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地震灾区伤员专用病房流动人员的医院感染防控与管理
  

地震灾区伤员专用病房流动人员的医院感染防控与管理

王海燕  邓兰兰  李希西

摘要:的:为加强地震伤员专用病房流动人员的管理,做好医院感染预防与控制工作,保障地震伤员的医疗安全。方法:基于地震灾后医院感染管理经验,结合收治的48例地震伤员病情特点,采取专用病房半封闭式管理、建立探视登记制度、设置接待专用办公室、专人负责宣教和感控、规划来访者流通路径、疏散病区内滞留人员、按需配置护工和志愿者、食堂集中供应餐食等措施,防止发生院内感染。结果:48例伤员中无1例发生院内感染或特异性感染,无医院感染流行及局部暴发,伤员间无一例交叉感染。手术32台次,无1例发生术后手术部位感染。患者及家属的满意度为100%。结论:针对地震伤员的专用病房中流动人员多的特点,因地制宜,创新性采取应急措施,进行重点的管理,可有效地控制医院感染的发生。

关键词:地震;院感防控;专用病房;流动人员

Abstract:Based on the experience of hospital infection management in the previous earthquake relief, the Mianyang Central Hospital was good at the medical rescue after the JiuzhaigouEarthquakw.According to preliminary accessment  and the real number of statistics 64.6% of the earthquake victims suffered from  bone fracture. Soon 60 beds were vacated for the victims. Five batches of victims, totally 48, were treated. Half-open management was implemented in this ward. A specialized reception office was set up. People from all walks of life who were to visit and inquire after should be examinaed and registered, and those with infectious diseases were refused. Frequant access of journalists was avoided.  Everybody must wash his/her hands thoroughly before entering the ward. Any visitor should be in the company of hospital satff member so as to shorten the visit time to 20~30 min. Partition management was implemented whin the whole institution, especially the ward. The kith and kin of the wounded were arranged to stay in the hotels nearby. The numbers of health care workers and volunteers were controlled. Health education on control of infection was conducted to all the families of the wounded immediately after the hospitalization thereof. As a result, no nosocomial infection and cross infection occurred, the curative effects were good, and 100% of the families showed their satisfaction. .

 Key words: Earthquake; Nosocomial infection; Cross infection; Hospital; Prevention and control of infection; The wounded

 摘自《中国急救复苏与灾害医学杂志》2017年10月第12卷第10期

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