各级医疗单位麻疹医院感染控制现况调查

Nosocomial Infection Control of Epidemic Measles in Medical Units at All Levels:A Prevalence Survey

目的了解麻疹疫区各级医疗单位医院感染控制状况。方法采用横断面研究方法,选择疫点所辐射的乡、镇、市各级医疗单位进行现况调查。结果当地市立综合性医院共接诊患儿7例,其中恢复期麻疹患儿1例,发热患儿4例,普通患儿2例,未见麻疹疑似病例;乡卫生所共接诊患儿19例,其中传染期麻疹患儿3例,麻疹疑似病例2例,发热患儿10例,普通患儿4例。结论传染源相对集中在基层医疗单位,基层医疗单位医院感染控制工作存在盲点,医院感染控制意识淡薄,隔离传染源、保护易感人群,医务人员职业防护等问题亟待解决。

OBJECTIVE To know the status of nosocomial infection control of epidemic measles in medical units at all levels of the epidemic area. METHODS The scene of the correlated medical units by cross-sectional study was investigated. RESULTS There were 7 children cases included 1 case of measles,4 cases with fever and 2 ordinary childrens cases in a local city general hospital. At the rural health clinic, a total of 19 cases were studied, including 3 cases with measles infection, 2 cases of suspected measles cases, 10 cases of children with fever and other children 4 cases. CONCLUSIONS The infected sources concentrate in grass roots medical unit relatively, The problem of isolating infected sources, protecting high risk crowd and measures for medical staff in grass roots medical unit should be improved.