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目的了解上海某区民营托幼机构的卫生现状,以便有针对性地加强托幼机构传染病防控管理。方法通过询问方式和问卷调查方法,对某社区非注册民营托幼机构进行卫生状况的调查,实施干预措施,并评价干预效果。结果实施全面干预措施后,托幼机构相关责任人对传染病预防知识的知晓率由培训前的48.75%上升到91.88%。幼儿传染病发病率由干预前的1.33%下降到0.63%。结论通过组建卫生协管员队伍和属地化管理原则,可有效实施对民营托幼机构卫生管理,消除传染病防控的盲区。
Objective To understand the status quo of private nurseries and nurseries in a district in Shanghai in order to strengthen the prevention and control of infectious diseases in nurseries. Methods By means of inquiry and questionnaire survey, the health status of non-registered private nurseries in a community was investigated, the interventions were implemented, and the effect of intervention was evaluated. Results After the implementation of the comprehensive intervention, the awareness rate of infectious disease prevention knowledge among responsible persons in child care institutions increased from 48.75% before training to 91.88%. The incidence of early childhood infectious diseases decreased from 1.33% before intervention to 0.63%. Conclusion The establishment of a health care coordinator team and the principle of territorial management can effectively implement the health management of private nurseries and childbirth agencies and eliminate the blind spots of prevention and control of infectious diseases.