2023年夏季北京因洪灾水源受限医疗机构院感防控应急准备  

Emergency preparation for plan for the prevention in summer of 2023 and control of nosocomial infection in medical institutions with restricted water source in Beijing flooded area

作　　者：谢忠尧[1] 张慕丽 武迎宏[2] XIE Zhong-yao;ZHANG Mu-li;WU Ying-hong(Beijing Chest Hospital,Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China;不详)

机构地区：[1]首都医科大学附属北京胸科医院感染管理处/北京市结核病胸部肿瘤研究所,北京101149 [2]北京大学人民医院感染管理疾病预防控制处,北京100044

出　　处：《中华医院感染学杂志》2024年第12期1869-1873,共5页Chinese Journal of Nosocomiology

基　　金：北京市高层次公共卫生人才基金资助项目(G2024-2-005)。

摘　　要：目的针对北京市遭遇洪涝灾害地区医疗卫生机构现状,探讨洪灾后医疗机构水源受限面临的感染风险,为预防洪水相关医院感染提供参考.方法北京市医院感染管理质量控制和改进中心组织专家于2023年8月2日-8月3日通过现场调查、面对面访谈、电话访谈、问卷调查等方式对北京市洪涝灾害地区11家医疗机构受灾情况进行调查,了解灾区医疗机构停水情况和用水困境,以及由此可能导致的医院感染风险.结果调查的灾区11家医疗机构中有9家医疗机构存在生活用水和治疗用水问题,不能保证长时间停水的医疗用水,洪灾相关应急准备不充分,其备用水源或紧急替代用水质量安全和水量得不到充分保障,医院感染风险相对较大,洪灾后快速恢复诊疗面临挑战.结论洪灾过后医疗机构用水受限,院感防控将面临较大风险和挑战,院感应急防控预案中应有专题研究,并建立极端灾害条件下院感防控应急设备、设施、专业人员和相应资源的储备,最大限度地降低洪灾后医院群体感染性疾病的发生.OBJECTIVE To explore the risk of infection faced by medical institutions with restricted water sources after blood,and to provide reference for the prevention of flood-related nosocomial infections,with reference to the current situation of medical and healthcare institutions in the areas of Beijing that have suffered from floods.METHODS The Beijing center for quality control and improvement of hospital infection management organized experts to investigate the disease situation of ll medical institutions in the flooded areas of Beijing by means of onsite surveys,face-to-face interviews,telephone interviews and questionnaires on August 2 and 3,2023,to understand the situation of water supply and the plight of water supply in medical institutions in the affected areas,and the risk of hospital infection that may be caused by the situation.RESULTS Among the 1l medical institutions in disaster areas,9 medical institutions had problems with water for domestic and therapeutic use,which were unable to guarantee medical water for long periods of time when the water supply was cut off,flood-related emergency preparations were inadequate,the quality and safety of their back-up or emergency replacement water sources and quantity of water were not adequately safeguarded,the risk of nosocomial infection was relatively high,and rapid resumption of treatment and diagnostics after flood was a challenge.CONCLUSION After the flood,medical institutions were restricted to use water,and hospital infection prevention and control will face greater risks and challenges.The hospital infection emergency prevention and control plan should include a special study and establish a reserve of emergency equipment,facilities,professionals and corresponding resources for hospital infection prevention and control under extreme disaster conditions,so as to minimize the occurrence of infectious diseases in the hospital population after the flood.

关 键 词：洪灾 医院感染 传染病 感染防控 清洁消毒 监测 现场调查 问卷调查 

分 类 号：R183[医药卫生—流行病学]