新型冠状病毒感染流行期间大型综合性医院感染防控策略  

Strategies for prevention and control of nosocomial infection in a tertiary general hospital during novel coronavirus infection epidemic

作　　者：杜明梅[1] 索继江[2] 闫中强[3] 姚宏武[1] 白艳玲 刘伯伟[1] 李璐[1] 谢丽君[1] 任世旺[1] 高岩[1] 刘运喜[1] DU Ming-mei;SUO Ji-jiang;YAN Zhong-qiang;YAO Hong-wu;BAI Yan-ling;LIU Bo-wei;LI Lu;XIE Li-jun;REN Shi-wang;GAO Yan;LIU Yun-xi(The First Medical Center of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心疾病预防控制科,北京100853 [2]解放军总医院海南医院疾病预防控制科,海南三亚572014 [3]解放军总医院第二医学中心疾病预防控制科,北京100853

出　　处：《中华医院感染学杂志》2020年第8期1131-1134,共4页Chinese Journal of Nosocomiology

基　　金：“十三五”科技重大专项(2018ZX10733402)。

摘　　要：目的探讨医院新型冠状病毒感染(COVID-19)疫情防控与诊疗救治并行时,如何制定COVID-19医院感染防控策略,为大型综合性医院制定疫情防控策略提供科学依据。方法医院以"管理传染源,切断传播途径,保护易感人群"为原则,分别从"管人"、"管物"、"管流程"方面提出建立应急防控组织体系、发挥疾病预防控制科的专业作用、加强门急诊的管理、加强住院患者的防控管理、管理各级各类人员、制订诊疗防控流程、环境的清洁消毒、人员培训教育、加强后勤物资保障等防控策略与具体措施。结果所有来院患者均得到科学合理接诊,医务人员身体和心理状态稳定,医护人员和住院患者均未出现COVID-19。结论研究医院的COVID-19防控策略可为疫情流行期间综合性医院院内感染防控提供参考。OBJECTIVE To explore the development of strategies for prevention and control of nosocomial novel coronavirus(2019-nCoV) infection during prevention, control and treatment of 2019-nCoV infection epidemic in a tertiary general hospital so as to provide scientific basis for development of prevention and control strategies. METHODS Based on the principles of ’control of the sources of infection, cutting off the transmission routes, protection of the vulnerable people’, the hospital put forward the strategies for prevention and control and specific measures with the respect of ’management of people, management of articles, management of workflow’, including the establishment of emergency prevention and control organization system, stress on professional advantages of disease prevention and control department, enhancement of management of outpatient and emergency departments, management of hospitalized patients and management of various personnel, formulation of procedures for diagnosis, treatment, prevention and control, environmental cleaning and disinfection, personnel training and enhancement of logistics support. RESULTS The hospital offered scientific and reasonable reception procedures for all of the patients and ensures the physical and mental health of the medical staff, and neither the medical staff nor the hospitalized patients had COVID-19. CONCLUSION The study of the strategies for prevention and control of COVID-19 may provide guidance for prevention and control of nosocomial infection in general hospitals during the epidemic.

关 键 词：新型冠状病毒病 医疗保健相关感染 预防与控制 

分 类 号：R184[医药卫生—流行病学]