县（区）级结核病定点医疗机构感染控制措施实施现状抽样调查结果分析  

Analysis on current status of tuberculosis infection control in designated medical institutes at county level

作　　者：成君[1] 赵飞[1] 屈燕[1] 黄飞[1] 张灿有[1] 胡冬梅[1] 樊海英 成诗明 何广学[3] 

机构地区：[1]中国疾病预防控制中心结核病预防控制中心,北京102206 [2]中国防痨协会秘书处 [3]中国疾病预防控制中心科教处

出　　处：《中国防痨杂志》2015年第12期1192-1196,共5页Chinese Journal of Antituberculosis

基　　金：中华人民共和国国家卫生和计划生育委员会-比尔和梅琳达·盖茨基金会结核病防治项目（51914）

摘　　要：目的 了解县（区）级结核病定点医疗机构结核感染控制措施的实施现状.方法 通过查阅资料、关键知情人访谈、现场测量等方式,采用典型抽样的方法,于2013年3-5月对我国东部、中部和西部共9个县（区）级结核病定点医疗机构开展调查,描述其组织管理、管理措施、环境和工程措施、个人防护等感染控制措施的实施状况.结果 9个县（区）级结核病定点医疗机构均定期开展培训和体检,仅6个机构建立了感染控制相关规章制度、将感染控制纳入考核指标并提供专项经费;门诊和病房布局合理的机构仅2个,主要不合理之处在于不能使可疑症状者和结核病患者与其他就诊者和医务人员分开;门诊和病房通风状况良好的机构数分别为8个和7个;门诊和病房紫外线灯辐照强度达标的机构数分别为4个和0个;因可疑症状就诊者和住院的肺结核患者佩戴外科口罩的机构数均为4个,但仅1个机构的结核病门诊医生佩戴医用防护口罩.结论 县（区）级结核病定点医疗机构感染控制状况较差,组织管理工作亟待加强,需制定有针对性的感染控制措施并加以落实,在高疫情地区尤为迫切.] Objective To explore the current status of tuberculosis （TB） infection control in designated medical institutes at county level. Methods From March to May in 2013, the information of facility-level managerial activities, administrative controls, environmental controls and personal protective equipments of the designated TB medical institutes in 9 counties located in eastern, middle and western China by using typical sampling were collected hy reviewing documents, key person interview and on site measuring, and described. Results Training on TB infection control and medical examination for all healthcare workers were conducted in 9 designated medical institutes. However, only 6 institutes had regulations on TB infection control took TB infection control into annual assessment, and provided fund for TB infection control. The layout of TB outpatient and wards were reasonable in only 2 institutes, and the main unreasonable layout was that the healthcare workers and other patients could not be separated from TB patients and the person with suspected symptom. The numbers of TB outpatient and ward with well-ventilation were 8 and 7, but only in 4 outpatients the intensity of ultraviolet irradiation met requirement, and no ward met this requirement. Patients with suspected TB symptoms and hospitalized TB patients wore surgical masks in 4 institutes, and doctors working in TB outpatient used particulate respirators only in 1 institute. Conclusion The implementation of TB infection control is not satisfying in TB designated medical institutes at county level. The managerial activities should be strengthened, and targeted infection control measurement should be developed and implemented, especially in high TB epidemic areas.

关 键 词：结核 肺/预防和控制 医院 专科 交叉感染 感染控制 卫生计划实施 抽样研究 

分 类 号：R197.1[医药卫生—卫生事业管理]