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| 武汉火神山医院新型冠状病毒肺炎病区感染控制实践探索 |
| 王俊学1,2△,于乐成1,3△,李海峰1,4,韩黎1,5,谭庆1,6,范姗红1,7,陈炜1,8,魏博1,2,王长军1,5,张宏雁1,9,徐正梅1,10* |
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(1. 湖北省武汉市火神山医院, 武汉 430100;
2. 海军军医大学(第二军医大学)长征医院感染科, 上海 200003;
3. 东部战区总医院感染病科, 南京 210002;
4. 北部战区总医院疾病预防控制科, 沈阳 110003;
5. 解放军疾病预防控制中心消毒与感染控制科, 北京 100071;
6. 解放军923医院疾病预防控制科, 南宁 530000;
7. 空军军医大学唐都医院疾病预防控制科, 西安 710038;
8. 陆军军医大学新桥医院感染控制科, 重庆 400037;
9. 陆军军医大学西南医院卫勤部, 重庆 400038;
10. 海军军医大学(第二军医大学)长征医院院办, 上海 200003
△共同第一作者
*通信作者) |
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| 摘要: |
| 本文对武汉火神山医院新型冠状病毒肺炎（COVID-19）病区感染控制工作实践进行了总结与讨论。通过密切围绕传染病流行的3个核心环节，严格遵循普遍预防原则，对包括病区设置、人员管理、消毒管理、防护管理、诊疗路径、标本、物品复消及垃圾清运等进行系统管理；对重点患者及其周边环境、诊疗环境进行严重急性呼吸综合征冠状病毒2（SARS-CoV-2）核酸采样监测，摸排沾染路径，指导防控。任务期间，系统化、精细化病区感染控制管理有效地控制了各种交叉感染，在保障COVID-19患者有效、安全救治的同时，实现了医务人员零感染，也为今后应对类似疫情时的病区感染控制工作提供了重要参考。 |
| 关键词: 新型冠状病毒肺炎 严重急性呼吸综合征冠状病毒2 感染控制 病区管理 火神山医院 |
| DOI：10.16781/j.0258-879x.2020.09.0947 |
| 投稿时间：2020-04-27修订日期：2020-06-23 |
| 基金项目:湖北省武汉市火神山医院面上项目[专院（2020）52号]． |
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| Infection control in coronavirus disease 2019 wards of Wuhan Huoshenshan Hospital |
| WANG Jun-xue1,2△,YU Le-cheng1,3△,LI Hai-feng1,4,HAN Li1,5,TAN Qing1,6,FAN Shan-hong1,7,CHEN Wei1,8,WEI Bo1,2,WANG Chang-jun1,5,ZHANG Hong-yan1,9,XU Zheng-mei1,10* |
(1. Huoshenshan Hospital, Wuhan 430100, Hubei, China;
2. Department of Infectious Diseases, Changzheng Hospital, Naval Medical University(Second Military Medical University), Shanghai 200003, China;
3. Department of Infectious Diseases, General Hospital of the Eastern Theater Command, Nanjing 210002, Jiangsu, China;
4. Department of Disease Control and Prevention, General Hospital of the Northern Theater Command, Shenyang 110003, Liaoning, China;
5. Department of Disinfection&Infection Control, Center for Disease Control and Prevention of PLA, Beijing 100071, China;
6. Department of Disease Control and Prevention, No. 923 Hospital of PLA, Nanning 530000, Guangxi Zhuang Autonomous Region, China;
7. Department of Disease Control and Prevention, Tangdu Hospital, Air Force Medical University, Xi'an 710038, Shaanxi, China;
8. Department of Infection Control, Xinqiao Hospital, Army Medical University, Chongqing 400037, China;
9. Department of Health Service, Southwest Hospital, Army Medical University, Chongqing 400038, China;
10. Department of Hospital Service, Changzheng Hospital, Naval Medical University(Second Military Medical University), Shanghai 200003, China
△Co-first authors.
* Corresponding author) |
| Abstract: |
| This paper summarizes the infection control practice in coronavirus disease 2019 (COVID-19) wards of Wuhan Huoshenshan Hospital. By closely focusing on the three key elements of infectious diseases and strictly following the general prevention principles, we implement systematic management, including ward design, personnel management, disinfection measures, protection management, diagnosis and treatment path, clinical specimens, redisinfection of medical equipment and clearance of garbage. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleic acid was detected in samples from critical patients and their surrounding environments, so as to indentify the possible contamination path to guide the prevention and control. During the mission, the systematic and meticulous infection control management in the wards effectively controlled cross infections, ensured the effective and safe treatment of COVID-19 patients, with no medical staff infections occurred, providing references for infection control of wards in similar epidemics in the future. |
| Key words: coronavirus disease 2019 severe acute respiratory syndrome coronavirus 2 infection control management of ward Huoshenshan Hospital |
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