2019冠状病毒肺炎重症监护室的临时改建及终末消毒

The practice and reflect on reconstruction and terminal disinfection of temporary ICU for COVID-19 pneumonia

2019年12月由于新冠病毒肺炎疫情暴发,一些疫情严重地区为救治更多重症患者成立了临时重症监护室,一般由普通病房改建而来,完成救治任务后会再恢复成普通病房。但由于基础条件不足、设备简陋,只有通过严格的终末消毒处理,才能够确保临时重症监护室的医疗环境彻底消毒,为后续医疗活动的正常开展提供安全保障。本文总结了本院于湖北援助期间所在的新型冠状病毒肺炎临时重症监护室改建及关闭后的终末消毒实践经验及实施策略,主要包括改建流程及内容,终末消毒流程的制定,消毒方式的利弊与选择,卫生消毒效果评价过程中存在的问题等,为将来应对新的传染性疾病暴发,需要临时改建病房的医疗机构提供参考。

AS the outbreak of COVID-19 in December 2019.To save more severe COVID-19 patients,some temporary ICU were set up in worst-affected area.The temporary ICU was usually converted from common ward which will be revert to common ward for normal medical activities after the treatment was completed.But the temporary ICU was usually insufficient infrastructure and poorly equipment,the strict terminal disinfection was particularly important to make sure that the ward can be used for follow-up medical activities.This paper summarized in our hospital in Hubei during the aid of COVID-19 following the closure of the reconstruction of temporary intensive care unit and terminal disinfection practice experience and implementation strategy,mainly included the reconstruction process and content,terminal disinfection process formulation,the pros and cons of disinfection methods and selection,health disinfection effects such as the problems existing in the evaluation process,to cope with new infectious disease outbreaks in the future,need temporary modification to the medical institutions to provide the reference of the ward.