方舱医院感染防控专家共识  

Expert consensus on prevention and control of infection in makeshift hospitals

作　　者：李六亿[1] 叶青[2] 蔡虻[3] 高晓东 黄勋[5] 李春辉[5] 林金兰 梁建生[7] 陆群[8] 李卫光 刘运喜[10] 乔甫[11] 索继江[10,12] 吴文娟[13] 王强 向准 熊莉娟[16] 姚希[1] 张流波[17] 张卫红[18] 吴安华[5] LI Liu-yi;YE Qing;CAI Meng;GAO Xiao-dong;HUANG Xun;LI Chun-hui;LIN Jin-lan;LIANG Jian-sheng;LU Qun;LI Wei-guang;LIU Yun-xi;QIAO Fu;SUO Ji-jiang;WU Wen-juan;WANG Qiang;XIANG Zhun;XIONG Lijuan;YAO Xi;ZHANG Liu-bo;ZHANG Weihong;WU An-hua(Peking University First Hospital,Beijing 100034,China;不详)

机构地区：[1]北京大学第一医院感染管理-疾病预防控制处,北京100034 [2]武汉大学人民医院感染预防与控制办公室,湖北武汉430060 [3]北京医院医院感染管理处,北京100730 [4]复旦大学附属中山医院感染管理科,上海200032 [5]中南大学湘雅医院医院感染控制中心,湖南长沙410008 [6]北京清华长庚医院感控-疾控办公室,北京102218 [7]武汉市疾病预防控制中心消毒与病媒生物防制所,湖北武汉430024 [8]浙江大学医学院附属第二医院医院感染管理科,浙江杭州310009 [9]山东第一医科大学附属省立医院医院感染管理办公室,山东济南250021 [10]解放军总医院第一医学中心疾病预防控制科,北京100853 [11]四川大学华西医院医院感染管理部,四川成都610041 [12]解放军总医院海南医院疾病预防控制科,海南三亚572000 [13]同济大学附属东方医院医学检验科,上海200123 [14]国家卫生健康委医疗管理服务指导中心标准管理处,北京100044 [15]国家卫生健康委医疗管理服务指导中心信息数据管理与医疗机构运行管理处,北京100810 [16]华中科技大学同济医学院附属协和医院医院感染管理科,湖北武汉430022 [17]中国疾病预防控制中心环境所消毒与感染控制中心,北京100021 [18]江苏省人民医院感控处,江苏南京210029

出　　处：《中华医院感染学杂志》2022年第12期1761-1770,共10页Chinese Journal of Nosocomiology

摘　　要：方舱医院在应对传染性明显增强的新型冠状病毒(SARS-COV-2)Omicron等变异株导致的疫情扩散中发挥了重要作用。为了降低方舱医院内医务人员、保安、保洁、维修工人和志愿者等工作人员感染新冠病毒的风险,同时也为了预防方舱医院内患者发生其他传染性疾病交叉传播,中国医院协会医院感染管理专业委员会组织有经验的感染防控专家,参照国家相关规范指南,结合方舱医院的实际特点和需要,共同制定本共识。本共识主要适用于收治大量无症状及轻症新冠肺炎患者的方舱医院,指导方舱医院管理和运营者在建立完善的感染管理组织及工作机制的基础上,从方舱医院的建筑布局、感控知识技能的培训与考核、人员和物品进出方舱流程、感染监测及其分析与反馈、各项感染防控措施的落实、重点区域感染管理要求、工作人员职业防护和相关环境终末消毒等方面,因地制宜落实方舱医院的感染防控工作。同时,本共识特别强调,方舱医院的感染防控是一个系统工程,需要多系统、多部门的协同,需要领导和工作人员上下勠力同心,在国家规范和循证依据的指导下,理论联系实际,才能保障方舱医院的医疗安全及其高效运作。Makeshift hospitals have played an important role in responding to the spread of the epidemic caused by the Omicron coronavirus variant, one of the novel coronavirus(SARS-CoV-2) strains with significantly enhanced infectiousness. In order to prevent the patients, healthcare workers and other staff against from infection, Healthcare-associated Infection Management Committee of Chinese Hospital Association organized domestic experts to jointly formulate this consensus according to the comprehensive consideration of national guidelines as well as the actual characteristics and needs of makeshift hospitals. This consensus is mainly applicable for makeshift hospitals where a large number of asymptomatic and mild cases of novel coronavirus disease 2019(COVID-19) are treated. It provides guidance for the managers and staff to implement prevention and control work in line with local conditions in makeshift hospitals based on a perfect organizational structure and efficient working mechanism, the prevention and control work includes training and assessment of infection control knowledge and skills, flowing in and out of the makeshift hospitals for staff and materials, infection monitoring and feedback, implementation of infection prevention and control measures, requirements for infection management in key areas, occupational protection of staff and terminal disinfection, etc. Meanwhile, this consensus particularly emphasizes that the infection prevention and control in makeshift hospitals is a systematic project, which requires not only multi-system and multi-department collaboration, but also uniting in a concrete effort among leaders and staff. In accordance with the national guidelines and evidence-based experiences, it is very important to combine theory with practice for ensuring efficient operation and safety of makeshift hospitals.

关 键 词：方舱医院 新型冠状病毒 感染防控 感染监测 

分 类 号：R19[医药卫生—卫生事业管理]