论文部分内容阅读
目的了解社区医疗机构的甲型H1N1流感院内感染的防控现状,为制定相关措施提供依据。方法现场调查广州市7个区的19家社区医疗机构应对甲型H1N1流感院内感染的防控现状,通过调查问卷考查医护人员甲型H1N1流感医院感染防控知识水平,对结果进行描述性分析。结果19家社区医疗机构中15家预检分诊点设在门诊大厅里,仅4家备有红外体温计,1家启用红外体温计,4家医护人员无采用任何防护措施。18家设立发热门诊,其中仅3家有备用诊室,4家设有专用卫生间,15家清洁区、半污染区与污染区之间有交叉情况,16家各区之间没有标识或标示不明显。15家清洁区和半污染区、半污染区和污染区之间没有设立缓冲间,16家各区之间没有设立隔离人工屏障。8家普通门诊的医护人员没有采取任何呼吸道隔离措施。调查247名医护人员中甲型H1N1流感医院感染防控相关知识得分为“好、中、差”的分别占5.67%、33.60%、60.73%。结论有必要完善社区医疗机构防控甲型H1N1流感院内感染的软硬件环境,加强医护人员相关知识培训,防止发生甲型H1N1流感医院感染的暴发或流行。
Objective To understand the status quo of prevention and control of nosocomial influenza A (H1N1) infection in community-based medical institutions and to provide basis for making relevant measures. Methods Nineteen community medical institutions in seven districts of Guangzhou were investigated for the status of prevention and control of nosocomial infection of Influenza A (H1N1). The questionnaire was used to investigate the knowledge of prevention and control of nosocomial infection of influenza A (H1N1) in healthcare workers. Results were analyzed descriptively. Results Of the 19 community medical institutions, 15 pre-screening points were set up in the outpatient hall, only 4 were equipped with infrared thermometer, 1 enabled infrared thermometer, 4 medical staff without any protective measures. 18 fever clinics were set up, of which only 3 had spare clinics, 4 were equipped with special toilets and 15 were clean areas. There was a cross between the semi-polluted area and the polluted area, and no sign or indication was obvious between the 16 districts. There were no buffer rooms between 15 clean and semi-polluted areas, semi-polluted areas and polluted areas, and no isolation barriers were set up among 16 districts. Health workers in eight general out-patient clinics did not take any respiratory isolation measures. Investigation of 247 medical staff in the prevention and control of influenza A (H1N1) influenza infection related knowledge score as “good, good, bad ” accounted for 5.67%, 33.60%, 60.73%. Conclusion It is necessary to improve the hardware and software environment for prevention and control of nosocomial influenza A (H1N1) infection in community medical institutions and to strengthen the training of relevant knowledge of medical staff to prevent outbreak or epidemic of nosocomial influenza A (H1N1) infection.