菏泽市中医医疗相关感染预防与控制现况调查

Objective To analyze the current situation of infection prevention and control related to traditional Chinese medicine in our city, and explore the infection risks and management strategies of traditional Chinese medicine diagnosis and treatment services. Methods A stratified cluster sampling method was used to investigate 104 primary and above medical institutions that have carried out traditional Chinese medicine diagnosis and treatment services in our city from December 2023 to December 2024 through the design and issuance of electronic questionnaires by “questionnaire star” software. Observe the current status of infection prevention and control. Results Among the 104 medical institutions included in our city, secondary hospitals account for 19.23%, primary health centers make up 72.12%, 61.54% of hospitals have 100 or fewer beds, 17.31% have between 101 and 300 beds, 11.54% have between 301 and 600 beds, and the remaining 9.61% have more than 600 beds, with coverage across all categories. The rate of setting up traditional Chinese medicine wards is 87.50%. All medical institutions routinely offer cupping, acupuncture and massage techniques (with a penetration rate of 100% coverage), while scraping therapy is available in 80.77% of institutions. The implementation rate of small needle knife technique was 80.77% due to operational qualification restrictions. Based on 485 valid questionnaires, the compliance rate for hand hygiene among doctors is 46.39%, the incidence of occupational exposure is 2.27%, and the annual training completion rate for traditional Chinese medicine infection control is 78.14%, which does not fully cover all medical staff. Conclusion There are certain challenges in the prevention and control of infection in traditional Chinese medicine diagnosis and treatment services. Some medical staff do not pay enough attention to hand hygiene. Acupuncture, cupping and other procedures carry a risk of infection. It is still necessary to actively take preventive intervention measures to improve the infection prevention and control level of traditional Chinese medicine medical institutions.