地震灾区伤员专用病房流动人员的医院感染防控与管理

Prevention and control of nosocomial infection in ward among transient population： experience in Juzhaigou Earthquake 2017

目的为加强地震伤员专用病房流动人员的管理，做好医院感染预防与控制工作，保障地震伤员的医疗安全。方法基于地震灾后医院感染管理经验，结合2017年8月9日-10日绵阳市中心医院收治的48例地震伤员病情特点，采取专用病房半封闭式管理、建立探视登记制度、设置接待专用办公室、专人负责宣教和感控、规划来访者流通路径、疏散病区内滞留人员、按需配置护工和志愿者、食堂集中供应餐食等措施，防止发生院内感染。结果48例伤员中无1例发生院内感染或特异性感染，无医院感染流行及局部暴发，伤员间无一例交叉感染。手术32台次，无1例发生术后手术部位感染。患者及家属的满意度100％。结论针对地震伤员的专用病房中流动人员多的特点，因地制宜，创新性采取应急措施，进行重点的管理，可有效地控制医院感染的发生。

Based on the experience of hospital infection management in the previous earthquake relief, the Mianyang Central Hospital was good at the medical rescue after the Jiuzhaigou Earthquakw. According to preliminary accessment and the real number of statistics 64.6% of the earthquake victims suffered from bone fracture. Soon 60 beds were vacated for the victims. Five hatches of victims, totally 48, were treated. Half-open management was implemented in this ward. A specialized reception office was set up. People from all walks of life who were to visit and inquire after should be examinaed and registered, and those with infectious diseases were refused. Frequant access of journalists was avoided. Everybody must wash his/her hands thoroughly before entering the ward. Any visitor should be in the company of hospital safff member so as to shorten the visit time to 20-30 min. Partition management was implemented whin the whole institution, especially the ward. The kith and kin of the wounded were arranged to stay in the hotels nearby. The numbers of health care workers and volunteers were controlled. Health education on control of infection was conducted to all the families of the wounded immediately after the hospitalization thereof. As a result, no nosoeomial infection and cross infection occurred, the curative effects were good, and 100% of the families showed their satisfaction.