武汉雷神山医院院内感染预防与控制集束化措施  

Bundle infection prevention and control measures:lessons learnt from Wuhan Leishenshan Hospital

作　　者：王莹 乔甫[1,4] 茅一萍[1,5] 梁科 朱小平 施娣[1,6] 龚斐 王婷[1,7] 袁玉峰 WANG Ying;QIAO Fu;MAO Yiping;LIANG Ke;ZHU Xiaoping;SHI Di;GONG Fei;WANG Ting;YUAN Yufeng(Quality Management and Nosocomial Infection Control Project Team,Wuhan Leishenshan Hospital,Wuhan,Hubei 430071,P.R.China;Nosocomial Infection Management Office,Zhongnan Hospital of Wuhan University,Wuhan,Hubei 430071,P.R.China;Institute of Hospital Management,Wuhan University,Wuhan,Hubei 430071,P.R.China;Department of Infection Control,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Nosocomial Infection Management,Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangshu 221006,P.R.China;Office of Quality and Safety Management,Zhongnan Hospital of Wuhan University,Wuhan,Hubei 430071,P.R.China;Department of Urology,Zhongnan Hospital of Wuhan University,Wuhan,Hubei 430071,P.R.China;Department of Hepatobiliary and Pancreatic Surgery,Zhongnan Hospital of Wuhan University,Wuhan,Hubei 430071,P.R.China)

机构地区：[1]武汉雷神山医院质量管理与院感控制项目组,武汉430071 [2]武汉大学中南医院医院感染管理办公室,武汉430071 [3]武汉大学医院管理研究所,武汉430071 [4]四川大学华西医学院医院感染管理部,成都610041 [5]徐州医科大学附属医院医院感染管理科,江苏徐州221006 [6]武汉大学中南医院医院质量与安全管理办公室,武汉430071 [7]武汉大学中南医院泌尿外科,武汉430071 [8]武汉大学中南医院肝胆胰外科,武汉430071

出　　处：《华西医学》2021年第3期300-305,共6页West China Medical Journal

基　　金：国家重点研发计划重点专项(2020YFC0845500);清华大学室内空气质量评价与控制北京市重点实验室开放基金课题(BZ0344KF20-02)。

摘　　要：武汉雷神山医院是在武汉抗击新型冠状病毒肺炎(以下简称"新冠肺炎")疫情的关键时期,在12 d之内搭建完成的拥有1500张病床的野战式传染病医院。因疫情紧急,该院采用"边建设、边验收,边培训、边收治"的运行模式,高峰时期共有近3000名医院员工和13000名建设者在同一平面上工作,在67 d时间里共收治新冠肺炎患者2011例。通过采取集束化感染预防与控制(感控)措施,该院实现了医院员工和施工人员零感染、安全生产零事故、环境物体表面抽样监测新型冠状病毒污染低水平(0.3%)。雷神山医院的集束化感控措施不仅在新冠肺炎疫情期间为国内外其他野战式传染病医院提供了防控经验,更是为今后其他医疗机构在应对新发突发不明原因传染病之时提供了感控思路与工作逻辑。Wuhan Leishenshan Hospital was built within 12 days during the key period of fighting against coronavirus disease 2019(COVID-19)in Wuhan.It was a field infectious disease hospital with 1500 beds.Due to the emergency of the epidemic situation,the operation mode of"parallel of construction,acceptance,training and treatment"was employed.During the peak period,nearly 3000 medical workers and 13000 builders worked on the same site.In 67 days,2011 patients with COVID-19 were treated.Through the bundle infection prevention and control(IPC)measures,Wuhan Leishenshan Hospital achieved zero infection,zero accident,and low level pollution of SARS-CoV-2(0.3%)by environment monitoring.The bundle IPC measures of Leishenshan Hospital not only provided prevention and control experience for other field infectious disease hospitals at domestic and abroad during the period of COVID-19,but also put forward ideas and work flow for other medical institutions to deal with emerging infectious diseases.

关 键 词：战时传染病医院 医院感染防控 新型冠状病毒肺炎 集束化措施 

分 类 号：R197.323[医药卫生—卫生事业管理]