2022年2017年医院感染管理工作总结 .pdf

20?17?年医?院感?染管?理工?作总?结?1?3:?55?:0?2?医?院感?染率?是衡?量医?院管?理水?平的?重要?指标?，降?低医?院感?染率?可以?提高?医疗?质量?，减?少医?疗纠?纷的?发生?。下?面是?由我?分享?的 2?01?8年?医院?感染?管理?工作?总结?，希?望对?你有?用。?20?18?年医?院感?染管?理工?作总?结?一、?完善?医院?感染?管理?制度?认真?贯彻?国家?卫生?部院?内感?染控?制标?准及?有关?规定?，建?立健?全院?内感?染病?例的?发现?、登?记、?报告?、分?析及?反馈?，发?现院?内感?染病?例，?立即?按规?定程?序上?报，?及时?进行?隔离?治疗?，采?取相?应的?防范?措施?，对?出院?病例?，院?感科?进行?不定?期抽?查，?上半?年医?院感?染病?例 1?3 例?。?二、?加强?医疗?器械?消毒?管理?工作?严格?遵照?医?院消?毒技?术规?范?，院?感科?每月?对灭?菌物?品抽?样做?细菌?培养?，使?无菌?物品?灭菌?率达?10?0%?。?三、?加强?抗生?素合?理应?用?按?照卫?生部?抗?菌药?物专?项整?治的?通知?精?神，?院感?科每?月对?全院?住院?病人?及出?院病?人抗?菌药?物使?用进?行跟?踪、?调查?并及?时汇?总、?上报?、反?馈，?为抗?菌药?物的?合理?使用?提供?重要?的依?据。?四?、加?强病?房消?毒隔?离工?作?对?病房?空气?、物?体表?面、?消毒?液、?医务?人员?手定?期进?行监?测并?抽查?，对?吸氧?装置?、雾?化吸?入器?等尽?量采?取使?用一?次性?，做?到一?人一?用一?消毒?。?五?、加?强手?卫生?院感?科每?月对?各科?室手?卫生?执行?情况?进行?抽查?及对?医务?人员?手卫?生进?行考?核，?各科?护士?长负?责检?查指?导，?真正?切断?经医?务人?员手?传播?疾病?之途?径。?六、?加强?重点?科室?规范?管理?规范?各科?室的?布局?，清?洁区?、污?染区?、无?菌区?、标?志清?楚，?分界?明确?，对?重点?科室?的消?毒隔?离工?作不?定期?督查?，加?强无?菌观?念意?识，?提高?无菌?操作?技术?，保?证工?作顺?利进?行，?将医?院感?染隐?患消?灭在?萌芽?之中?。?七?、开?展目?标性?监测?从 1?月起?在外?科开?展 I?类切?口的?目标?性监?测，?每月?汇总?分析?，无?1例?I 类?切口?感染?。?八?、加?强医?疗废?物管?理?在?垃圾?的分?类、?收集?、运?送各?个环?节，?严格?按照?医疗?废物?管理?制度?进行?检查?督导?，实?行严?格交?接，?各坏?节登?记、?交接?、签?名明?确，?各科?室均?有弹?簧称?，每?科交?接时?称重?、登?记，?医疗?垃圾?专管?人最?后统?计，?各个?环节?专人?负责?，出?现问?题，?追查?责任?，院?感科?不定?期对?垃圾?暂贮?地进?行检?查，?保证?了医?用垃?圾不?流失?。?九?、加?强对?全院?灭菌?剂及?消毒?剂的?监测?院感?科每?月对?灭菌?剂进?行采?样，?每季?度对?消毒?剂采?样，?合格?率在?10?0%?文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7?十、?上半?年进?行了?全院?性的?院感?知识?培训?一次?，开?院感?质量?分析?会议?一次?，较?圆满?的完?成了?上半?年的?院感?任务?。?2?01?8 年?医院?感染?管理?工作?总结?医院?感染?管理?工作?总结?在院?领导?的正?确领?导和?大力?支持?下，?在院?感委?员会?的指?导下?，全?院医?护人?员积?极参?与医?院感?染监?控工?作，?各临?床科?室医?师对?所有?住院?患者?进行?医院?感染?前瞻?性调?查，?发现?院内?感染?能及?时、?准确?报告?，同?时院?感科?也加?强院?感病?例上?报管?理，?出现?医院?感染?病例?时，?加强?监测?与控?制，?无院?感流?行事?件发?生。?常规?依托?护理?部进?行消?毒隔?离质?量督?查、?无菌?技术?督查?并反?馈，?协同?医务?科、?护理?部，?配合?院领?导做?好医?疗安?全管?理工?作。?每季?度在?院长?的主?持下?召开?一次?院感?委员?会会?议，?一次?院感?简讯?。?院?感管?理在?20?17?年度?进行?了以?下工?作：?一?、根?据院?感安?全生?产要?求细?化院?感质?量管?理措?施?根?据医?院?安全?生产?和?质?量管?理?的要?求，?完善?了医?院感?染的?质量?控制?与考?评制?度，?细化?了医?院感?染质?量综?合目?标考?核标?准，?根据?综合?目标?进行?督查?反馈?，全?面检?查和?梳理?有关?医院?感染?预防?与控?制的?各方?面工?作，?认真?排查?安全?隐患?，为?保证?院感?安全?，切?实抓?好院?感重?点部?门、?重点?部位?、重?点环?节的?管理?，特?别是?手术?室、?消毒?供应?室、?口腔?科、?胃镜?室、?检验?科等?重点?部门?的医?院感?染管?理工?作;?又制?定了?重点?部位?、重?点环?节的?防治?院内?感染?措施?，院?感科?常规?进行?督查?和指?导，?防止?院感?在院?内暴?发。?二?、根?据传?染病?的管?理要?求加?强传?染病?的院?感防?控文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7?在?手足?口并?甲型?H1?N1?流感?流行?期间?，进?一步?加强?预检?分诊?台、?儿科?门诊?、内?科门?诊、?发热?门诊?等重?点场?所的?管理?，认?真贯?彻落?实手?足口?并甲?型 H?1N?1 流?感医?院感?染控?制要?求，?加大?医院?感染?防控?力度?，规?范工?作程?序，?特别?是对?全院?医务?人员?以及?工勤?人员?，加?强了?手足?口并?甲型?H1?N1?流感?等传?染病?的防?治和?自身?防护?知识?的培?训，?严格?落实?了院?感防?控和?个人?防护?措施?，防?止发?生院?内交?叉感?染，?积极?配合?有关?部门?，共?同做?好疫?情防?控工?作。?三?、根?据院?感管?理要?求，?做好?病例?回顾?性调?查?0?9 年?全院?共出?院 2?87?3 例?病例?，根?据质?量管?理要?求，?院感?科进?行病?例质?量督?查及?回顾?性的?调查?，归?档病?例覆?盖率?10?0%?，结?果表?明：?医院?感染?率?1.?2%?，例?次感?染率?1?.3?%。?发生?医院?感染?的科?室依?次为?：内?二科?医院?感染?发生?率为?2?.5?%，?骨伤?科医?院感?染发?生率?为?1.?1%?，外?科医?院感?染发?生率?为 0?.3?%，?内一?科医?院感?染发?生率?为0?.3?%。?感染?好发?部位?依次?为：?下呼?吸道?感染?感染?率 0?.3?0%?;上?呼吸?道例?次 感?染 率?0.?30?%;?泌 尿?道 例?次 感?染 率?0.?25?%;?胃 肠?道 例?次 感?染 率?0.?25?%;?医院?清洁?手术?切口?感染?率为?0%?。医?院感?染好?发病?种依?次为?：神?经系?统疾?病类?，例?次感?染率?10?.2?8%?;内?分泌?类疾?病类?，例?次感?染率?2?.3?0%?;循?环类?疾病?，例?次感?染率?0.?98?%，?泌尿?生殖?系统?类疾?病，?例次?感染?率?1.?39?%，?肌肉?骨骼?系统?类疾?病，?例次?感染?率文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7?1.?15?%，?。各?危险?因素?调查?发现?：糖?尿病?例次?感染?率?2.?91?%，?慢性?病例?次感?染率?1?.3?5%?，高?龄例?次感?染率?1?.2?7%?。前?三位?院感?相关?易感?因素?为慢?性并?高龄?、糖?尿玻?四?、环?境卫?生学?、消?毒灭?菌效?果及?手卫?生监?测情?况?为?规范?全院?各项?消毒?灭菌?工作?，预?防院?内感?染，?20?17?年度?院感?科加?强院?感采?样监?测，?对全?院各?科室?进行?了消?毒灭?菌效?果监?测，?同时?加强?对手?术室?、胃?镜室?、口?腔科?、供?应室?、细?菌室?等高?危区?的环?境卫?生学?监测?及医?务人?员手?卫生?的监?测。?全年?全院?共采?样 3?58?份，?其中?空气?采样?培养?56?份，?物体?表面?采样?培养?41?份，?医护?人员?手采?样培?养 4?1份?，消?毒液?采样?培养?47?份，?消毒?物品?采样?培养?12?份，?无菌?物品?采样?培养?13?7 份?，高?压消?毒灭?菌效?果监?测 2?4 份?，合?格率?10?0%?。本?年度?市疾?控中?心对?我院?进行?采样?监测?23?份，?合格?率 1?00?%。?对全?院各?临床?科室?、医?技科?室、?门诊?科室?使用?中的?紫外?线灯?管强?度进?行了?监测?，共?监测?各种?类型?的紫?外线?灯管?29?根，?发现?不合?格及?时更?换，?使其?合格?率达?10?0%?。?五?、加?强对?抗生?素使?用的?管理?按照?抗?菌药?物临?床应?用指?导原?则?和?安徽?省实?施?抗菌?药物?临床?应用?指导?原则?管?理办?法?等规?定，?为加?强抗?菌药?物临?床使?用的?管理?，我?院制?定了?抗菌?药物?临床?应用?分级?、分?线管?理制?度，?各临?床科?室结?合自?身实?际情?况，?制定?具体?落实?措施?。?医?院感?染管?理科?积极?参与?临床?合理?使用?抗菌?药物?的管?理，?制定?文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 ZO7P5R3D10K7文档编码:CS5Z7J9Q6A6 HU8P10X3B2T10 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