新型冠状病毒肺炎疫情下消化内镜中心的感控措施与实践  

Infection control measures and practice in gastrointestinal endoscopy departments during the novel coronavirus infection period

作　　者：张旭 赵倩[1] 康晓娜[1] 卢新兰[1] 任牡丹[1] 张娟[1] 任莉[1] 张素红[1] 张志勇 殷燕[1] 许君望[1] 和水祥[1] 卢桂芳[1] ZHANG Xu;ZHAO Qian;KANG Xiaona;LU Xinlan;REN Mudan;ZHANG Juan;REN Li;ZHANG Suhong;ZHANG Zhiyong;YIN Yan;XU Junwang;HE Shuixiang;LU Guifang(Department of Gastroenterology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China)

机构地区：[1]西安交通大学第一附属医院消化内科,陕西西安710061

出　　处：《西安交通大学学报（医学版）》2021年第1期128-131,151,共5页Journal of Xi’an Jiaotong University（Medical Sciences）

摘　　要：目的探讨新型冠状病毒肺炎(新冠肺炎)疫情下消化内镜诊疗过程中,院内交叉感染的防控管理措施及其效果。方法根据医院的感控要求及相关文件内容,结合本中心临床诊疗的实际情况,分别从内镜中心的管理及内镜工作人员和患者的管理与防护等方面制定和落实感控措施,并进行效果评价。结果2020年1月25日—3月10日,本中心共完成消化内镜诊疗71例,男53例,女18例,平均年龄54岁(28~81岁),其中急诊36例(50.7%)。上述所有诊疗均成功,患者术后观察均已超过14 d(24±13),医患均无院内感染发生,阶段性效果评估良好。结论新冠肺炎疫情期间,消化内镜中心必须做好应急管理工作,采取合理有效的措施,切实做好术前患者各项筛查与管理工作,严格把握消化内镜操作的适应证与诊疗条件,做好内镜工作人员管理与防护工作,严格遵守内镜室的洗消规范,构建内镜室“三区两通道”隔离布局,最大程度地降低医患的感染风险。Objective To explore and evaluate infection control measures of preventing cross-contamination of novel coronavirus during gastrointestinal endoscopy treatment.Methods According to the hospital’s infection control requirements and related documents,infection control measures were formulated and implemented by combining with our actual clinical situation,including the management of the endoscope room,management and protection of patients and endoscopists.Then,we evaluated the effect of these measures.Results From January 25 to March 10,2020,a total of 71 patients(53 males and 18 females)completed gastrointestinal endoscopy treatment,with an average age of 54 years(28-81 years).There were 36(50.7%)cases of emergency treatment.All patients had been kept in quarantine for about 14 days(24±13),and no cross-contamination of novel coronavirus occurred.Conclusion During the novel coronavirus infection epidemic period,reasonable and effective measures should be taken to minimize the risk of infection in doctors and patients.The endoscope center should strengthen preoperative screening and management of patients,master indications of endoscopic procedures,complete endoscopists’management and protection work,strictly follow the specifications of sterilizing gastrointestinal endoscopes,and construct the layout of"three zones and two passages".

关 键 词：新型冠状病毒肺炎 消化内镜 感染防控 

分 类 号：R57[医药卫生—消化系统]