儿童医院应对新型冠状病毒感染肺炎疫情的防控能力调查分析  

Investigation and analysis of children’s hospital’s prevention and control ability against COVID-19

作　　者：秦小平[1] 王传清[2] 王荔[3] 赵丹洋 王俊 杨健[6] QIN Xiao-ping;WANG Chuan-qing;WANG Li;ZHAO Dan-yang;WANG Jun;YANG Jian(Hospital Infection Management Com mittee of Paediatricians Branch,Chinese Medical Doctors Association,Children's Hospital Affiliated to The Capital Institute of Pediatric,Beijing 100020,China;不详)

机构地区：[1]首都儿科研究所附属儿童医院疾控科,北京100020 [2]复旦大学附属儿科医院院感科,上海200032 [3]重庆医科大学附属儿童医院院感科,重庆401122 [4]广州市妇女儿童医疗中心院感科,广东广州510000 [5]河南省儿童医院院感科,河南郑州450018 [6]首都儿科研究所办公室,北京100020

出　　处：《中华医院感染学杂志》2020年第11期1606-1609,共4页Chinese Journal of Nosocomiology

摘　　要：目的了解我国儿童医院传染病诊治及应对新型冠状病毒(Severe acute respiratory syndrome coronavirus 2,SARS-CoV-2)感染肺炎疫情的状况。方法2020年2月10-14日采用问卷对30所儿童医院进行调查,调查内容包括:发热门诊、传染科的设置,应对突发传染病的应急病房设置,院感监测及管理、预案制定、人员培训和演练等。结果30所儿童医院中有5所(16.67%)常规设置发热门诊,25所(83.33%)设置传染/感染科。遇到传染病疫情,如手足口病、流感等疫情暴发时,25所(83.33%)医院临时将普通病房改为传染病房收治患儿。有8所(26.67%)儿童医院常规设有20~50张床位的传染病房。应对SARS-CoV-2疫情有26所(86.67%)医院在发热门诊和传染/感染科诊治疑似患儿。其中15所(50.00%)医院建立了临时应急病房,8所(26.67%)有传染病房的医院为儿童患儿收治定点医院,4所(13.33%)不具备条件的医院,将患儿转到传染病院或定点医院。由于22所(73.33%)医院无传染病房,医务人员防护物资只是常规贮备少量防护用品以备急需。有传染科的医院若持久应对疫情,也同样会面临防护设备缺乏的局面。传染病病房及发热门诊的设置状况为高风险因素。结论总体上儿童医院在防控突发疫情时,缺乏足够的硬件保障。建议建立儿童专科传染病院,或在儿童医院建立规范的传染科病房,保证传染病患儿的治疗。OBJECTIVE To investigate the diagnosis and treatment of infectious diseases in children’s hospitals in China and the response to SARS-CoV-2 pneumonia outbreak.METHOD On February 10 to 14,a questionnaire survey was conducted in 30 children’s hospitals.The survey contents included:setting up of fever clinic and infectious department,setting up of emergency wards to respond to outbreaks of infectious diseases,monitoring and management of hospital sense,formulating plans,staff training and exercise.RESULT Only 5(16.67%)out of the 30 children’s hospitals have set up fever clinics,and 25(83.33%)children’s hospitals have set up infectious diseases department.In the event of an epidemic of infectious diseases,such as hand-foot-mouth disease,influenza and other outbreaks,25 hospitals(83.33%)temporarily changed the general ward to the infectious ward to treat children.Eight(26.67%)children’s hospitals routinely had infectious wards of 20-50 beds.In response to the SARS-CoV-2 epidemic,26 hospitals(86.67%)treated suspected children in fever clinic and infectious department.Among them,15(50.00%)hospitals had also established temporary emergency ward,8(26.67%)hospitals with infectious ward were designated hospitals for children,and 4(13.33%)hospitals without conditions transfered children to the infectious hospital or designated hospitals.Since 22 hospitals(73.33%)had no infectious ward,medical personnel’s protective equipment were only routinely stocked with a small amount for urgent needs.If the epidemic situation was sustained,hospitals with infectious diseases departments would also facea lack of protective equipment.The Settings of infectious disease ward and fever clinic were high risk factors.CONCLUSION In general,children’s hospitals lacked adequate hardware protection when preventing and controlling sudden epidemic.It is recommended to establish a children’s specialist infectious disease hospital or a standardized infectious department ward in a children’s hospital,to ensure the treatment of children

关 键 词：儿童医院 新型冠状病毒 疫情 防控 调查 

分 类 号：R181.3[医药卫生—流行病学]