《医院感染暴发控制标准》WS/T 524-2025解读

Interpretation of Standards for Control of Healthcare-associated infections outbreak (WS/T 524-2025)

  • 摘要: 医院感染暴发处置工作是医院感染防控的重要环节,对保障患者和医务人员的安全发挥了重要作用。本标准从科学性、适用性和可操作性等方面出发,对国家卫生健康委员会颁布的2025版《医院感染暴发控制标准》进行解读,包括修订的背景、主要内容如管理要求、流行病学调查、控制及效果评价等,重点强调了信息化管理系统对提高医院感染暴发的早发现、早预警的能力,新增了医疗机构发生特殊病原体暴露时的应急处置,提出了特殊病原体暴露时的应急处置措施和处置要点。明确医院感染是动态演变的,需要根据暴发的病原体有无明确潜伏期进行分类,明确评估暴发控制有效的最长潜伏期及新发病例的判断标准。该标准适用于各级各类医疗机构,传染病流行期间的临时特殊场所感染暴发控制也可参照执行。

     

    Abstract: The management of healthcare-associated infections (HAIs) outbreak is a critical component of hospital infection prevention and control, playing a vital role in safeguarding the patients and healthcare workers. The "Standards for Control of Healthcare-Associated Infection Outbreaks (2025 edition) " that was issued by the National Health Commission was interpreted from the perspectives of scientific validity, applicability and operability. It covers the aspects such as the background of the revision, main contents (including management requirements, epidemiological survey, control effect evaluation. It is stressed on the role of information management systems in enhancing the capability for early detection and early warning of HAIs outbreaks. New additions include emergency response procedures for exposures to unconventional pathogens in healthcare settings, outlining specific response measures and key action points. The standard clarifies that infections evolve dynamically and must be categorized based on whether the outbreak pathogen has a defined incubation period. It defines the longest incubation period for assessing effective outbreak control and establishes criteria for identifying new cases. This standard applies to medical institutions of all levels and types and can also be referenced for the control of infection outbreak in temporary special settings during the prevalence of infectious diseases.

     

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