a questionnaire survey among the heads of nosocomial infection management departments in medical institutions in Shanghai. The scores of difficulties were analyzed by stratification according to hospital level, allocation and changes of full-time personnel. Results A total of 548 questionnaires were distributed, and 530 valid questionnaires were retrieved, with a recovery rate of 96.72%. There were 55 public tertiary, 93 public secondary, 169 public primary and 213 social medical institutions. The rates of full-time personnel allocation meeting standards were 76.36% (42/55), 72.04% (67/93), 31.95% (54/169), and 21.60% (46/213), respectively. There was a statistically significant difference in the rates of full-time personnel allocation meeting standards among different levels of medical institutions (χ²=105.149, P<0.001). There was no statistical difference in the total scores of nosocomial infection management difficulties among different-level medical institutions (F=1.657, P=0.176). There were statistically significant differences in the scores of difficulties in professional title promotion, cumbersome daily norms and requirements, insufficient allocation of full-time personnel, and high personnel turnover (P<0.05). Conclusions The main difficulties in nosocomial management of medical institutions at all levels in Shanghai include the difficulty in career promotion, cumbersome daily norms and requirements, insufficient allocation of full-time personnel and lack of experience. In the future, medical institutions should strengthen the allocation of full-time personnel and enhance their capabilities, provide smooth promotion channels, to promote the high-quality development of nosocomial infection management ultimately.

Citation： GUO Jianing, GAO Xiaodong, SHI Qingfeng, WANG Yanting, ZHANG Kun. Investigation and analysis of difficulties in nosocomial infection management in medical institutions of Shanghai. West China Medical Journal, 2025, 40(3): 406-411. doi: 10.7507/1002-0179.202501190 Copy

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14.	乔甫, 宗志勇. 疫情时代的医院感染预防与控制: 机遇与挑战. 华西医学, 2022, 37(3): 321-325.
15.	程棣妍, 乔甫. 世界卫生组织《感染预防与控制专业人员核心能力》实践路径. 华西医学, 2023, 38(3): 326-337.
16.	Choi J. Development of a competency for infection control nurses in Korea. Am J Infect Control, 2020, 48(Suppl 8): S36.
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18.	陈相龙. 感控管理待加磅. 中国医院院长, 2020(15): 45-46.
19.	孙慧, 姜亦虹, 周珏. 江苏省 102 所中医医院感染管理资源配置现状调查. 吉林医学, 2020, 41(2): 505-508, 511.
20.	张志刚, 魏秋霞, 杨致霈, 等. 陕西省中医医疗机构医院感染管理专职人员工作倦怠现状分析. 职业与健康, 2020, 36(13): 1729-1731, 1735.
21.	刘波, 张永祥, 陈文森, 等. 江苏医院感染领域医师职称晋升的探索与尝试. 中华医院感染学杂志, 2017, 27(14): 3143-3146.
22.	张孟媛, 张瑶, 粟小燕, 等. 2020 年四川省市级疾控机构卫生应急管理人员业务能力调查. 职业卫生与病伤, 2023, 38(4): 255-260.
23.	陈旭东, 段静琰. 对深化云南省医疗卫生事业单位专业技术岗位设置与管理改革的思考. 中国人事科学, 2022(3): 11-24.
24.	Chen N, Li S, Kuang Z, et al. Identifying a competency improvement strategy for infection prevention and control professionals: a rapid systematic review and cluster analysis. Health Care Sci, 2024, 3(1): 53-66.
25.	杨亚, 班海群, 高晓东, 等. 2021 年上海市医院感染管理科主任岗位胜任力现状及其影响因素. 中华医院感染学杂志, 2023, 33(18): 2870-2874.
26.	Zhang P, Tang L. Current status of infection control professionals in a Chinese city. Infect Control Hosp Epidemiol, 2019, 40(8): 949-950.
27.	Clifford RJ, Newhart D, Laguio-Vila MR, et al. Infection preventionist staffing levels and rates of 10 types of healthcare-associated infections: a 9-year ambidirectional observation. Infect Control Hosp Epidemiol, 2022, 43(11): 1641-1646.

1. Kubde D, Badge AK, Ugemuge S, et al. Importance of hospital infection control. Cureus, 2023, 15(12): e50931.
2. Lemiech-Mirowska E, Kiersnowska ZM, Michalkiewicz M, et al. Nosocomial infections as one of the most important problems of healthcare system. Ann Agric Environ Med, 2021, 28(3): 361-366.
3. Zong Z, Wu A, Hu B. Infection control in the era of antimicrobial resistance in China: progress, challenges, and opportunities. Clin Infect Dis, 2020, 71(Suppl 4): S372-S378.
4. Russo A, Fusco P, Morrone HL, et al. New advances in management and treatment of multidrug-resistant Klebsiella pneumonia. Expert Rev Anti Infect Ther, 2023, 21(1): 41-55.
5. Chala B, Hamde F. Emerging and re-emerging vector-borne infectious diseases and the challenges for control: a review. Front Public Health, 2021, 9: 715759.
6. 杨亚红, 张浩军, 朱腾飞, 等. 甘肃省 44 家医疗机构医院感染管理工作现状调查. 中国护理管理, 2022, 22(2): 281-285.
7. 杨璐, 余旭霞, 朱越献, 等. 浙江省 68 所中医医疗机构感控专职人员现状调查. 中医药管理杂志, 2024, 32(6): 28-32.
8. 国务院应对新型冠状病毒肺炎疫情联防联控机制综合组. 关于进一步做好常态化疫情防控下医疗机构感染防控工作的通知. 中华人民共和国国家卫生健康委员会公报, 2020(12): 271-273.
9. 国务院应对新型冠状病毒肺炎疫情联防联控机制综合组. 关于进一步加强医疗机构感控人员配备管理相关工作的通知. 中华人民共和国国家卫生健康委员会公报, 2021(8): 10-11.
10. 史庆丰, 胡必杰, 高晓东, 等. 我国医院感染管理人员岗位胜任力研究综述. 上海预防医学, 2024, 36(5): 511-515.
11. 石磊, 高晓东, 胡必杰, 等. 上海市医院感染专职人员职称晋升现状调查. 中华医院感染学杂志, 2022, 32(8): 1253-1256.
12. Dhar S, Sandhu AL, Valyko A, et al. Strategies for effective infection prevention programs: structures, processes, and funding. Infect Dis Clin North Am, 2021, 35(3): 531-551.
13. 曾欣, 张慧, 李春燕, 等. 后疫情时代高校医院感染管理人才培养初探. 现代预防医学, 2022, 49(24): 4533-4536.
14. 乔甫, 宗志勇. 疫情时代的医院感染预防与控制: 机遇与挑战. 华西医学, 2022, 37(3): 321-325.
15. 程棣妍, 乔甫. 世界卫生组织《感染预防与控制专业人员核心能力》实践路径. 华西医学, 2023, 38(3): 326-337.
16. Choi J. Development of a competency for infection control nurses in Korea. Am J Infect Control, 2020, 48(Suppl 8): S36.
17. 张发滨, 谢意兰, 韩晓东. 广东省 833 家二级以上医疗机构感染防控专职人员队伍建设情况及对策. 现代医院, 2023, 23(11): 1753-1756.
18. 陈相龙. 感控管理待加磅. 中国医院院长, 2020(15): 45-46.
19. 孙慧, 姜亦虹, 周珏. 江苏省 102 所中医医院感染管理资源配置现状调查. 吉林医学, 2020, 41(2): 505-508, 511.
20. 张志刚, 魏秋霞, 杨致霈, 等. 陕西省中医医疗机构医院感染管理专职人员工作倦怠现状分析. 职业与健康, 2020, 36(13): 1729-1731, 1735.
21. 刘波, 张永祥, 陈文森, 等. 江苏医院感染领域医师职称晋升的探索与尝试. 中华医院感染学杂志, 2017, 27(14): 3143-3146.
22. 张孟媛, 张瑶, 粟小燕, 等. 2020 年四川省市级疾控机构卫生应急管理人员业务能力调查. 职业卫生与病伤, 2023, 38(4): 255-260.
23. 陈旭东, 段静琰. 对深化云南省医疗卫生事业单位专业技术岗位设置与管理改革的思考. 中国人事科学, 2022(3): 11-24.
24. Chen N, Li S, Kuang Z, et al. Identifying a competency improvement strategy for infection prevention and control professionals: a rapid systematic review and cluster analysis. Health Care Sci, 2024, 3(1): 53-66.
25. 杨亚, 班海群, 高晓东, 等. 2021 年上海市医院感染管理科主任岗位胜任力现状及其影响因素. 中华医院感染学杂志, 2023, 33(18): 2870-2874.
26. Zhang P, Tang L. Current status of infection control professionals in a Chinese city. Infect Control Hosp Epidemiol, 2019, 40(8): 949-950.
27. Clifford RJ, Newhart D, Laguio-Vila MR, et al. Infection preventionist staffing levels and rates of 10 types of healthcare-associated infections: a 9-year ambidirectional observation. Infect Control Hosp Epidemiol, 2022, 43(11): 1641-1646.

West China Medical Journal

Investigation and analysis of difficulties in nosocomial infection management in medical institutions of Shanghai

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