非定点医院收治疑似新型冠状病毒肺炎危重型患者的感控管理策略  

Strategies for infection control in managing critically ill patients with suspected coronavirus disease 2019 in non-designated hospital

作　　者：安卫红[1] 张会芝[2] 李葆华[3] 崔现杰[1] 杜俊[4] 高静 王少利[2] 赵心田 马朋林 An Weihong;Zhang Huizhi;Li Baohua;Cui Xianjie;Du Jun;Gao Jing;Wang Shaoli;Zhao Xintian;Ma Penglin(Department of Critical Care Medicine,Peking University Third Hospital,Beijing 100191,China;Department of Infectious Diseases,Peking University Third Hospital,Beijing 100191,China;Department of Nursing,Peking University Third Hospital,Beijing 100191,China;Department of Service Management Office,Peking University Third Hospital,Beijing 100191,China;Department of Medical Service,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院危重医学科,北京100191 [2]北京大学第三医院感染管理科,北京100191 [3]北京大学第三医院护理部,北京100191 [4]北京大学第三医院医院服务管理办公室,北京100191 [5]北京大学第三医院医务处,北京100191

出　　处：《中华危重病急救医学》2020年第6期760-764,共5页Chinese Critical Care Medicine

摘　　要：非定点医院新型冠状病毒肺炎(新冠肺炎)疑似病例诊治流程的管理是抗击疫情中令人担忧的环节。因涉及人员多而复杂、所需救治设备和物品多样以及可能需要频繁转运,危重型新冠肺炎疑似病例入住重症监护病房(ICU)后等待新型冠状病毒核酸检测结果的救治期间如何防止病毒扩散是难点。本文就非定点医院北京大学第三医院收治疑似重型新冠肺炎患者前准备工作,等待鉴别期间医护人员管理、涉疫标本采集运送流程、涉疫垃圾管理、日常清洁消毒等关键环节,以及鉴别完成后患者处置环节等进行总结,旨在为进一步加强疫情防控提供参考。The management of healthcare services for the suspected cases in non-designated hospitalsis a serious concern in controlling coronavirus disease 2019(COVID-19)epidemic.Owing to the complexity of care providers,large requirement of medical supplies as well as the possible needs off frequent transfers,the major difficulty is preventing the coronavirus from spreading while caring the suspected critical cases before the 2019 novel coronavirus ribonucleic acid test results are reported.For the purpose of enhancing the prevention of the propagation of COVID-19,this article puts emphasis on the following aspects in non-designated hospital Peking University Third Hospital:preparatory procedures of receiving critical suspected patients,the management of medical personnel during the waiting session of RNA test results,the delivering procedures of testing samples,the management of referred medical wastes,daily operations including the cleaning and sanitizing of caring units and the management of related patients after the testing session.

关 键 词：新型冠状病毒肺炎 危重型 感染防控 对策 

分 类 号：R563.1[医药卫生—呼吸系统]