新型冠状病毒肺炎疫情下我国医疗机构感染控制工作的思考

Considerations on nosocomial infection control in China in the context of COVID-19 pandemic

医疗机构是特殊的公共场所,也是某些重大公共卫生事件的关键环节,通过改进医疗机构感染防控(感控)工作,可进一步做好疾病预防控制工作,并更好地应对突发性公共卫生事件。回顾新型冠状病毒肺炎(COVID-19)疫情以来我国相关医疗机构感染事件与应对策略,探讨如何通过改进感控环节,更好应对突发性公共卫生事件。从疫情防控的重点环节,分析医疗机构感控工作的现状和不足;总结与医疗机构感控工作密切相关的入境隔离点、社区中存在的问题,从公共卫生角度,建议进一步完善医疗机构传染病监测预警和监督工作,充分发挥医院哨点作用,并将医院感染监测系统纳入疾病预防控制体系;建议医疗机构将感染防控工作“关口前移”常态化,做好辖区社区管控和入境隔离点防控对接。

Hospital is a special public place,and also a key link of some public health emergencies.By improving the nosocomial infection control,disease prevention and control can be further improved,and public health emergencies can be better responded.This paper summarizes the nosocomial infection events and countermeasures since the outbreak of COVID-19 in China,discusses how to improve nosocomial infection control for the better response of public health emergencies,introduces the current situation and deficiency of nosocomial infection prevention and control from the key link of epidemic prevention and control and analyzes the problems existing in entry isolation points and in communities which are closely related to nosocomial infection.From the perspective of public health,it is suggested to further improve the surveillance,early warning and supervision of infectious diseases in hospitals,give full play to the role of hospital sentinel points,and incorporate the nosocomial infection surveillance system into the disease prevention and control system.It is suggested that medical institutions should conduct early and prompt nosocomial infection prevention and control in a regular manner,and coordinate prevention and control between communities and entry isolation points.