OBJECTIVE To understand situation in management of nosocomial infections in primary health centers in order to provide evidence for improving the management quality.METHODS An observatory study was(conducted) in 14 primary health centers using the evaluation criteria based on the requirements of The Guidelines for Management of Nosocomial Infections and the Guidelines for Disinfection in Hospitals.RESULTS Problems were found to a different extent in all of the 14 health centers.Most alarming problems were high incidence(15.7%),high(missing report)(67.7%),frequent use of antibiotics(71.2%),low proportion of nosocomial infection(specimens) submitted for testing(12.9%),lack of surveillance system for nosocomial infections and the data(feedback),and non-qualified hand-washing equipment in wards and clinics.CONCLUSIONS Special attention to management of nosocomial infections,improvement of surveillance system,and capacity-building of professionals in management of nosomial infections is the key issues for sustained and perfect development of management of nosocomial(infections) in primary health centers.

Abstract Objective　To explore the clinical status and correlation of ruminant thinking and sleep quality in isolated population during the COVID-19 epidemic. Methods　Insomnia Severity Index Scale （ISI） and Rumination Thinking Scale （RRS） were used to investigate 107 persons in a centralized isolation site in Deyang，Sichuan. Results　The detection rate of insomnia among isolated personnel was 37.4%. Correlation analysis showed that the total score of the RRS was positively correlated with the ISI （r=0.468，P<0.05）；the repeated deep thinking was positively correlated with the ISI （r=0.35，P<0.05）；the compulsive thinking dimension was positively correlated with the sleep ISI （r=0.382，P<0.05）；the depression-related dimension was positively correlated with the ISI （r=0.468，P<0.05）. Multivariate Logistic regression analysis showed that marriage was a risk factor for sleep disturbance （P<0.05）；however，increasing age was a protective factor （P<0.05）. Conclusion　Quarantined people are prone to sleep disorders during the epidemic，and ruminant thinking is strongly positively related to sleep disorders. For public health emergencies，improving ruminant thinking may have important research value for regulating sleep disorders.

Adolescent ; Adult ; Female ; Fusion Proteins, bcr-abl ; genetics ; Gene Expression ; Humans ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive ; genetics ; Leukemia, Myeloid ; genetics ; Male ; Oncogene Proteins, Fusion ; genetics ; Retrospective Studies