气泡式管理策略在儿童定点医院新型冠状病毒变异株院内感染防控中的效果观察  

Effects of bubble strategy on prevention and control of SARS-CoV-2 omicron varient infection in a designated children’s hospital

作　　者：顾莺 王颖雯 柳龚堡[2] 王传清[3] 马健[3] 曾玫[4] 王中林[4] 葛艳玲[4] 夏爱梅[4] 翟晓文 周文浩 黄国英 徐虹 桂永浩 张晓波 GU Ying;WANG Ying-wen;LIU Gong-bao;WANG Chuan-qing;MA Jian;ZENG Mei;WANG Zhong-lin;GE Yan-ling;XIA Ai-mei;ZHAI Xiao-wen;ZHOU Wen-hao;HUANG Guo-ying;XU Hong;GUI Yong-hao;ZHANG Xiao-bo(Department of Nursing,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China;Department of Medical Service,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China;Department of Nosocomial Infection Control,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China;Department of Infectious Disease,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China;Department of Hematology and Oncology,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China;Department of Neonatology,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China;Cardiovascular Center,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China;Department of Nephrology,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China;Department of Respiratory,National Children’s Medical Center/Children’s Hospital,Fudan University,Shanghai 201102,China)

机构地区：[1]国家儿童医学中心/复旦大学附属儿科医院护理部,上海201102 [2]国家儿童医学中心/复旦大学附属儿科医院医务科,上海201102 [3]国家儿童医学中心/复旦大学附属儿科医院院感科,上海201102 [4]国家儿童医学中心/复旦大学附属儿科医院传染科,上海201102 [5]国家儿童医学中心/复旦大学附属儿科医院血液肿瘤科,上海201102 [6]国家儿童医学中心/复旦大学附属儿科医院新生儿科,上海201102 [7]国家儿童医学中心/复旦大学附属儿科医院心血管中心,上海201102 [8]国家儿童医学中心/复旦大学附属儿科医院肾脏科,上海201102 [9]国家儿童医学中心/复旦大学附属儿科医院呼吸科,上海201102

出　　处：《复旦学报（医学版）》2023年第4期549-555,共7页Fudan University Journal of Medical Sciences

基　　金：科技部高技术研究发展中心项目(2021ZD0113501);上海市科委项目(21511104502);上海市公共卫生体系建设三年(2020—2022)行动计划(GWV3.2)。

摘　　要：目的研究奥密克戎变异株流行期间气泡式管理策略应用于儿童定点医院新冠门急诊及新冠病房内人群的实施效果。方法前瞻性观察2022年3月1日—5月31日在复旦大学附属儿科医院新冠门急诊和新冠病房内接受诊治的儿童和工作人员,调查其在气泡管理策略下奥密克戎变异株院内感染的发生情况。结果共纳入763名患儿(其中确诊新型冠状病毒感染患儿432例)和98名工作人员。观察期内医院感染发生率和工作人员职业暴露发生率均为0。结论气泡式管理在奥密克戎变异株流行期间用于儿童定点医院对高风险区域的管控是一种可行、有效的策略。Objective To study the effects of bubble strategy application in COVID-19 outpatient clinic,emergency and inpatient department of a designated children's hospital during omicron variant epidemic.Methods A prospective observation study was performed to investigate the incidence of omicron nosocomial infection in children and healthcare workers by adherence to bubble strategy in outpatient clinic,emergency and inpatient department of Children's Hospital,Fudan University from Mar 1 to May 31,2022.Results A total of 763 children(including 432 confirmed case)and 98 healthcare workers were included.The incidence of omicron nosocomial infection and the rate of occupational exposure were both 0 during observational period.Conclusion Bubble strategy in management of high-risk areas in designated children's hospitals during the epidemic period of omicron was feasible and effective.

关 键 词：新型冠状病毒肺炎 奥密克戎变异株 儿童 院内感染 气泡式管理 

分 类 号：R197.5[医药卫生—卫生事业管理]