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本研究在对杭州市儿童医院2010年4月~2012年9月收治的4 860例手足口病住院患儿的临床资料进行回顾性调查的基础上,发现手足口病医院感染的危险因素主要包括疾病特点及患儿自身因素、病区空气污染、消毒隔离措施执行力、陪护人员防护意识等。针对存在的这些危险因素,医院及时制订手足口病的就诊流程和应急预案,完善医院感染管理相关规章制度及流程,积极采取相应的预防控制措施,取得了显著的效果,在收治手足口病期间无医院感染发生。
Based on the retrospective analysis of the clinical data of 4860 HFMD children hospitalized in Hangzhou Children’s Hospital from April 2010 to September 2012, the risk factors of nosocomial infection of HFMD were found to be mainly including Characteristics of the disease and the child’s own factors, ward air pollution, disinfection and isolation measures execution, accompanying personnel protection awareness. In view of these risk factors, the hospital promptly formulates the treatment flow and contingency plans for hand-foot-mouth disease, improves relevant regulations and procedures of hospital infection management, and proactively adopts appropriate preventive and control measures. The hospital has achieved remarkable results. During the period of HFMD No hospital infection occurred.