新冠感染疫情局部暴发期间定点医院联合感控部工作体系构建与实践  

Construction and implementation of a collaborative work system between designated hospitals and infection control departments during a local outbreak of Coronavirus disease 2019 infection

作　　者：范珊红 薛宏 许文 戈伟 沈丽 董育 付婷 贺真 耿捷 FAN Shanhong;XUE Hong;XU Wen;GE Wei;SHEN Li;DONG Yu;FU Ting;HE Zhen;GENG Jie(Department of Disease Control and Prevention,the Second Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi 710038,China;不详)

机构地区：[1]空军军医大学第二附属医院疾病预防控制科,陕西西安710038 [2]西安市人民医院疾病预防控制科,陕西西安710000 [3]空军军医大学第一附属医院疾病预防控制科,陕西西安710032 [4]空军军医大学第一附属医院消化内科 [5]空军军医大学预防医学系流行病学教研室,陕西西安710032 [6]空军军医大学第二附属医院院办

出　　处：《中华全科医学》2023年第12期2151-2155,共5页Chinese Journal of General Practice

基　　金：陕西省自然科学基金青年项目(2021JQ-341);空军军医大学第二附属医院学科创新发展计划项目(2021JSGJ-007)。

摘　　要：目的探索新型冠状病毒感染(简称新冠感染)疫情局部暴发时定点医院联合感控部工作体系及运行机制,为应急状态下感染防控工作有效开展提供理论和实践参考。方法面对定点医院医务人员感染风险大、医疗队同质化管理不托底等困难,建立以国家感控专家为顾问和技术指导,省级感控专家担任主任,医疗队感控专业人员为成员的“联合感控部”,构建高效有力的指挥体系、科学周密的防控体系、人人参与的屏障体系。人人参与的屏障体系,提高各医疗队对感控工作的认可度和参与度,推动感控质量持续提升。结果定点医院累计救治新冠感染确诊患者985人,感控工作安全托底,无医疗安全事件及医务人员院内感染等问题发生。全院医务人员手卫生依从率从52.30%提高到98.89%,清洁消毒合格率由43.59%提高到99.25%,脱卸防护用品问题率由23.70%下降到0,患者手卫生知晓率从73.21%提高到100.00%。结论通过应急实战形成了一盘棋领导、多主体协作、层级化落实的定点医院感控管理模式,实现了多支医疗队感控管理同质化运行,保障了患者医疗救治高效有序实施。Objective To explore the work system and operational mechanism of designated hospitals and infection control departments during local outbreaks of coronavirus disease 2019(COVID-19)infection,so as to provide theoretical and practical references for the effective implementation of infection prevention and control measures in emergency situations.Methods In response to the significant risk of infection among healthcare workers in designated hospitals and the challenge of managing homogeneous medical teams effectively,we established a"Collaborative Infection Control Department."This department comprised national infection control experts serving as advisors and providing technical guidance,provincial-level infection control experts as directors,and infection control professionals from medical teams as members.The department aimed to construct an efficient and powerful command system,a scientifically rigorous prevention and control system,and a everyone participatory barrier system,so as to increase the recognition and engagement of infection control work among medical teams and promote the continuous enhancement of infection control quality.Results A total of 985 patients with COVID-19 in the designated hospitals were included in the study.Throughout the treatment process,no adverse medical safety incidents or nosocomial infections among healthcare professionals occurred.The hand hygiene compliance rate among all healthcare workers in the hospital increased from 52.30%to 98.89%.Furthermore,the qualification rate for cleanliness and disinfection improved from 43.59%to 99.25%.Remarkably,the rate of issues related to the removal of protective equipment decreased from 23.70%to 0.Additionally,the patient's awareness rate of hand hygiene increased from 73.21%to 100.00%.Conclusion Through the emergency practice,a designated hospital infection control management model with comprehensive leadership,multi-subject cooperation,and hierarchical implementation had been formed,the infection control management of multiple medical t

关 键 词：新型冠状病毒感染 局部暴发 定点医院 联合感控部 感染防控 工作体系 

分 类 号：R197.323.4[医药卫生—卫生事业管理] R373.19[医药卫生—公共卫生与预防医学]