Practice of infection prevention and control in non-designated three grade general hospital during COVID-19 epidemic period
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摘要: 目的 通过对新型冠状病毒肺炎流行期间非定点收治三级综合医院的感染防控策略与措施的探讨,探究其防控效果,进一步降低新型冠状病毒传播风险,为非定点收治医院的疫情防控工作提供参考依据。 方法 以国家卫生健康委有关诊疗及防控方案为基本依据,结合阜阳市疫情防控工作实际,从医院应急防控组织体系建立,人员、物资储备,多层次、多途径培训,制度、流程制定更新,多部门协作,分区管理等方面制定非定点收治综合医院感染防控策略。 结果 2020年1月22日—5月31日全院门诊就诊467 165人次,发热门诊就诊8 346人次,16例患者经核酸检测阳性并送至定点收治医院。新冠肺炎流行期间就诊患者经过针对性筛查及接诊,医务人员经过科学防控培训与指导,陪护人员经过有效宣教与讲解,做到了零漏检、零漏报、零交叉感染。期间积累了54条工作制度及流程,为今后应对突发公共卫生事件积累了经验。 结论 在新型冠状病毒肺炎疫情严峻的形势下,医疗机构通过压实责任,明确分工,建立健全应急机制,制定制度流程,落实可行性防控措施,多角度思考、多方面干预、多部门协作,可有效防止疫情的传播与扩散。Abstract: Objective To explore the practice of infection prevention and control in non-designated three grade general hospital during COVID-19 epidemic period, further reduce the new coronavirus transmission risk, provide reference for epidemic prevention and control for non-designated hospitals. Methods Based on the diagnosis and treatment and prevention and control plan of the National Health Commission, combined with the actual situation of epidemic prevention and control in our city, the prevention and control strategy of non-designated general hospital infection was formulated from the establishment of hospital emergency prevention and control organization system, personnel and material reserves, multi-level and multi-channel training, formulation and update of system and process, multi department cooperation and district management. Results From January 22 to May 31, 2020, 467 165 outpatients and 8 346 fever outpatients were visited. There were 16 positive patients detected by nucleic acid test and sent to the designated hospital. During the novel coronavirus pneumonia epidemic, patients were screened and received for medical treatment. After training and guidance, the medical staff could effectively instruct and explain, and achieved zero detection, zero missing and zero cross infection. During this period, 54 working systems and processes were accumulated, which accumulated experience for dealing with public health emergencies in the future. Conclusion Novel coronavirus pneumonia is a severe epidemic situation. Under the situation of severe acute outbreak of coronavirus pneumonia, medical institutions should clearly define the division of labor through compacting responsibilities, establish and improve emergency response mechanisms, formulate system processes, implement feasible preventive and control measures, and think in many ways, intervene in various fields and cooperate in many departments, so that the spread and spread of the epidemic can be effectively prevented.
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