医护人员SARS感染率高原因与我国医院感染管理对策探讨

Exploring Countermeasures of Hospital Infection Administration and Causes of Higher SARS Infective Rate among Medical Staff

目的 分析医护人员 SARS高感染率的原因 ,提出控制医院感染的对策和措施。方法 统计分析全国SARS重点流行区医护人员感染构成 ,并从医院布局、组织制度及隔离消毒措施落实等方面予以评价。结果 全国医护人员 SARS感染构成为 18.13% ;其中 ,北京、广东、天津、山西、河北、内蒙古分别为 15 .85 %、2 2 .87%、38.2 9%、17.5 9%、10 .36 %、14 .34% ;医护人员高感染率是由于医护人员对新发传染病的认知程度不高和信息不通畅、医疗机构硬件设施不能满足疾病防治工作的需要、隔离消毒工作未完全落实、医护人员的自我防护意识不强所致。结论 合理调整医院内布局、加大隔离消毒设施的投入、健全医院感染管理组织和制度、严格医院消毒隔离工作、强化医护人员的自我防护 ,淑控制医院感染的主要对策和措施。

OBJECTIVE To analyze causes of the higher SARS infective rate among medical staff, and raise the countermeasures of controlling hospital infection. METHODS To analyze the medical staff′s infection constitution in SARS epidemic areas of the whole nation and evaluate the role of controlling the infection from some aspects in measures of isolation and disinfection. RESULTS The medical staff′s portion of SARS infection rate of the whole nation was 18.13%, but in Beijing, Guangdong, Tianjin, Shanxi, Hebei and Neimenggu their portion infection rate was higher, it was 15.85%, 22.87%, 38.29%, 17.59%, 10.36%, 14.34%, respectively. The higher SARS infective rate among medical stalff was because the medical staff little knew new infectious disease and it not kept the information going; the medical facilities not met the needs of prevention and treatment of diseases; the measures of isolation and disinfection were not completely carried out; the medical staff′s self-protective consciousness was not high. CONCLUSIONS It′s the main countermeasures of controlling hospital infection to regulate hospital distribution reasonably, add the investment of medical facilities for isolation and disinfection, strengthen organizations and systems of hospital infection, carry out hospital isolation and disinfection strictly, and strengthen the medical staff′s self-protection.