关键词: 医疗机构, 病媒生物控制, 防蝇设施, 防鼠设施

Abstract: Objective To investigate the current status of vector control in medical institutions in Pudong New Area, Shanghai, China, and to provide evidence for effective supervision, the surveillance, and control. Methods Data capture and on-site investigation were combined to collect logs and commission contracts about vector control in medical institutions, examined the control measures and expenditure of funds, and investigated mosquito breeding, fly-proof and rodent-proof facilities, and cockroach infestation in the field according to national standards. Results The implementation rates of vector control in community hospitals and secondary/tertiary hospitals were 70.21% (33/47) and 100% (16/16), respectively. Among the 33 community hospitals conducting vector control measures, the work was self-funded in 22 (66.67%) hospitals, and was financed by the Patriotic Health Campaign Committee of sub-districts/towns in the remaining 11 (33.33%) hospitals. The container index was significantly higher in community hospitals than in secondary/tertiary hospitals (10.06% vs 3.70%, χ²=5.435, P<0.05). There were significant differences between community hospitals and secondary/tertiary hospitals in terms of the pass rate of fly-proof facilities (33.06% vs 50.00%, χ²=5.674, P<0.05), the pass rate of rodent-proof facilities (75.76% vs 93.09%, χ²=39.532, P<0.01), and the infestation rate of cockroaches (4.60%[68/1479] vs 1.00%[4/398], χ²=10.973, P<0.01). Conclusion The implementation rate of vector control in community hospitals is relatively low, needing strengthened supervision. The relatively low pass rates of fly-proof and rodent-proof facilities in medical institutions are a potential threat to normal clinical practice and nosocomial infection control, and medical institutions should pay great attention to them.

Key words: Medical institution, Vector control, Fly-proof facility, Rodent-proof facility