城市或地区聚集性疫情中医院感染风险及防控措施的探讨

Infection risk and prevention and control measures of nosocomial infection in urban or regional clustered epidemic

新型冠状病毒感染聚集性疫情发生时,社区存在散发或流行风险,医疗机构如何预防和控制医院感染,是每个医疗机构面临的挑战。常态化形势下,构建有效防控体系是聚集性疫情发生时医疗机构有效防控感染的前提和基础。按照控制理论原则,医疗机构应快速转换进入应急状态,通过强化源头控制措施、工程控制措施、管理控制措施和个人防护措施,有效应对聚集性疫情带来的外部和内部感染风险。该文总结了多个城市或地区发生新型冠状病毒肺炎聚集疫情时医疗机构的感染风险和有效应对措施,供医疗机构管理者和感染防控专职人员参考和借鉴。

When a clustered coronavirus disease 2019 epidemic occurs,how to prevent and control hospital infection is a challenge faced by each medical institution.Under the normalization situation,building an effective prevention and control system is the premise and foundation for medical institutions to effectively prevent and control infection when dealing with clustered epidemics.According to the principles of control theory,medical institutions should quickly switch to an emergency state,and effectively deal with the external and internal infection risks brought by clustered epidemics by strengthening source control measures,engineering control measures,management control measures and personal protection measures.This article summarizes the experience of handling clustered outbreaks in medical institutions in the prevention and control of coronavirus disease 2019,and aims to provide a reference for medical institutions to take effective prevention and control measures when dealing with clustered outbreaks.