综合医院结核病门诊医院感染因素及管理措施

Risk Factors for Nosocomial Infection of Tuberculosis Outpatient in General Hospital and Control Measures

目的探讨综合医院结核病门诊医院感染因素,规范门诊医护人员及门诊的管理措施,以预防和控制医院感染。方法门诊布局合理,医护人员实行标准预防的原则,佩戴医用防护口罩;在进行各种诊疗操作前后必须洗手,执行六步洗手法;加强患者的管理,维持诊室一医一患,对患者进行疾病知识健康指导,加强诊室消毒。结果提高了医护人员对结核病门诊控制医院感染重要性的认识并及时有效地发现结核病门诊感染管理工作的各种问题和薄弱环节,有针对性地进行改进,避免医院感染的发生。结论加强结核病门诊医院感染规范管理,为医护人员和患者及家属提供安全的就医环境。

OBJECTIVE To explore the risk factors of tuberculosis outpatient in general hospital and standardize the appropriate measures conducted by medical staff against nosocomial infection （NI）. METHODS Reasonable layout, standardized prevention and wearing medical protective mask were executed. A six-step hand-washing method during pre-and post-treatment should be taken. One patient served by one doctor was maintained, the related knowledge of diseases should be propagandized to the patients and the sterilization in clinics should be enhanced. RESULTS The medical worker＇s understanding about NI has been improved, and the problems in the management of NI and the weak link were effectively discovered in time. CONCLUSION To strengthen the standardized management of tuberculosis outpatient NI can provide a safer hospital environment for medical workers, patients and their family.