传染病5级预检分诊与医源性感染相关性研究  

Infectious Diseases with Five Pre-triage and Correlational Research of Nosocomial Infection

作　　者：韩传平[1] 高松[1] 刘慧[1] 南秀荣[1] 

机构地区：[1]泰山医学院附属医院医院感染管理科,山东泰安271000

出　　处：《中华医院感染学杂志》2010年第23期3744-3745,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨泰安地区预防控制传染病疫情在医院内扩散而致医源性感染的有效方法。方法选自2009年2-9月泰安地区2所(A1和A2)三级医院,2所(B1和B2)二级医院,针对传染病或疑似传染病患者来院就诊方式、就诊渠道和就诊心理等进行了研究,其中A1和B1医院对来院就诊患者实行了5级预检分诊法,A2和B2医院仍然按平常预检分诊法。结果 A1收治242例传染病漏检5例,A2收治356例传染病漏检86例;B1收治261例传染病漏检8例,B2收治189例传染病漏检69例,2所三级医院和2所二级医院所造成漏检传染病病例进行比较统计,用χ2检验差异有统计学意义(P<0.01)。结论 5级预检分诊法能将各类传染病或疑似传染病患者在第一时间内从来院就诊的所有患者中甄别、检查、筛选和截留出来,从而有效预防与控制传染疫情院内扩散而致医源性感染甚至暴发。OBJECTIVE Focusing on the main epidemic infection in Taian,to discuss the effective methods to control the epidemic spreading which directly caused the nosocomial infection.METHODS From Feb to Sept 2009,two tertiary level care hospitals in Tai′an were named A1 and A2 and two tertiary level care hospitals in Tai′an were named B1 and B2.In terms of the ways to the hospital treatment,the channel to receive treatment and psychology and the other channels to received treatment of patients with infectious diseases or suspected infectious diseases were analyzed,the hospitals A1 and B1 treated their patients with five pre-triage method,while the hospitals A2 and B2 adopted the usual pre-triage method.RESULTS Totally 242 patients who had infectious diseases were treated in A1 and missed 5,356 patients who had infectious dieases in A2 and missed 86.Among 261 patients who had infectious diseases treated in B1 and missed 8,189 patients who had infectious diseases in B2 and missed 69,the undetected infectious diseases cases caused by the two tertiary hospitals and the two secondary hospitals were analyzed by comparative statistics,and with statistical difference if P0.01 with χ2 test.CONCLUSION Five pre-triage method can screen,inspect,select and draw out the patients with infectious diseases or suspected infectious diseases from all of the patients,thus it can prevent and control the nosocomial transmission of epidemic or even the outbreak of nosocomial infection effectively.

关 键 词：传染病 预检分诊 医源性感染 研究 

分 类 号：R197.322[医药卫生—卫生事业管理]