中新网10月24日电 据卫生部网站消息，日前，卫生部印发了《预防与控制医院感染行动计划(2012—2015年)》。《计划》提出，医院感染预防与控制工作发展的总目标和3项具体目标，以及医院感染预防与控制的10项主要任务和工作重点。

Beijing on October 24, according to the ministry of health news website,a,Issued by the ministry of health has[To prevent and control hospital infection action plan(In 2012-2015)].[plan]Put forward,Hospital infection prevention and control work development the overall goal of a specific goals and 3,And hospital infection prevention and control of the ten main task and key work.

　　以下是《计划》全文：

The following is[plan]full-text:

预防与控制医院感染行动计划(2012—2015年) To prevent and control hospital infection action plan(In 2012-2015)

　　为切实维护广大人民群众身体健康与生命安全，进一步加强医院感染预防与控制工作，提高医疗质量，保障医疗安全，根据“十二五”卫生事业发展规划和《医院感染管理办法》等，制定本行动计划。

To protect the people's health and life safety,Further strengthen hospital infection prevention and control work,Improve the quality of medical treatment,To protect the safety of medical treatment,According to"1025"Health career development planning and[Measures for the management of hospital infection], etc,Make the action plan.

　　

一、指导思想 a/Guiding ideology

　　以科学发展观为指导，深入贯彻落实深化医药卫生体制改革工作要求和“十二五”卫生事业发展规划，着力加强医院感染预防与控制工作，加大相关法规、规章及规范的贯彻执行力度，加强医院感染专业队伍建设，健全完善相关技术标准，推进医院感染预防与控制工作科学、规范、可持续发展，适应社会经济的发展和医学科学技术的进步，满足人民群众的健康服务需求。

Guided by the scientific development concept,Fully implement the deepening medical health system reform work requirements and"1025"Health career development planning,Strengthen hospital infection prevention and control work,Increase relevant laws and regulations/Rules and regulate the implementation of strength,To strengthen hospital infection professional team construction,Perfect the related technical standard,Promote the hospital infection prevention and control work science/standard/Sustainable development,To adapt to the development of social economy and medical science and technology progress,Satisfy the people's health service needs.

　　

二、工作目标和主要任务 two/Job objective and main task

　　(一)总目标。

(a)General objective.

　　以加强医院感染预防与控制工作为主导，坚持“科学防控、规范管理、突出重点、强化落实”的原则，健全医院感染防控体系，完善相关技术标准，落实各项防控措施，提高专业技术能力，提升医院感染防控水平，最大限度降低医院感染发生率，提高医疗质量和保障医疗安全。

In order to strengthen hospital infection prevention and control work as the leading work,Adhere to the"Scientific prevention and control/Standardized management/Highlight the key/Strengthen implement"principle,Improve the hospital infection prevention and control system,Perfect relevant technical standards,Carry out the prevention and control measures,Improve technical skills,Improve the level of hospital infection control and prevention,To minimize the incidence of hospital infection,Improve the quality of medical treatment and to protect the safety of medical treatment.

　　——到2015年，全国所有三级医院和二级医院加强医院感染重点部门、重点环节的医院感染管理，落实相关防控措施，突出重点、科学防控，切实提高医院感染预防与控制工作的执行力。

- to 2015,The national all tertiary hospitals and secondary hospitals to strengthen hospital infection key sectors/Key link of hospital infection management,To carry out the relevant prevention and control measures,Highlight the key/Scientific prevention and control,In order to improve hospital infection prevention and control the execution of the work force.

　　——到2015年，逐步健全医院感染相关技术标准体系，借鉴国际经验，结合我国实际，不断完善医院感染技术标准，形成比较全面的覆盖医院感染重点环节及重点部门的标准体系，逐步实现医院感染防控措施的科学化、专业化、规范化、精细化。

- to 2015,Gradually improve the hospital infection related technical standard system,By using for reference the international experience,Combined with the actual conditions of our country,Constantly improve the hospital infection technical standard,Formation comprehensive coverage of hospital infection key link and key sectors of the standard system,Gradually realize hospital infection prevention and control measures of scientific/professional/standardization/fine.

　　——到2015年，不断完善医院感染组织管理体系。加强省级医院感染管理质量控制中心建设，明确工作职责，切实发挥推进本区域医院感染管理质量控制和持续改进的作用，医疗机构要根据《医院感染管理办法》加强组织管理，全面落实职责。加强医院感染专业队伍建设，提升专业技术能力。

- to 2015,Constantly improve the hospital infection management system.Strengthen provincial hospital infection management quality control center construction,Clear responsibilities,Promote and develop the regional hospital infection management quality control and continuous improvement action,According to the medical institutions[Measures for the management of hospital infection]To strengthen the organization and management,Carry out duties.To strengthen hospital infection professional team construction,In order to enhance the professional technical ability.

　　——到2015年，建立符合我国国情的医院感染监控体系，初步形成国家、省级、医疗机构三级医院感染监控网络，实施科学、有效监控，及时反馈监测信息，持续改进医院感染管理工作，提升医院感染监控水平。

- to 2015,Establishment conforms to our country national condition the hospital infection monitoring system,Preliminary form the state/provincial/A medical institution tertiary hospital infection monitoring network,The implementation of scientific/Effective monitoring,Timely feedback monitoring information,Continuous improvement hospital infection management,Improve hospital infection monitoring level.

　　(二)具体目标。

(two)Specific goals.

　　1.规范管理医院感染重点部门。到2015年，100%的三级医院、60%的地市级二级医院和30%的县级二级医院的重症医学科(监护病房)、手术部(室)、血液透析中心(室)、新生儿室、消毒供应中心等医院感染重点部门的建筑布局、人员配备、质量安全管理等达到国家有关要求。

1. The standard management of hospital infection key sectors.By 2015,100% of the tertiary hospital/60% of the prefecture-level secondary hospitals and 30% of the second class hospitals at or above the county level in the medicine(strongroom)/Surgery department(chamber)/Hemodialysis center(chamber)/Neonatal chamber/The center of sterilization supply hospital infection such as key department building layout/personnel/Quality and safety management to relevant state requirements.

　　2.降低医院感染重点环节的风险。通过贯彻落实各项医院感染防控措施，医院感染重点环节的危险因素得到有效控制，医院感染风险有所降低。外科手术部位感染、导管相关血流感染、导尿管相关尿路感染及呼吸机相关肺炎等专项发生率进一步降低。

2. Reduce hospital infection risk of key link.Through the implementation of the hospital infection prevention and control measures,Part of the hospital infection risk factor effectively control,Hospital infection risk reduced.Surgical site infection/Catheter-related bloodstream infection/Catheter related urinary tract infection and entilator-associated pneumonia was special and further reduce the incidence.

　　3.切实落实医院感染防控基础性措施。医疗机构切实落实清洁、消毒灭菌、隔离、医务人员手卫生等医院感染防控基础性措施，提高医务人员手卫生的依从性，医疗器械的清洗、消毒灭菌合格率达到100%。

3. Earnestly implement hospital infection prevention and control basic measures.Medical institutions to practically implement clean/Disinfection sterilization/isolation/Medical staff hand hygiene and prevention and control measures of hospital infection basic,To improve medical staff hand hygiene compliance,Medical equipment cleaning/Disinfection sterilization rate reached 100%.

　　(三)主要任务。

(three)The main task.

　　1.加强重点部门和重点环节管理。医疗机构要高度重视医院感染重点部门和重点环节的管理，根据医院感染管理有关规定，针对重点部门(重症医学科(监护病房)、手术室、血液透析室、消毒供应中心、新生儿室、产房、内镜室、口腔科和导管室等)和重点环节(各种插管、注射、手术、内镜诊疗操作等)，采取一揽子有效措施，严格执行各项工作要求，降低发生医院感染的风险。

1. Strengthen the key sectors and key link management.Medical institutions should attach great importance to the hospital infection key sectors and key link management,According to the relevant provisions of the management of hospital infection,According to the key sectors(Severe medicine(strongroom)/Operating room/Hemodialysis room/Of the center of sterilization supply/Neonatal chamber/Delivery room/Endoscopy room/Department of stomatology and international, etc)And key link(All kinds of intubation/injection/surgery/Endoscopic diagnosis and operation, etc),Take a package of effective measures,Strict implementation of all the work requirements,To reduce the risk of the occurrence of nosocomial infection.

　　2.全面落实医院感染防控措施。医疗机构要根据医院感染相关法规、规范和行业技术标准等，更新并细化相应的规章制度和工作规范，制订并落实符合本单位工作实际的标准操作规程(SOP)。切实加强清洁、消毒灭菌、隔离、医务人员手卫生以及医院感染监测等工作，强化责任意识，全面落实医院感染防控措施。

2. The full implementation of hospital infection prevention and control measures.Medical institutions according to the hospital infection related laws and regulations/Standard and industry technical standards, etc,Update and refining the corresponding rules and regulations and standard,Develop and implement conform to this unit work actual standard operating procedures(SOP).Strengthen clean/Disinfection sterilization/isolation/Medical staff hand hygiene and hospital infection monitoring, etc,Strengthen the responsibility consciousness,The full implementation of hospital infection prevention and control measures.

　　3.不断完善医院感染相关技术标准体系。根据医院感染预防与控制工作发展需要及面临的形势，结合工作实际，针对医院感染重点部门、重点环节等，不断完善医院感染管理技术标准。卫生行政部门和医疗机构要不断更新并细化医院感染技术标准和工作规范，科学、有效指导医院感染预防与控制工作。

3. Constantly improve hospital infection related technical standard system.According to the hospital infection prevention and control work development needs and the situation facing the,Connecting with the working practice,According to the hospital infection key sectors/Key link, etc,Constantly improve the hospital infection management technology standard.The administrative department of public health and medical institutions should constantly update and refining hospital infection technical standard and working standard,science/Effective guidance to hospital infection prevention and control work.

　　4.加强医院感染质量控制中心建设。各省级卫生行政部门要结合实际，大力推进省级医院感染质量控制中心的建设，明确工作职责，全面落实责任，协助省级卫生行政部门积极开展人员培训、指导评估、督导考核等工作，推进本区域医院感染管理质量持续改进，提升医院感染预防与控制能力。

(4) strengthen the quality of hospital infection control center construction.The provincial administrative department of public health to link to the reality,Vigorously promote the provincial hospital infection quality control center construction,Clear responsibilities,Comprehensive carries out the responsibility,Assist the provincial administrative department of public health actively carry out personnel training/Instruction evaluation/Supervisory examination, etc,Promote the regional hospital infection management of continuous quality improvement,Improve hospital infection prevention and control ability.

　　5.加强医院感染组织管理和队伍建设。医疗机构要按照《医院感染管理办法》的要求，设立医院感染管理委员会和医院感染管理部门，明确医院院长是本单位医院感染管理的第一责任人，配备数量适宜的医院感染管理专(兼)职人员，明确各部门和人员的职责，强化责任意识，落实管理措施。加强对医院感染管理人员、专业技术人员的培训，提升业务工作能力。

5. Strengthen hospital infection management and team construction.According to the medical institutions[Measures for the management of hospital infection]requirements,Establishment of hospital infection management committee and hospital infection management department,Clear hospital dean is the hospital infection management unit of the first responsible persons,Equipped with appropriate amount of hospital infection management designed(and)Resigned personnel,Clear about various departments and personnel responsibilities,Strengthen the responsibility consciousness,Implement management measures.To strengthen hospital infection management/Professional and technical personnel training,Improve the working ability.

　　6.加强多重耐药菌医院感染预防与控制。医疗机构要高度重视多重耐药菌医院感染管理，采取有效措施，预防和控制多重耐药菌的医院感染。要加强清洁、消毒灭菌、隔离和医务人员手卫生工作，认真落实抗菌药物临床合理使用的有关规定，加强多重耐药菌监测工作，降低多重耐药菌医院感染。同时，要加强临床微生物实验室的能力建设，提高其对多重耐药菌检测及抗菌药物敏感性、耐药模式的监测水平。

6. Strengthen the multiple drug-resistant bacteria nosocomial infection prevention and control.Medical institutions should attach great importance to multiple drug-resistant bacteria nosocomial infection management,Take effective measures,To prevent and control multiple drug-resistant bacteria of hospital infection.To strengthen clean/Disinfection sterilization/Isolation and medical staff hand hygiene work,Earnestly implement clinical rational use of antimicrobial agents of the relevant provisions,Strengthen the multiple drug-resistant bacteria monitoring work,Reduce the multiple drug-resistant bacteria nosocomial infection.At the same time,To strengthen the ability of clinical microbiology laboratory construction,Enhance its multiple drug-resistant bacteria detection and antibacterial drug sensitivity/Resistance model of monitoring level.

　　7.加强医院感染多学科合作。医院感染管理涉及感染病学、临床微生物学、流行病学、消毒学、药学等多学科，在医疗机构内涉及医院感染管理部门、医务部门、护理部门、临床检验部门、药学部门、消毒供应中心以及各临床科室多个部门。医疗机构应当重视医院感染管理部门的建设，建立医院感染管理的多学科、多部门合作机制，加强学科、部门间协调沟通，明确分工职责，落实工作责任，共同形成合力推进医院感染各项防控措施的有效落实。

7. To strengthen hospital infection multidisciplinary cooperation.Hospital infection management involves infection epidemiology/Clinical microbiology/epidemiological/environmental/Pharmaceutics multidisciplinary,In the medical institutions involved in hospital infection management department/Medical department/Nursing department/Clinical inspection department/Pharmacy department/The center of sterilization supply as well as various clinical departments many departments.A medical institution shall pay attention to the construction of hospital infection management department,To establish hospital infection management multidisciplinary/Many department cooperation mechanism,Strengthen discipline/Coordinate and communicate between departments,Clear division of responsibilities,Implement the responsibilities of the job,Common forming force promoting the hospital infection prevention and control measures of effective implementation.

　　8.进一步完善医院感染监控体系。在现有医院感染监测工作的基础上，进一步完善国家级、省级、医疗机构三级医院感染监控体系，初步形成覆盖三级医院的国家级医院感染监控网。建立医院感染监测数据库，健全信息管理和信息发布等制度。省级卫生行政部门要建立本辖区内覆盖二级以上医院的医院感染监控网，定期公布和反馈本辖区医院感染监测情况，督促和指导本辖区医院感染管理质量持续改进。医疗机构要制订详细、可行的医院感染监控计划，结合实际积极开展医院感染重点部门、重点环节、重点人群及多重耐药菌的目标性监测，及时反馈监测信息，采取有效干预措施，防范医院感染不良事件的发生。同时，根据医院信息系统的发展，加强医院感染信息系统的建设。

8. To further improve hospital infection monitoring system.In the existing hospital infection monitoring based on the work,To further improve national/provincial/A medical institution tertiary hospital infection monitoring system,The initial formation of cover tertiary hospital national hospital infection monitoring network.To establish hospital infection monitoring database,Perfect information management and information release system.The health administrative department at the provincial level to set up within their jurisdiction covers more than secondary hospital hospital infection monitoring network,Regularly publish and feedback in the areas under their respective jurisdiction hospital infection monitoring situation,Supervise and guide the areas under their respective jurisdiction hospital infection management of continuous quality improvement.Medical institutions should make detailed/Feasible hospital infection monitoring plan,Based on the actual actively carry out hospital infection key sectors/Part of the/Key crowd and multiple drug resistance of bacteria targeted monitoring,Timely feedback monitoring information,Take effective intervention measures,To prevent the occurrence of hospital infection adverse events.At the same time,According to the development of hospital information system,To strengthen the construction of hospital infection information system.

　　9.加强医院感染科学研究。加强我国医院感染管理领域的科学研究，充分发挥学术组织和科研机构的作用，积极开展基于临床实践的医院感染防控措施与策略的研究，提高医院感染预防与控制的科技支撑能力，加强科研成果转化和利用，科学指导医院感染预防与控制工作。

9. Strengthen hospital infection in scientific research.Strengthening our country hospital infection management in the field of scientific research,Give full play to the academic organizations and scientific research institutions role,Actively carry out based on clinical practice of hospital infection prevention and control measures and strategy research,Improve the hospital infection prevention and control technology supporting capacity,To strengthen the scientific research achievements and utilization,Scientific guiding hospital infection prevention and control work.

　　10.促进国际交流与合作。积极参与医院感染预防与控制全球行动，掌握国际动态，学习、借鉴和推广国际先进理念和经验，加强与国际社会在医院感染管理专业人才培养、业务技术、科学研究、管理和教育等方面的交流与合作，广泛开展与国际组织的项目合作，不断提高我国医院感染预防与控制工作水平。

10. Promote international exchanges and cooperation.Actively participate in hospital infection prevention and control global operations,Master international dynamic,learning/Reference and promote the international advanced idea and experience,With the international community to strengthen in the hospital infection management professional personnel training/Business technology/Scientific research/Management and education of exchanges and cooperation,Carry out extensive and international organization project cooperation,Continuously improve our country hospital infection prevention and control work level.

　　

三、保障措施 three/Safeguard measures

　　(一)提高思想认识，加强组织领导。各级卫生行政部门要充分认识医院感染管理工作在深化医药卫生体制改革、保障医疗质量和医疗安全、降低医疗费用方面的重要性，加强组织领导，强化工作职责，明确目标任务，认真组织落实。医疗机构要将医院感染预防与控制纳入医疗质量管理和医院管理的整体规划中，从人力、物力和财力上给予必要支持，将医院感染防控措施落到实处。

(a)Improve ideological recognition,To strengthen the organization and leadership.Health administrative departments at all levels should fully understand the hospital infection management in deepening medical health system reform/Guarantee medical quality and medical safety/Reduce the medical cost of importance,To strengthen the organization and leadership,Strengthen job responsibilities,Clear goal task,Carefully organize the implementation of.A medical institution shall hospital infection prevention and control into the medical quality management and hospital management in the overall planning,From human/Material and financial resources to support the necessary,Will the hospital infection prevention and control measures into effect.

　　(二)加强队伍建设，提高技术水平。各省(区、市)要加强医院感染管理专业队伍建设，配备专门的人员负责医院感染管理工作。要积极开展人员岗位培训和继续教育，逐级分期、分批开展人员培训，保证培训效果，提高人员业务工作能力和技术水平。

(two)Strengthening the construction of the,Raises the technical level.provinces(area/city)To strengthen hospital infection management professional team construction,Equipped with special personnel to take charge of hospital infection management.To actively carry out personnel job training and continuing education,Stage step by step/Batch in personnel training,Guarantee training effect,Improve the personnel business working ability and technical level.

　　(三)认真贯彻落实，务求工作实效。各省级卫生行政部门要积极贯彻落实行动计划，结合当地实际，制订具体方案并组织实施。在组织实施过程中，细化各项工作目标和任务，结合实际、注重实效，分步骤、分阶段达到各项目标。医疗机构应当结合本单位的具体情况，制订切实可行的工作方案，认真组织实施，确保取得实效。

(three)Conscientiously implement the,Work effectiveness to.The public health administrative department at the provincial level shall actively implement the action plan,Combined with the actual local,Formulate specific plan and organize the implementation thereof.The implementation process,Refining each work objectives and tasks,Based on the actual/pragmatic,step/To achieve the goal by stages.A medical institution shall, in combination with the specific circumstances of this unit,Formulate practical work plan,Carefully organize the implementation,Make sure to make the effective.

　　(四)加强督导考核，认真总结评估。各省级卫生行政部门要制订详细、可行的督导评估方案和考核指标，通过开展定期检查或不定期抽查，对本辖区医疗机构实施情况进行督导考核，认真总结经验，及时进行评估。2015年，卫生部将对各地贯彻执行情况进行总结评估。

(four)Strengthen the supervision evaluation,Earnest summary evaluation.The administrative department of health at the provincial level shall establish detailed/Feasible supervision evaluation scheme and assessment index,By conducting regular inspection or not regularly check,A medical institution within areas under their jurisdiction enforcement supervision appraisal,Seriously sum up experience,Timely evaluation.In 2015,,Health department to implement all summarize evaluation.