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Hospital Infection Management

Original Language Title: 医院感染管理办法

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(July 6, 2006 decree promulgated as of September 1, 2006, 48th) Chapter I General provisions article to enhance hospital infection management, effective prevention and control of hospital infections, improve the quality of health care, ensure medical safety, under the communicable disease prevention Act, the medical institution Management Ordinance and the public health emergency Ordinance and other laws, administrative laws and regulations, these measures are formulated.
    Second hospital infection control at all levels of health administrative departments, medical institutions and medical personnel in the diagnosis and treatment of nosocomial infections, and iatrogenic infection and related risk factors, diagnosis, prevention and control activities.
    Third medical institutions at all levels should strictly implement hospital infection management in accordance with these measures.
    Medical staff protection against occupational health and occupational disease prevention in accordance with the Act and its supporting regulations and the relevant provisions of the standards.
    Fourth Ministry of health is responsible for the national supervision and management of hospital infection control.
    Health administrative departments under local people's Governments at or above the county level shall be responsible for the supervision and management of hospital infection management in the administrative area.
    Chapter II Organization and administration fifth levels of medical institutions shall establish a responsibility system for hospital infection management, develop and implement hospital infection control regulations and work specifications, strict implementation of the relevant technical norms and standards, effective prevention and control of hospital infections, preventing infectious disease pathogens, drug-resistant bacteria, pathogens, and the spread of pathogenic micro-organisms.
    Sixth in 100 per cent of the total number of beds in hospital hospital hospital infection control should be set up committees and independent management of nosocomial infection.
    Total number of hospital beds is less than 100 should be assigned in charge of the Department of hospital infection management in hospitals.
    Hospital infection management at other medical institutions should be designed (and) staff.
    Article seventh Committee is comprised of hospital infection management in hospital infection Management Department, Medical Department, Nursing Department, clinical departments, disinfection and supply room, operating room, clinical laboratory Department, Department of Pharmacy administration, device management, logistics management and other related sectors of the main leaders, Chairman of the President or Vice President in charge of medical work by the hospital as a. Hospital infection Management Committee of duties is: (a) seriously implement hospital infection management aspects of legal regulations and the technology specification, and standard, developed this hospital prevention and control hospital infection of regulations, and hospital infection diagnosis standard and supervision implementation; (ii) according to prevention hospital infection and health learn requirements, on this hospital of architectural design, and focus Department construction of basic standard, and basic facilities and work process for review and proposed views; (three) research and determine this hospital of hospital infection management work plans, And on plans of implementation for assessment and evaluation; (four) research and determine this hospital of hospital infection focus sector, and focus link, and focus process, and dangerous factors and take of intervention measures, clear the about sector, and personnel in prevention and control hospital infection work in the of responsibility; (five) research and developed this hospital occurred hospital infection outbreak and the appeared unknown reasons infectious disease or special disease original body infection cases, event Shi of control plans; (six) established Conference system, regularly research, and
    Coordinate and resolve issues relating to the management of hospital infection; (g) according to the characteristics and drug resistance of pathogens in hospital, with the Board of Pharmacy administration guidance on the rational use of antibiotics and (VIII) other important matters relating to management of nosocomial infection. Article eighth Department, in charge of the Department of hospital infection management and hospital infection control professionals (and) staff specifically responsible for nosocomial infection prevention and control management and operational work. Main duties is: (a) on about prevention and control hospital infection management regulations of implementation situation for check and guide; (ii) on hospital infection and related dangerous factors for monitoring, and analysis and feedback, for problem proposed control measures and guide implementation; (three) on hospital infection occurred status for survey, and Statistics analysis, and to hospital infection Management Committee or medical institutions head report; (four) on hospital of clean, and disinfection sterilization and isolation, and no bacteria operation technology, and medical waste management, work provides guide ; (Five) on infectious diseases of hospital infection control work provides Guide; (six) on medical personnel about prevention hospital infection of career health security protection work provides Guide; (seven) on hospital infection outbreak event for report and survey analysis, proposed control measures and coordination, and organization about sector for processing; (eight) on medical personnel for prevention and control hospital infection of training work; (nine) participation antibacterial drug clinical application of management work; (10) on disinfection machinery and one-time using medical devices, and
    Audit the related instruments; (11) Organization to carry out scientific research in the prevention and control of nosocomial infections (12) complete the hospital infection control Committee or other work assigned by the head of the medical institution. Nineth Department of health hospital infection prevention and control expert group members from the hospital infection management, disease control, epidemiology, clinical inspection, disinfection, clinical epidemiology, pharmacy, nursing and other professional experts.
    Main duties is: (a) research drafting about hospital infection prevention and control, and hospital infection diagnosis of technical standard and specification; (ii) on national hospital infection prevention and control work for Business Guide; (three) on national hospital infection occurred status and the dangerous factors for survey, and analysis; (four) on national major hospital infection event for survey and Business Guide; (five) completed Ministry of health assigned by of other work.
    Tenth provincial administrative departments of health under section hospital infection prevention and control expert group, is responsible for directing the technical work of hospital infection prevention and control in the region.
    Chapter III prevention and control article 11th hospital infection management in medical agencies shall, in accordance with the relevant rules and regulations and technical norms, strengthening hospital infection prevention and control work.
    12th article medical institutions should according to disinfection management approach, strictly implementation medical devices, and apparatus of disinfection work technology specification, and reached following requirements: (a) into human organization, and no bacteria organ of medical devices, and apparatus and items must reached sterilization level; (ii) contact skin, and mucosa of medical devices, and apparatus and items must reached disinfection level; (three) various for injection, and puncture, and blood, has create operation of medical apparatus must a with a sterilization. Sterilization of medical institutions using insecticide, disposable medical devices and apparatus shall comply with the relevant provisions of the State.
    Single-use medical devices, apparatus shall not be reused.
    Article 13th medical institutions should develop specific measures to ensure hand hygiene by medical personnel, medical conditions, aseptic techniques and occupational health protection conform to specified requirements, to control the risk factors of nosocomial infection.
    14th medical institutions shall isolate technical specification, based on the transmission of pathogens, appropriate measures can be taken.
    15th medical organizations should develop specific measures to medical staff protection against occupational health work, provide the necessary protection, protection of occupational health of medical staff.
    16th medical institutions should be strictly in accordance with the guiding principles of clinical application of antibacterial drugs, strengthening the clinical use of antibiotics and the monitoring and management of drug-resistant bacteria.
    Hospital infection in medical institutions shall, in accordance with article 17th diagnostic criteria for diagnosis of nosocomial infection cases in a timely manner, an effective system of nosocomial infection surveillance, analysis of risk factors of nosocomial infection and against risk factors of nosocomial infection, prevention and control measures.
    A medical institution shall detect outbreaks of nosocomial infections and hospital infections, analysis of source of infection, infection, effective treatment and control measures, actively treating patients. 18th medical institutions confirmed by investigation when the following situations occur, shall, within 12 hours to local health administrative departments under local people's Governments at the county level report, and report to the local disease prevention and control institutions. After the seat of the health Administrative Department under local people's Governments at the county level, shall, within 24 hours or escalate to the provincial health administration.
    After the provincial health Administrative Department shall, within 24 hours of reporting to the Ministry of health: (a) an outbreak of 5 cases of hospital infection, (ii) due to hospital infection outbreaks led directly to deaths; (c) 3 or more personal injury due to an outbreak of nosocomial infection results.
    19th article medical institutions occurred following case Shi, should according to national burst public health event related information report management work specification (pilot) of requirements for report: (a) 10 cases above of hospital infection outbreak event; (ii) occurred special disease original body or new onset original body of hospital infection; (three) may caused major public effect or serious consequences of hospital infection.
    20th of infection medical institutions belonging to the legal communicable disease shall be in accordance with the People's Republic of China Law on prevention of infectious diseases and the provisions of the State of public health emergency plans for reporting and processing.
    21st medical organizations when a hospital infection outbreak occurs, local disease prevention and control institutions should conduct epidemiological investigation to find source of infection, infection, infections, control measures and prevent the spread of infection and the expansion of the infection.
    Administrative Department of health received a report of 22nd article, should be provided to guide the investigation and control of hospital infection in medical institutions, and organizations to provide appropriate technical support.
    Fourth chapter training 23rd levels of health administrative departments and medical institutions should pay attention to the discipline construction of hospital infection management, establishment of a professional training system, give full play to professional and technical personnel in hospital infection prevention and control of nosocomial infection. Article 24th hospital infection in the provincial health administrative departments shall establish professional staff standard training and assessment system, and to strengthen continuing education, improving the business skills of professionals of hospital infection.

    25th medical organizations should develop a training plan for staff of this institution, hospital infection for all personnel-related laws and regulations, hospital infection management and other related norms and standards, technical expertise and training.
    Article 26th professionals should have a hospital infection for nosocomial infection prevention and control expertise and can assume control of hospital infection management and business technology. 27th medical personnel should be mastered and nosocomial infection prevention and control of work-related knowledge to implement hospital infection management regulations and work specifications and requirements.
    Service personnel should be about prevention and control of nosocomial infection in basic knowledge of hygiene and disinfection and isolation, and use in their work.
    Supervision and administration of the fifth chapter 28th health administrative departments under local people's Governments at or above the county level shall be in accordance with the relevant laws and regulations and these regulations, the responsible regional health bodies for supervision and inspection.
    29th article on medical institutions supervision check of main content is: (a) hospital infection management of regulations and the implementation situation; (ii) for hospital infection dangerous factors of the work and control measures; (three) disinfection sterilization and isolation, and medical waste management and the medical personnel career health protection work status; (four) hospital infection cases and hospital infection outbreak of monitoring work situation; (five) site check.
    Article 30th in check, the Administrative Department of public health found that when the risks of hospital infection in medical organization, shall order the rectification or temporary closure of the relevant department or the relevant medical subjects.
    31st medical institutions in the administrative departments of public health inspection, investigation and evidence collection work, shall cooperate, refuse and impede shall not provide false information.
    Chapter Sixth penalty 32nd health administrative departments under local people's Governments at or above the county level shall not in accordance with the provisions of this approach in discharging its oversight management of hospital infection and outbreak reporting, investigation and handling of duties, causing serious consequences, the administrative departments in charge of health, direct responsibility and responsible administrative sanctions to be demoted or dismissed.
    33rd article medical institutions violation this approach, has following behavior one of of, by County above place Government health administrative sector ordered corrected, late not modified of, give warning and informed criticism; plot serious of, on main head and directly responsibility people give downgraded or dismissed of administrative sanctions: (a) not established or not implementation hospital infection management of regulations, and work specification; (ii) not established hospital infection management sector, and is in charge of sector and specified designed (and) vocational personnel is responsible for hospital infection prevention and control work;
    (C) violation of the technical specifications for the disinfection of medical devices, apparatus and (iv) violation of aseptic operation and isolate technical specifications the technical specifications (v) disinfection has not been controlled and disposable medical devices, instruments of proof for approval; (vi) provides occupational health occupational exposure of medical workers, without protection.
    34th article medical institutions violation this approach provides, not take prevention and control measures or occurred hospital infection not timely take control measures, caused hospital infection outbreak, and infectious diseases spread or other serious consequences of, on has responsibility of competent personnel and directly responsibility personnel give downgraded, and dismissed, and fired of administrative sanctions; plot serious of, in accordance with infectious diseases control method 69th article provides, can law revoked about responsibility personnel of practice industry certificate; constitute crime of, law held criminal.
    35th medical hospital infection outbreak reported in accordance with this approach, criticized by the health administrative departments under local people's Governments at or above the county level, causing serious consequences, responsible managers and other persons directly responsible for their demotion, dismissal, discharge disposition. Seventh chapter by-laws in the 36th article of the way the meaning of the following terms: (a) the hospital infection: in nosocomial infection in hospitalized patients, including hospital infections and nosocomial infections that occur after discharge from hospital, but not before admission has started or is in the incubation period of the infection on admission.
    Hospital staff in nosocomial infection is nosocomial infections.
    (B) nosocomial infection: in medical services, for the spread of pathogens causing infection.
    (C) the hospital infection outbreaks: refers to medical institutions or departments in patients with more than 3 cases occurred within a short time the same homologous infections.
    (Iv) disinfection: refers to the use of chemical, physical and biological methods to kill or eliminate pathogenic micro-organisms in the environment.
    (E) sterilization: kill or eliminate all microorganisms on the media, including pathogenic micro-organisms and non-pathogenic microorganisms, including bacterial spores and fungus spores.
    37th people's Liberation Army hospital infection management work of medical institutions, by Chinese health authorities to administer.
    Article 38th of blood collection and supply agencies and disease control and prevention of iatrogenic infection prevention and control management in the light of this approach.
            39th these measures shall come into force on September 1, 2006, originally promulgated on November 30, 2000, the hospital infection management specification (draft) repealed simultaneously.