综合性医院传染病管理体系与防控联动机制探讨

Discussion on comprehensive hospital infectious diseases management system and prevention and control linkage mechanism

目的分析首诊医师主动报告医院住院患者、急诊留观患者及医院工作人员的传染病报告情况,探讨综合性医院传染病管理体系与防控联动机制工作经验。方法对医院2015-2016年首诊医师使用电话及医院感染实时监控系统主动报告医院住院患者、急诊留观患者及医院工作人员的传染病资料进行统计,对临床资料采用Excel 2003软件进行记录,对结果进行描述性分析。结果共报告80例,其中呼吸道传染病57例,肠道传染病14例,血源及性传染病9例;分布在35个科室,前三位是心内科、儿科、内分泌科;2015年上报传染病主要集中在1月、2月、5月、12月;2016年上报传染病主要集中在1月、2月、12月,未造成医院流行暴发。结论医院感染控制科采取的医院传染病管理体系与院部、医疗科、检验科、信息科、发热门诊及各临床、辅诊等科室第一时间联动防控,显著提高首诊医师主动报告意识,关口前移。

OBJECTIVE To analyze the first clinical doctors actively reporting inpatients, emergency under observa- tion in hospital patients, and hospital staff reporting of infectious diseases, and explore the work experience of hospital infectious diseases management system and prevention and the control linkage mechanism. METHODS The information of infectious diseases of actively reporting inpatients, emergency under observation in hospital pa- tients, and hospital staff by first clinical doctors using the telephone and the hospital infection monitoring system in 2015-2016 were statistically analyzed. The clinical data were recorded by Excel 2003 software, and the results were analyzed by descriptive analysis. RESULTS A total of 80 cases of patients were reported, including 57 cases of respiratory infectious diseases, 13 cases of intestinal infectious diseases, 8 cases of blood and sexually transmit- ted diseases, and Z cases of other infectious diseases, which were distributed in 35 departments, and the top three were department of cardiology, pediatrics, and endocrinology. Infectious diseases were mainly concentrated in Jan- uary, February, May, and December in 2015, and January, February, and December in 2016, which did not cause nosocomial outbreak. CONCLUSION The first time linkage prevention and control of the hospital infectious disea- ses management system of hospital infection control department and the departments of administration, medical department, laboratory, information department, fever clinic, and clinical and auxiliary departments, can signifi- cantly improve the first clinical doctors actively reporting consciousness, and move the crossing ahead, resulting in ＂zero＂ nosocomial infectious diseases outbreak in two years.