综合性医院门急诊医务人员流感流行病学调查

The Influenza Epidemiological Investigation of Outpatient Ward Medical Workers in the Comprehensive Hospital

目的:探讨综合性医院门诊医务人员流感的流行病学状况,为医务人员预防流感提供参考。方法:将自2013年1月至2014年12月在广东省人民医院门诊工作的医务人员分为流感组和非流感组,对两组人群进行问卷调查,并对调查结果进行统计分析。结果:265名入组门急诊医务人员中发生流感者(流感组)80人,非流感组185人;两组的性别无明显差异(P>0.05);不同诊区间流感发生的例数有明显差异(P<0.05),其中急诊诊区发病率最高,其次为呼吸内科诊区及五官科区;佩戴口罩及注意工作环境的卫生可显著降低流感发生率。结论:综合性医院门急诊病区医务人员流感发生重点诊区为急诊、五官科和呼吸内科门诊诊区,加强这些诊区的规范化管理是防止门诊病区医务人员流感发生的重要措施;工作时坚持带口罩及加强办公区域的消毒是防止门诊流感的关键所在。

Objective：To explore the outpatient ward medical workers influenza epidemiological situation of the general hospital and provide recommendations for medical workers to prevent influenza. Methods：The medical workers working in Guangdong general hospital from Jan 2013 to Dec 2014 were divided into flu group and non-flu group,and a questionnaire survey was sent out and the survey results were analyzed between the two groups. Results：Among the 265 medical workers working in the research, 80 people had flu （flu group） and 185 people have no flu （non-flu group）. There was not significantly gender difference between the two groups （P〉0.05）,but the influenza occurring among different clinic areas were significantly different（P〈0.05）. The emergency clinic area had the highest incidence of flu, followed by ENT clinic area and the respiratory medicine clinic area. Adhere to wear masks and pay attention to the working environment sanitation significantly reduced the incidence of influenza. Conclusions：General hospital outpatient ward medical workers diagnosed influenza are more likely to occur at the emergency room,respiratory medicine and ENT clinic area.Strengthening the standardized management of these clinic areas is an important way to prevent the occurrence of influenza among medical workers in the outpatient ward. Working with masks and adhering to strengthen the disinfection of office area is the key to prevent the flu in the outpatient ward.