19例医务人员感染SARS发生原因和对策的初步分析

Primary analysis of reasons and countermeasures for 19 cases infection of Severe Acute Respiratory Syndrome (SARS) in health care workers

目的 :分析在SARS防治初期引起综合医院内医务人员感染SARS的原因和采取的对策 ,为减少综合医院内医务人员SARS的感染提供参考。方法 :回顾性分析本院自 2 0 0 3年 4月 16日至 5月 3日SARS诊治医疗任务中发生的 19例医务人员的感染原因和采取的对策。结果 :除进修医生 4人为同一宿舍密切接触感染外 ,其余人员的感染均为急诊室、SARS隔离病房等工作岗位上与SARS患者密切接触造成的感染 ,但未造成医护人员间的进一步交叉感染。结论 :综合医院内医务人员感染SARS的问题严峻 ,加强医院内工作人员的全员防护 ,根据其工作岗位、与SARS病人接触的密切程度进行分区、分层、分级管理 ,事先制定防范预案 。

Objective: To analyse the reason and countermeasure for the infection of severe acute respiratory syndrome (SARS) in health care workers, to provide reference for the health care workers to control infection of SARS. Methods: To analyse retrospectively the reason and countermeasure 19 infective cases of SARS among the health care workers in our hospital from 16th March, 2003 to 3rd May, 2003. Results: Except for 4 fellow doctors were infected by close contact in a same dormitory, all others were infected on work station of close contact with SARS patients, there were no more cross infection among the health care workers. Conclusion: It is important to improve the protection even for the health care workers without contact of SARS patients, and it's necessary to wear mask, goggles, and gloves, health care workers with contact with SARS patients must be separated according the extent of contact separately, and draw guideline in advance.