中国援外医疗队队员传染病感染情况调查  

An investigation on the situation of infectious diseases among the China medical team members

作　　者：汪小杰 霍翔[2] 茆京来 鲍捷 WANG Xiao-jie;HUO Xiang;MAO Jing-lai;BAO Jie(Department of Hospital Infection Management,Wuhan Children Hospital,Tongji Medicine College,Hua-zhong University of Science&Technology,Wuhan 430016,China;Institute of Food Safety and Evaluation,Jiangsu CDC,Nanjing 210009,China;Department of Newspaper Manage-ment,Center of Health Education of China,Beijing 100020,China;Publicity Department of the Party Committee,Tongji Hospital,Tongji Medicine College,Huazhong University of Science&Technol-ogy,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院医院感染管理科,武汉430016 [2]江苏省疾病预防控制中心食品安全与评价所,南京210009 [3]中国健康教育中心报刊管理部,北京100020 [4]华中科技大学同济医学院附属同济医院党委宣传部,武汉430030

出　　处：《中华疾病控制杂志》2020年第8期892-895,共4页Chinese Journal of Disease Control & Prevention

基　　金：国家语委“十三五”科研规划2019年度科研项目(WT135-51)。

摘　　要：目的了解2015年1月―2019年11月中国援外医疗队队员在境外工作期间的传染病感染情况。方法对2015年1月―2019年11月参加过卫生援外的部分医务人员进行电子问卷调查,计算感染率等指标。结果479名调查对象的传染病感染率为19.83%,16人感染了2次及以上,传染病发病密度为0.168次/人年;感染者中在6个月内感染的占65.26%。感染比例最高的传染病是疟疾,占61.06%。68.69%的人认为援外工作期间感染传染病的风险高;41.97%的人对采取的传染病预防措施感到很满意。不同的承派省市、支援国家的艰苦程度、支援驻地的分布、感知风险程度以及对防控措施满意度等之间,队员感染率的差异均有统计学意义(均有P<0.05)。医疗队队员工作所在国家越艰苦,感染比例越高(χ~2=61.667,P<0.001);队员认为自身感染风险越高,感染比例越高(χ~2=15.602,P<0.001)。结论援外医疗队队员在国外工作期间面临较高的感染传染病风险。需进一步采取针对性措施,做好援外医疗队队员传染病防控工作。Objective To know the situation of infectious diseases among the China medical team(CMT)members working abroad in recent years.Methods A electronic questionnaire survey was conducted on some CMT members who had participated in foreign medical assistance mission from January 2015 to November 2019,and the infection rate and other indicators were calculated.Results The infection rate of 479 subjects was 19.83%,16 were infected twice or more,and the incidence density was 0.168 times per person year.Among the infected,65.26 percent were infected within 6 months.Malaria was the most common infections among CMT members accounting for 61.06%.There were 68.69%of respondents believing that the risk of contracting infectious diseases during working abroad was very high,while 41.97%were satisfied with the precautions taken.The infection rate of CMT members were statistically significant(all P<0.05)among different sending provinces,types of difficult areas,distribution of assisted areas,perceived risk,as well as satisfaction with prevention and control measures.Furthermore,the more difficult the country in which the CMT members worked,the higher the infection rate was(χ~2=61.667,P<0.001);The higher the perceived risk was,the higher the infection rate was(χ~2=15.602,P<0.001).Conclusions The CMT members are at higher risk of contracting infectious diseases while working abroad.Targeted measures should be taken to prevent and control infectious diseases among CMT members.

关 键 词：援外医疗队队员 传染病 感染比例 艰苦地区 感染风险 

分 类 号：R183[医药卫生—流行病学]