新型冠状病毒肺炎医院感染现状及预防控制策略与措施探讨

Current status of hospital-acquired COVID-19 and strategies for prevention and control

  • 摘要: 目的 探索新型冠状病毒肺炎(COVID-19)疫情暴发以来医院感染的特点、预防控制策略与措施,为进一步做好医院感染控制工作提供依据。方法 对2020年1月-2月发生的医院感染事件进行总结,分析医院感染的特点规律及危险因素,根据相关法规及实践经验提出COVID-19医院感染预防控制策略及措施。结果 COVID-19医院感染以医务人员为主,感染因素包括新型冠状病毒(2019-nCoV)的传染性强、人群无免疫力、飞沫传播、防护措施不到位、初期感染病例没有得到很好控制、检测手段不完善等。就COVID-19坚持依法防治,合理规范的防护与消毒要求,及时有效应对医院感染事件三方面提出了具体的策略与措施。结论 COVID-19医院感染已成为疫情防控的重要影响因素,其发生的危险因素多控制难度大。COVID-19医院感染防控要坚持依法防控,科学防控。

     

    Abstract: OBJECTIVE To explore the characteristics of nosocomial infection, strategies and measures for prevention and controls since the outbreak of COVID-19 epidemic so as to provide guidance for control of the nosocomial infection. METHODS The nosocomial infection incidents that happened from Jan 2020 to Feb 2020 were summarized, the characteristics and risk factors for the nosocomial infection were analyzed, and the strategies for prevention and control of nosocomial COVID-19 were proposed based on relevant legal regulations and practical experience. RESULTS The medical staff were dominant among the cases of nosocomial COVID-19, and the factors for the infection included the highly contagious 2019-nCoV, population without immunity, droplet transmission, loose protection measures, poor control of infection cases in initial stage and incomplete testing means. The specific strategies and measures for prevention and control of COVID-19 were put forward based on three aspects: adherence to legal prevention and treatment, reasonable and standardized requirements for protection and disinfection, timely and effective response to nosocomial infection incident. CONCLUSION The nosocomial COVID-19 has become a major influencing factor for prevention and control of the epidemic, there are a variety of risk factors which are difficult to control. It is necessary to adhere to the legal and scientific prevention and control of the nosocomial COVID-19.

     

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