Factors influencing hospital infection control policies in Italian hospitals.
Factors influencing hospital infection control policies in Italian hospitals.
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影响意大利医院医院感染控制政策的因素。
DOI：
10.1053/jhin.2002.1376
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
G. Romano
中科院分区：
文献类型：
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作者：
S. Brusaferro;R. Quattrin;F. Barbone;D. D’Alessandro;G. Finzi;M. Cimoroni;M. Galante;G. Marinelli;F. Pucci;A. Gallitelli;M. Vantaggiato;C. Casella;M. Dilillo;M. Mucci;B. Perticarà;A. Tassoni;M. Basile;V. Gasparini;P. Cacciatore;A. Rossini;P. Orlando;M. Sartini;F. Auxilia;A. Cabrini;S. Castaldi;G. Perotti;G. Sabatino;B. Airini;E. Prospero;P. Argentero;K. Kob;C. Buriani;D. Como;E. Corsano;G. Dimastrochicco;M. Montagna;G. Giaconi;I. Maida;A. Melis;I. Mura;O. Grillo;M. Torregrossa;G. Bonaccorsi;N. Comodo;R. Di Clemente;M. Greco;C. Pasquarella;S. Majori;P. Montresor;G. Romano
进行了一项研究，以确定意大利医院可用于控制医院感染的资源以及有利于成功方法的因素。2000年1月至5月期间，向治疗急症病人的所有意大利国家保健系统医院的医院卫生主任发出了一份关于感染控制的调查表，1999年有3500多名病人入院。积极方案的定义是：医院感染控制委员会(HICC)在1999年至少开会四次，有一名负责感染控制的医生在场，一名受雇于感染控制的护士在场，以及至少一项监测活动和一项过去两年发布或更新的感染控制指南。有效率为87.5%(463/529)。近15%(69/463)的医院有积极的感染控制方案，76.2%(353/463)的医院有HICC。71%(330/463)的医院有医院感染控制医生，53%(250/463)的医院有感染控制护士。52%(242/463)报告了至少一次监测活动，70.8%(328/463)在过去两年中至少发布或更新了一份指导文件。在多因素分析中，区域政策[优势比(OR)8.7]、手术组(OR 4.2)、至少一名全职护士(OR 4.6)和指定感染控制的医院年度计划(OR 2.1)的存在在统计学上与积极规划相关。
A study was undertaken to determine the resources available in Italian hospitals for the control of nosocomial infections and the factors favouring a successful approach. During January-May 2000 a questionnaire about infection control was sent to the hospital health director of all Italian National Health System hospitals treating acute patients and with more than 3500 admissions in 1999. An active programme was defined as a hospital infection control committee (HICC) meeting at least four times in 1999, the presence of a doctor with infection control responsibilities, a nurse employed in infection control and at least one surveillance activity and one infection control guideline issued or updated in the past two years. There was a response rate of 87.5% (463/529). Almost fifteen percent (69/463) of hospitals had an active programme for Infection Control and 76.2% (353/463) had a HICC. Seventy-one percent (330/463) of the hospitals had a hospital infection control physician and 53% (250/463) had infection control nurses. Fifty-two percent (242/463) reported at least one surveillance activity and 70.8% (328/463) had issued or updated at least one guidance document in the last two years. The presence of regional policies [odds ratio (OR) 8.7], operative groups (OR 4.2), at least one full-time nurse (OR 4.6) and a hospital annual plan which specified infection control (OR 2.1) were statistically associated with an active programme in the multivariate analysis.