Abstract: Objective  To explore the application and effectiveness of customized training program in nosocomial infection prevention and control for medical staff in grass-roots medical institutions. Methods  A total of 31 primary medical institutions were selected, and two doctors and two nurses were selected from each primary medical institution. They were divided into groups by drawing lots. Among them, one doctor and one nurse were included in the experimental group, and another doctor and one nurse were included in the control group. Among total 124 participants, 62 people in the experimental group were trained with customized training program on the basis of routine training, and 62 people in the control group were trained by routine training. Before and after the implementation of the customized training program, the results are compared by means of knowledge, attitude and practice questionnaire and skill operation assessment to analyze its effectiveness. Results   After training, the scores of the experimental group were significantly higher than those of the control group in the four dimensions of knowledge, attitude, practice, and skill operation related to nosocomial infection prevention and control (P<0.05). Before and after training, the standardized effect index calculated by the experimental group and the control group in terms of relevant knowledge, attitude, practice, and skill operation is greater than reference value 1.17, indicating that the customized training program intervention is successful. Conclusion  The customized training program is practical and effective, which is worthy of reference and promotion by grass-roots medical institutions.

Key words: grass-roots medical institutions, medical staff, infection prevention and control, customized training program