Pirwitz S, Manian F
1995 Education Committee of the Association for Professionals in Infection Control and Epidemiology, Inc., Washington, D.C., USA.
Am J Infect Control. 1997 Feb;25(1):28-33. doi: 10.1016/s0196-6553(97)90050-x.
To better serve APIC membership, the National APIC Education Committee periodically conducts educational needs assessments.
In the July/August 1995 issue of APIC News, the committee published a survey on the prevalence of infection control "sacred cows," practices considered to be outdated and ritualistic. A response was requested only from ICPs working in inpatient facilities. We asked ICPs which of the listed practices were part of their facility's infection control program, and whether they were interested in changing those that were. We also asked about the certification status of the program's manager (CIC vs non-CIC).
A total of 506 survey forms were completed and returned, with 74% from acute care only, 7% from long-term care only, 10% from acute and long-term care, and 8% from other types of facilities. Mean number of beds was 226. Infection control programs had existed for a mean of 15 years. Most respondents' facilities still engaged in infection control rituals. Fifty-eight percent of respondents were still doing total surveillance, 43% were still using reverse or protective isolation, and 11% were still subjecting employees with positive reactions to purified protein derivative of tuberculin testing to annual chest radiographs, to name a few. Certified respondents were significantly less likely to include outdated practices than were non-CICs for 11 of 15 practices (73%). CICs were no more likely than non-CICs, however, to be interested in changing any current rituals.
The Education Committee will use this information to plan future educational offerings.
为了更好地服务美国感染控制与流行病学专业协会（APIC）会员，APIC国家教育委员会定期进行教育需求评估。
在1995年7/8月期的《APIC新闻》中，委员会发表了一项关于感染控制“神圣牛”（即被认为过时且形式化的做法）流行情况的调查。仅要求在住院设施工作的感染控制专业人员（ICP）做出回应。我们询问ICP所列出的哪些做法是其所在机构感染控制计划的一部分，以及他们是否有兴趣改变那些被认为过时的做法。我们还询问了该计划管理人员的认证状态（认证感染控制专家[CIC]与非CIC）。
共完成并返回了506份调查问卷，其中74%仅来自急症护理机构，7%仅来自长期护理机构，10%来自急症和长期护理机构，8%来自其他类型的设施。平均床位数为226张。感染控制计划平均已存在15年。大多数受访者所在的机构仍在进行感染控制仪式。58%的受访者仍在进行全面监测，43%仍在使用反向或保护性隔离，11%仍在对结核菌素纯蛋白衍生物检测呈阳性反应的员工每年进行胸部X光检查，仅举几例。在15种做法中的11种（73%）中，获得认证的受访者比未获得CIC认证的受访者纳入过时做法的可能性显著更低。然而，CIC与非CIC对改变任何当前仪式的兴趣并无差异。
教育委员会将利用这些信息来规划未来的教育课程。
