儿童肺功能检查相关感染的预防与控制专家共识  

Expert consensus on related infection prevention and control during pediatric pulmonary function testing

作　　者：无 张皓[2] 郑劲平 申昆玲[4] 周莎[2] 郎宇芬 向莉[4] 尚云晓[5] 冯雍[5] 刘莎 于秀平 张义[8] 王菲[8] 

机构地区：[1]中国中西医结合学会儿科分会呼吸学组肺功能协作组 [2]上海交通大学医学院附属上海儿童医学中心 [3]广州呼吸健康研究院,广州医科大学附属第一医院,国家呼吸疾病临床医学研究中心 [4]国家儿童医学中心,首都医科大学附属北京儿童医院 [5]中国医科大学附属盛京医院 [6]重庆医科大学附属儿童医院 [7]吉林大学第一医院 [8]贵阳市儿童医院,贵阳市妇幼保健院

出　　处：《中华实用儿科临床杂志》2020年第10期787-792,共6页Chinese Journal of Applied Clinical Pediatrics

基　　金：国家重点研发计划(2018YFC1311900);上海市医学引导类(中、西医)科技支撑项目(19401931800);上海交通大学医学院中西医结合学科创新基金(18zxy007);上海市申康临床管理优化项目(SHDC12018602)。

摘　　要：肺功能检查是评估临床胸部、肺部疾病及呼吸生理的重要手段,已广泛应用于儿童呼吸系统和肺外疾病的辅助诊断及病情监测。肺功能检查过程中患儿用力呼气、咳嗽等有可能导致医源性感染。目前我国各地儿童肺功能室所采取的感染防控措施不尽相同,缺乏统一的策略和规范。因此,有必要明确肺功能检查过程中可能存在的感染风险,实施规范的感染防控措施,最大限度避免因肺功能检查而导致的感染。为此,由国内在儿童肺功能和感染防控方面经验丰富的肺功能、呼吸、感染等领域的专家共同制定本共识,从肺功能室环境管理、人员管理、日常检查过程管理、特殊患儿管理、肺功能仪器消毒、呼吸过滤器使用等方面阐释感染的防控,旨在降低儿童肺功能检查的感染风险,提供安全的工作和检查环境。Pulmonary function testing plays a crucial role in the evaluation of thoracic and lung diseases and respiratory physiology,and it has been widely used in the auxiliary diagnosis and monitoring of pediatric pulmonary and extrapulmonary diseases.During the pulmonary function testing,patients need exhale hardly and cough,which may cause nosocomial infection.However,the infection prevention and control procedures taken by different laboratory are different,and there is still a lack of unified measures and standards.It is therefore imperative to identify the risks of no-socomial infection during pediatric pulmonary function testing and implement standardized infection control procedures,which will help reduce the risk to a bare minimum.Many experts with experience on pediatric pulmonary function testing and infection control from the field of pulmonary function,pulmonary and infection are organized to develop the consensus.The consensus has attempted to suggest some relevant and useful infection control measures with regard to laboratory,patients,disinfection of equipment and use of filters,to help minimize the risk of cross infections during pediatric pulmonary function testing and provide a safe working and testing condition.

关 键 词：肺功能检查 儿童 感染 预防 控制 消毒 

分 类 号：R725.6[医药卫生—儿科]