新型冠状病毒肺炎专科医院医务人员与患者感染防控对策

Countermeasures for prevention and control of infection in patients and medical staff of specialized hospital of COVID-19

目的基于陆军军医大学第一批支援湖北医疗队在新型冠状病毒肺炎专科医院的感染防控实战经验,系统评述新型冠状病毒医院感染防控对策和措施的成效。方法通过抓细抓实新型冠状病毒肺炎专科医院在防控医院感染中所面临的难点问题和薄弱环节,按照隔离传染源、切断传播途径、保护易感人群的流行病学理论和循证实践要求,制定应对医院感染防控的策略和方案。结果形成了疫情期间以人为本,重点保护易感人群,推行联防联控的自创性策略,细化了人员防护、方舱医院洗消、环境清洁消毒及各类人员管控的精准化方案。自创性的策略和精准化的方案体现出了新型冠状病毒肺炎专科医院的感染防控特色。结论新冠肺炎专科医院实现了"打胜仗,零感染"的目标,最根本的是以人为本,积极采取快速性、针对性和有效性的医院感染防控策略,严格执行医院感染防控的综合措施。

OBJECTIVE To systematically evaluate the effectiveness of the countermeasure for prevention and control of Corona virus disease 2019(COVID-19)in the hospital based on practical experience of first medical team of the Army Medical University to support Hubei in a specialized hospital of COVID-19.METHODS The strategies and programs for prevention and control of nosocomial infection were put forward in response to the difficulties and weak links in prevention and control of nosocomial infection in the specialized hospital and based on the requirements for the isolation of source of infection,cutting off transmission routes,epidemiological theoretical basis for protection of susceptible population and evidence-based practice.RESULTS The innovative strategies and targeted programs were formulated in the specialized hospital of COVID-19 during the epidemic,featuring the people-oriented,protection of susceptible population,innovative strategy for joint prevention and control,detailed personal protection,cleaning and disinfection of mobile cabin hospitals,environmental cleaning and disinfection and management of various personnel.CONCLUSION The specialized hospital of COVID-19 has achieve the goal of′win the battle,zero case of infection′.The most fundamental efforts for making those achievements are focusing on the people-oriented,taking targeted and effective strategies for prevention and control of nosocomial infection and rigidly implementing comprehensive measures for prevention and control of nosocomial infection.