广东省医疗机构突发公共卫生事件监测与预警能力的初步评估

A primary evaluation of public health emergency surveillance and early-warning in medical institutions in Guangdong

目的了解广东省医疗机构对突发公共卫生事件的监测与预警能力。方法以目的抽样方法对广东省209家医院进行问卷调查。结果80%以上医院对发热、不明原因肺炎、不明原因的死亡、流感样疾病和急诊入院人数实行了监测并能及时上报异常情况;对败血症/感染性休克监测和报告的比例分别仅为51.3%和63.7%;对病原生物和中毒的检测能力较低;对各类突发公共卫生事件没有预警能力。结论广东省医疗机构突发公共卫生事件监测能力尚有待提高,应尽早开展预警研究。

Objective To investigate current public health emergency surveillance and early- warning ability in medical institutions in Guangdong. Method Self-administers questionnaire were completed by 209 hospitals from targeted sampling in Guangdong. Results Fever, pneumonia with unknown causes, death with unknown causes, diseases similar the flu and numbers of patient in emergency department have been monitored in more than 80 percent of hospitals. However, the proportion of reported hematosepsis and infectious shock were 51. 3% and 63.7%, respectively. Moreover, the surveillance rate of pathogen and toxicosis were lower and there was no early-warning ability in public health emergency. Conclusion Not only the monitor capacity needs to be improved, but also the early-warning research should be made as soon as possible in public health emergency in Guangdong.