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目的调查北京市各级医院突发公共卫生事件医疗救治能力现状。方法对北京市153家医院的人员及床位设置、应急预案制定、实验室检测能力、医疗救治措施和应急药品储备等方面进行问卷调查。结果134家医院完成调查问卷,应答率为87.6%。已成立专门的突发公共卫生事件应急小组的应答医院为96.3%,其提供应急的床位占床位总数的8.5%;已制定至少1类突发公共卫生事件应急预案的应答医院为93.3%,其中能全部分离鉴定霍乱弧菌、感染性腹泻病原体、H5N1禽流感病毒、鼠疫杆菌、SARS冠状病毒等13种致病微生物和有机磷农药、四亚甲基二砜四氨及肉毒杆菌毒素等3种致病源的医院为0,院内备有治疗上述致病源引起的15种疾病或中毒具体方案的应答医院为18.6%,储备有一定数量治疗上述疾病和中毒药品的医院为5.2%。结论北京市各级医院突发公共卫生事件医疗救治能力还需要进一步提高和健全。
Objective To investigate the status quo of medical treatment ability of public health emergencies at all levels of hospitals in Beijing. Methods A questionnaire survey was conducted among 153 hospitals in Beijing on the setting of personnel and beds, the formulation of contingency plans, the capacity of laboratory tests, medical treatment and emergency medicine reserves. Results 134 hospitals completed the questionnaire, the response rate was 87.6%. 96.3% of responding hospitals that have set up dedicated emergency public health emergency response teams provide 8.5% of the total number of beds that have emergency beds and 93.3% of responding hospitals that have prepared emergency plans for at least one category of public health emergency 13 strains of pathogenic microorganisms such as Vibrio cholerae, infectious diarrhea pathogens, H5N1 bird flu virus, Yersinia pestis and SARS coronavirus and organophosphorus pesticides, tetramethylenedisulfonamides and botulinum toxin, etc. can all be separated and identified The number of hospital-acquired pathogens was 0 and there were 18.6% of respondents in the hospital for treatment of the 15 diseases or poisoning-specific causes of the above-mentioned pathogenic sources. There were 5.2% of the hospitals that stocked a certain number of the above-mentioned diseases and poisoning medicines. Conclusions The medical treatment capacity of public health emergencies at all levels of hospitals in Beijing still needs to be further improved and improved.