各级医疗卫生机构结核病感染控制现况调查

Status of tuberculosis infection control in different levels of healthcare facilities

目的了解医疗卫生机构结核感染控制情况。方法按照《医疗卫生机构结核感染预防控制监控和评价表》对北京、上海和内蒙古的22所医疗卫生机构进行调查,收集和分析结核感染控制情况的相关数据。结果被调查的22所医疗卫生机构中有20所制定了结核感染控制制度,但只有7所机构定期开展结核感染控制监控和评价;大多数机构能将门诊确诊和住院确诊的传染性疾病患者与其他患者分开诊治,但将咳嗽患者与其他患者分开的只有5所机构;18所机构有常规的紫外线灯维护计划,但是候诊区、门诊区布局设计不尽合理;有14所机构为工作人员提供医用防护口罩,而工作人员接受医用防护口罩佩戴适合实验培训的只有5所。结论被调查的医疗卫生机构在结核感染控制方面做了一些工作,取得了一定成绩,但是需要加强结核感染控制的监控与评价,落实好分诊、隔离、布局设计及个人防护等措施,以降低结核感染和患病的风险。

Objective To investigate the status of tuberculosis（TB）infection control in healthcare facilities.Methods According to Monitoring and evaluation form of tuberculosis infection control in healthcare facilities,22 healthcare facilities in Beijing,Shanghai and Inner Mongolia were surveyed,and data about TB infection control were collected and analyzed.Results Of 22 surveyed healthcare facilities,20 developed TB infection control system,but only 7 regularly carried out monitoring and evaluation of TB infection control;most facilities isolated patients with infectious diseases from patients with other diseases,but only 5 isolated cough patients from other patients;18 facilities regularly maintained ultraviolet lamps,however,the layout of waiting areas and outpatient department were not very well;14 facilities provided medical protective masks for health care workers,but only 5 carried out fitness tests of medical protective masks and relevant trainings.Conclusion Some achievements about TB infection control in healthcare facilities have been obtained,TB infection control monitor and evaluation screen still need to be strengthened,triage,isolation,layout and personal protection in healthcare facilities should be reinforced to reduce the risk of TB.