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目的 分析收治严重急性呼吸综合征 (SARS)患者重点医院医护人员发生SARS院内感染的因素 ,评价干预措施。方法 通过对 13家重点医院收治SARS患者的数量及病情、医护人员SARS的发病率、医院性质、病区 (科室 )环境及隔离措施调查 ,分析医护人员发生SARS院内感染的原因。结果 13家医院共收治SARS患者 84 1例 ,参加诊治工作的 2 36 5名医护人员中 2 85人发病。综合性医院、收治危重患者较多的医院、医护人员个人防护不到位的医院医护人员发病率较高 (93/2 85 ,32 .6 3% ) ;独立病房收治SARS患者的医院、具有感染科或隔离病区 (包括临时开设的隔离病区 )的医院医护人员发病率较低。结论 收治SARS患者的病情、医院性质、病区 (科室 )环境、个人防护状况是医护人员感染SARS的危险因素
Objective To analyze the factors of nosocomial infection of SARS in key hospitals in patients with Severe Acute Respiratory Syndrome (SARS) and evaluate intervention measures. Methods Based on the investigation of the number and condition of SARS patients admitted to 13 key hospitals, the incidence of SARS among medical workers, the nature of the hospital, the environment of wards (departments) and the isolation measures, the causes of nosocomial infections in hospital were analyzed. Results A total of 841 SARS patients were admitted to 13 hospitals, and 2 85 of the 2 365 medical staff participating in the diagnosis and treatment were diagnosed. Comprehensive hospitals, hospitals receiving more critically ill patients, health care workers personal protection is not in place of high incidence of hospital staff (93/2 85, 32.6%); independent ward admitted SARS patients with Infectious Diseases Or isolated ward (including the temporary isolation ward opened) hospital health care workers lower incidence. Conclusion The SARS risk factors of hospitalized SARS patients, the nature of the hospital, the environment of ward (department) and personal protection