基孔肯雅热医疗机构感染预防与控制专家共识(2025年版)

Expert consensus on prevention and control of Chikungunya in healthcare institutions (2025 Edition)

    摘要
  • 摘要:
    目的 规范医疗机构基孔肯雅热(CHIK)的感染预防与控制措施，降低医疗机构内传播风险。
    方法 由医院感染管理、感染病学和微生物学等学科专家组成工作组，系统检索国内外循证证据和现行规范，结合我国媒介生态与医疗实际，采用两轮德尔菲法形成专家一致意见，并按牛津循证医学分级法评定证据与推荐强度。
    结果 共识围绕预检分诊、患者防蚊隔离、综合蚊媒防制、易感人群保护、环境清洁消毒、标本管理、医用织物处理及暴发应急处置等方面提出18条可操作推荐意见，并逐条给出证据等级与推荐强度。
    结论 本共识首次在国内以循证等级支撑给出了CHIK医疗机构内的防控策略，可为临床、检验和院感人员在不同风险情境下提供流程化、可实施的技术指引，提升医疗机构综合应对能力。

     

    Abstract:
    OBJECTIVE To standardize the strategies for prevention and control of Chikungunya (CHIK) in healthcare institutions so as to reduce the risk of transmission in the institutions.
    METHODS A working group comprising the experts in hospital infection control, infectious diseases, and microbiology systematically reviewed domestic and international evidence and current guidelines, integrated China′s vector ecology and healthcare realities, conducted two rounds of Delphi to achieve expert consensus, and graded the evidence and recommendation strength using the Oxford Centre for Evidence-Based Medicine system.
    RESULTS The consensus issues 18 actionable recommendations on triage, patient mosquito-proof isolation, integrated vector control, protection of susceptible populations, environmental cleaning and disinfection, specimen management, medical textile handling, and outbreak emergency response, with each statement assigned an evidence level and recommendation strength.
    CONCLUSION This consensus is for the first time in China to provide evidence-graded strategies for control of CHIK in healthcare institutions, offering work flow-oriented, implementable guidance for clinicians, laboratorians, and infection-control personnel under different risk scenarios and enhancing the comprehensive coping capacity of the healthcare institutions.

     

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