从"大感控"视角探讨医院感染防控体系建设

Exploration of contruction of health care-associated infections prevention and control system from perspective of "comprehensive infection control"

  • 摘要: 随着全球传染病谱系演变、多重耐药菌高发、感染防控挑战的日益复杂,传统医院感染防控模式已不能适应新的需求,"大感控" 理念应运而生,强调将感染防控从局部管理扩展为系统治理,融合"诊断-治疗-预防"全链条,提升医院整体韧性和应急响应能力。本文结合国际发展趋势与国内实践经验,从拓展感控视角、技术赋能应用、感控人才队伍建设、多学科协作机制与持续文化建设等多个方面,系统阐述"大感控"战略的核心内涵与实施路径。探讨分子诊断、人工智能、噬菌体等新兴技术在精准防控中的支撑作用,呼吁构建跨机构、跨部门、跨层级协同的"感控共同体"。从理念更新、制度保障、能力重塑与机制协同等多维发力,构建具有战略性、融合性与持续性的现代感控体系,实现医院感染防控高质量发展。

     

    Abstract: With the evolution of landscapes of global infectious diseases, the high prevalence of multidrug-resistant organisms, and the increasingly complex challenges in infection prevention and control, the traditional health care-associated infections (HAIs) prevention and control models can no longer meet emerging demands. The idea of "Comprehensive Infection Prevention and Control" has thus emerged, focusing on the expansion of infection control from localized management to systemic management. It integrates the entire chain of "diagnosis- treatment-prevention" to enhance the overall resilience and emergency response capabilities of hospitals. This article aligns with international development trends and domestic practical experiences, systematically elaborating on the core essence and implementation pathways of the "Comprehensive Infection Prevention and Control" strategy from the perspectives such as broadening the scope of infection control, leveraging technology-enabled applications, building a professional workforce, fostering multidisciplinary collaboration mechanisms, and sustaining cultural development. The supporting roles of emerging technologies like molecular diagnostics, artificial intelligence, and bacteriophages in the precise prevention and control were discussed in the article, it advocates the establishment of a cross-institutional, cross-departmental, and cross-hierarchical collaborative "Infection Prevention and Control Community. " A modern infection prevention and control system featuring the strategic vision, integration, and sustainability can be constructed by focusing on conceptual updates, institutional guarantee, capacity rebuilding, and synergistic mechanisms so as to meet the high-quality development of HAIs prevention and control.

     

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