北京市新冠肺炎疫情应急预案中医院感染防控措施实施情况调查

Investigation of the application of nosocomial infection prevention and control measures as stipulated in COVID-19 pandemic emergency plans

目的了解北京各级医疗机构新冠肺炎疫情应急预案中医院感染防控措施的实施情况,以便更好地加强疫情防控工作。方法于2020年3月12-13日,采用自行设计调查问卷,收集186所医疗机构及医院感染管理部门基本情况、预案应用及修订情况等。率或构成比的比较采用x2检验,不同组之间连续变量差异采用单因素方差分析。结果医疗机构中,有77.53%设立了独立的感染防控部门,87.30%的机构人员配备数量符合规范要求。82.80%的机构既往有呼吸道类传染病预案,但98.05%的机构在本次疫情期间修订了预案,新增及修订感染防控流程平均10.85项。仅30.11%的机构预案有明确的预警级别.结论应着力开展疫情防控中感染防控预案体系建设,完善感染防控在应急防控体系中的技术支撑;加强分级预警分级响应,体现预案科学性;定期开展演练,及时修订完善,保障预案可适用性。

Objective To learn the application of nosocomial infection prevention and control measures as stipulated in COVID-19 emergency plans by medical institutions at all levels in the region,for the purpose of strengthening epidemic prevention and control.Methods During March 12-13,2020,customized questionnaires were used to learn from 186 hospitals and medical institutions regarding the basics of their nosocomial prevention management departments,emergency plan application and revisions made.Comparison of the ratios or constituent ratios were tested withx test,while the continuous variables analysis between groups was verified with one-way ANOVA.Results 77.53%of the medical institutions had set up independent nosocomial infection management departments,and 87.30%of the institutions were qualified.80%of the medical institutions had in place emergency plans for respiratory infectious diseases,but 98.05%of them had revised their plans during the pandemic,with an average of 10.85 newly added and revised provisions.Only 30.1 I%of emergency planed provide for clearly graded early warning.Conclusions Efforts should be upgraded to develop an emergency prevention and control system for infection prevention and control in epidemics,and improve technical support for infection prevention and control in the system;to strengthen the clearly-graded early warning and graded responses in a scientific manner;and conduct regular drills,revise plan to ensure its applicability.