大型新型冠状病毒核酸检测气膜舱实验室感染管理工作的实践  

Practice of infection management in a large-scale mobile air capsule construction laboratory for severe acute respiratory syndrome coronavirus 2 nucleic acid detection

作　　者：庄红娣[1] 张帅 陈亿[1] 乔甫[1] 程琳芝 张慧[3] 李文尧[1] 龙君 ZHUANG Hongdi;ZHANG Shuai;CHEN Yi;QIAO Fu;CHENG Linzhi;ZHANG Hui;LI Wenyao;LONG Jun(Department of Infection Control,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Clinical Laboratory,the First People's Hospital of Liangshan Yi Autonomous Prefecture,Xichang,Sichuan 615000,P.R.China;Nosocomial Infection Management,West China Xiamen Hospital of Sichuan University,Xiamen,Fujian 361022,P.R.China;Clinical Laboratory,the Second People's Hospital of Liangshan Yi Autonomous Prefecture,Xichang,Sichuan 615000,P.R.China)

机构地区：[1]四川大学华西医院医院感染管理部,成都610041 [2]凉山彝族自治州第一人民医院检验科,四川西昌615000 [3]四川大学华西厦门医院感染管理部,福建厦门361022 [4]凉山彝族自治州第二人民医院检验科,四川西昌615000

出　　处：《华西医学》2023年第3期454-458,共5页West China Medical Journal

基　　金：四川省科学技术厅科技计划项目(2020YFS0003)。

摘　　要：气膜舱实验室作为新型冠状病毒及其变异株核酸检测的重要工具,是新型冠状病毒感染疫情防控中的关键性医疗资源。气膜舱实验室内的医务人员、保安、保洁、维修工人和志愿者等工作人员与标本接触频率高,因此感染新型冠状病毒的风险较高。为降低这种风险,该文以南充气膜舱实验室运行流程为线索,对个人防护用品的穿脱、环境卫生的管理、使用后物品的管理、医疗废物的管理、工作人员的培训管理及职业暴露后的处置流程等方面的感染管理措施进行了探讨,并分析运行中的常见问题,以为其他气膜舱实验室的构建和管理提供参考。As an important tool for nucleic acid detection of variant strains of severe acute respiratory syndrome coronavirus 2(SARS CoV-2),the mobile air capsule construction laboratory is a key medical resource in the prevention and control of COVID-19.Medical staff,security guards,cleaners,maintenance workers and volunteers in the mobile air capsule construction laboratory have high contact frequency with the samples,so they have a high risk of infection with COVID-19.In order to reduce this risk,this article discusses the infection management measures in the aspects of wearing and taking off personal protective equipment,environmental health management,post use goods management,medical waste management,staff training management and disposal process after occupational exposure,and analyzed the common problems in operation,based on the operation process of Nanchong mobile air capsule construction laboratory.The purpose is to provide a reference for the construction and management of other mobile air capsule construction laboratory.

关 键 词：气膜舱实验室 新型冠状病毒感染 感染管理 职业暴露 

分 类 号：R197.323[医药卫生—卫生事业管理]