北京市新冠肺炎疫情应急预案中医院感染防控措施实施情况调查  

Investigation of the application of nosocomial infection prevention and control measures as stipulated in COVID-19 pandemic emergency plans

作　　者：曹洋[1] 武迎宏[2] 常秀兰[3] 陈辉[4] 郭亮 黄晶[6] 纪凤敏[7] 李革红 李会芳[9] 刘坤[1] 刘荣[2] 王翠玲 王虹 王玉霞 徐信兵 杨艳秋[14] 杨育松 张爱华 张文艳[17] Cao Yang;Wu Yinghong;Chang Xiulan;Chen Hui;Guo Liang;Huang Jing;Ji Fengmin;Li Gehong;Li Huifang;Liu Kun;Liu Rong;Wang Cuiling;Wang Hong;Wang Yuxia;Xu Xinbing;Yang Yanqiu;Yang Yusong;Zhang Aihua;Zhang Wenyan(Department of Infection Management,Peking University International Hospital,Beijing 102206,China;Department of Infection Management,Peking University People's Hospital,Beijing 100044,China;Department of Infection Management,Beijing Pinggu Hospital,Beijing 101200,China;Department of Infection Management,Beijing Jishuitan Hospital,Beijing 100035,China;Beijing Chaoyang District Municipal Health Commission,Beijing 100026,China;Department of Infection Management,Beijing Youan Hospital,Capital Medical University,Beijing 100069,China;Department of Infection Management,Beijing Liangxiang Hospital,Beijing 102401,China;Plastic Surgery Hospital(Institute),CAMS,PUMC,Beijing 100144,China;Department of Infection Management,Beijing Shunyi Hospital,Beijing 101300,China;Beijing Huairou Hospital,University of Chinese Academy of Sciences,Beijing 101400,China;Department of Medical Administration and Management,Beijing Dongcheng District Municipal Health Commission,Beijing 100053,China;Department of Infection Management,Yanking Hospital,Beijing Hospital of Traditional Chinese Medicine,Beijing 101915,China;Department of Infection Management,Beijing Luhe Hospital,Capital Medical University,Beijing 101149,China;Department of Infection Management,Beijing Daxing People's Hospital,Beijing 102600,China;Beijing Miyun District Municipal Health Commission,Beijing 101500,China;Beijing Haidian District Municipal Health Commission,Medical Quality Supervision Division,Beijing 100053,China;Department of Infection Management,Beijing Jingmei Group General Hospital,Beijing 102300,China)

机构地区：[1]北京大学国际医院感染控制部,102206 [2]北京大学人民医院医院感染管理办公室,100044 [3]北京市平谷区医院感染控制处,101200 [4]北京积水潭医院医院感染管理处/疾病预防控制处,100035 [5]北京市朝阳区卫生健康委员会,100026 [6]首都医科大学附属北京佑安医院感染管理处,北京100069 [7]北京市房山区良乡医院,102401 [8]中国医学科学院整形外科医院院感疾控科,北京100144 [9]北京市顺义区医院感染管理科,101300 [10]中国科学院大学附属北京怀柔医院,北京101400 [11]北京市东城区卫生健康委员会医政医管科,100053 [12]北京中医医院延庆医院医院感染管理办公室,101915 [13]首都医科大学附属北京潞河医院疾控院感科,北京101149 [14]北京市大兴区人民医院医院感染管理科,102600 [15]北京市密云区卫生健康委员会,101500 [16]北京市海淀区卫生健康委员会医疗质量监督科,100053 [17]北京京煤集团总医院医院感染管理科,102300

出　　处：《中华医院管理杂志》2020年第10期818-822,共5页Chinese Journal of Hospital Administration

摘　　要：目的了解北京各级医疗机构新冠肺炎疫情应急预案中医院感染防控措施的实施情况,以便更好地加强疫情防控工作。方法于2020年3月12-13日,采用自行设计调查问卷,收集186所医疗机构及医院感染管理部门基本情况、预案应用及修订情况等。率或构成比的比较采用x2检验,不同组之间连续变量差异采用单因素方差分析。结果医疗机构中,有77.53%设立了独立的感染防控部门,87.30%的机构人员配备数量符合规范要求。82.80%的机构既往有呼吸道类传染病预案,但98.05%的机构在本次疫情期间修订了预案,新增及修订感染防控流程平均10.85项。仅30.11%的机构预案有明确的预警级别.结论应着力开展疫情防控中感染防控预案体系建设,完善感染防控在应急防控体系中的技术支撑;加强分级预警分级响应,体现预案科学性;定期开展演练,及时修订完善,保障预案可适用性。Objective To learn the application of nosocomial infection prevention and control measures as stipulated in COVID-19 emergency plans by medical institutions at all levels in the region,for the purpose of strengthening epidemic prevention and control.Methods During March 12-13,2020,customized questionnaires were used to learn from 186 hospitals and medical institutions regarding the basics of their nosocomial prevention management departments,emergency plan application and revisions made.Comparison of the ratios or constituent ratios were tested withx test,while the continuous variables analysis between groups was verified with one-way ANOVA.Results 77.53%of the medical institutions had set up independent nosocomial infection management departments,and 87.30%of the institutions were qualified.80%of the medical institutions had in place emergency plans for respiratory infectious diseases,but 98.05%of them had revised their plans during the pandemic,with an average of 10.85 newly added and revised provisions.Only 30.1 I%of emergency planed provide for clearly graded early warning.Conclusions Efforts should be upgraded to develop an emergency prevention and control system for infection prevention and control in epidemics,and improve technical support for infection prevention and control in the system;to strengthen the clearly-graded early warning and graded responses in a scientific manner;and conduct regular drills,revise plan to ensure its applicability.

关 键 词：突发公共卫生事件 应急预案 医院感染防控 北京市 

分 类 号：R197.4[医药卫生—卫生事业管理]