Roup Brenda J, Roche Jeffrey C, Pass Margaret
Maryland Department of Health and Mental Hygiene, Office of Epidemiology and Disease Control Programs, Baltimore, MD 21201, USA.
Am J Infect Control. 2006 Apr;34(3):122-7. doi: 10.1016/j.ajic.2005.12.010.
In January 2003, the Maryland State Department of Health and Mental Hygiene (DHMH) surveyed, for the first time, all acute care hospitals (ACHs), long-term care facilities (LTCFs), and specialty hospital (acute rehabilitation and behavioral health) facilities in the state to determine the current state of infection control resources and practices in Maryland. Federal health care facilities in Maryland were not surveyed.
A self-administered questionnaire was sent to all 40 ACHs, 247 LTCFs, and 20 specialty hospitals in the state. The senior infection control professional (ICP) in the facility completed the questionnaire.
The response rates were 85% for ACHs, 39% for LTCFs, and 95% for specialty hospitals. Data were analyzed separately for each type of facility. The ICPs in acute care reported 1.2 full-time equivalent positions (FTEs) for each 200 acute care beds, whereas ICPs in LTCFs reported 0.3 FTEs per 200 LTCF beds. Ninety percent of acute care ICPs reported taking some type of basic infection control course, whereas only 3% of long-term care ICPs reported taking a basic infection control course.
In this survey of ICPs in Maryland, striking differences were noted between ACHs and LTCFs in the ratio of ICP FTEs to beds and in basic infection control educational preparation for ICPs. These findings suggest that Maryland LTCFs could benefit from basic infection control training and from regulatory actions addressing staff-to-resident ratios.
2003年1月，马里兰州卫生与精神卫生部门（DHMH）首次对该州所有急性护理医院（ACH）、长期护理机构（LTCF）和专科医院（急性康复和行为健康）设施进行调查，以确定马里兰州感染控制资源和实践的现状。马里兰州的联邦医疗保健设施未被纳入调查范围。
向该州所有40家急性护理医院、247家长期护理机构和20家专科医院发送了一份自填式问卷。各机构的高级感染控制专业人员（ICP）填写问卷。
急性护理医院的回复率为85%，长期护理机构为39%，专科医院为95%。针对每种类型的机构分别对数据进行分析。急性护理机构的ICP报告称，每200张急性护理床位有1.2个全职等效岗位（FTE），而长期护理机构的ICP报告称，每200张长期护理床位有0.3个FTE。90%的急性护理ICP报告参加过某种类型的基本感染控制课程，而只有3%的长期护理ICP报告参加过基本感染控制课程。
在本次对马里兰州ICP的调查中，急性护理医院和长期护理机构在ICP的FTE与床位比例以及ICP的基本感染控制教育培训方面存在显著差异。这些发现表明，马里兰州的长期护理机构可能会从基本感染控制培训以及针对员工与居民比例的监管行动中受益。
