Mamishi Setareh, Pourakbari Babak, Teymuri Mostafa, Babamahmoodi Abdolreza, Mahmoudi Shima
Pediatric Infectious Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran ; Department of Infectious Diseases, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Pediatric Infectious Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Osong Public Health Res Perspect. 2014 Aug;5(4):179-86. doi: 10.1016/j.phrp.2014.06.001. Epub 2014 Jul 7.
Nosocomial, or hospital-acquired, infections are considered the most common complications affecting hospitalized patients. According to results obtained from studies conducted in the Children Medical Center Hospital, a teaching children's hospital and a tertiary care referral unit in Tehran, Iran, improvements in infection control practices in our hospital seem necessary. The aim of this study was to identify risk management and review potential hospital hazards that may pose a threat to the health as well as safety and welfare of patients in an Iranian referral hospital. Barriers to compliance and poor design of facilities, impractical guidelines and policies, lack of a framework for risk management, failure to apply behavioral-change theory, and insufficient obligation and enforcement by infection control personnel highlight the need of management systems in infection control in our hospital. In addition, surveillance and early reporting of infections, evaluation of risk-based interventions, and production of evidence-based guidelines in our country are recommended.
医院感染，即医院获得性感染，被认为是影响住院患者的最常见并发症。根据在伊朗德黑兰一家儿童教学医院及三级医疗转诊机构——儿童医学中心医院所开展研究的结果，我院似乎有必要改进感染控制措施。本研究的目的是识别风险管理并审查可能对伊朗一家转诊医院患者的健康、安全及福祉构成威胁的潜在医院危害。合规障碍、设施设计不佳、不切实际的指南和政策、缺乏风险管理框架、未应用行为改变理论以及感染控制人员的义务和执法不足，凸显了我院感染控制管理系统的必要性。此外，建议在我国开展感染监测与早期报告、基于风险的干预措施评估以及制定循证指南。
