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目的:了解深圳市人感染H7N9禽流感医疗救治准备工作情况。方法:扮演病人对所选取医疗机构进行暗访调查。结果:本次暗访调查8家医疗机构,区级3家,街道5家,在诊疗过程中能够识别人感染H7N9禽流感并正确处置的3家(占37.5%);在经过的8家医疗机构的分诊台中,起到传染病预检分诊作用的仅4家(占50%);8家医疗机构的首诊科室,对人感染H7N9禽流感敏感的有4家(占50%),主动询问流行病学史者3家(占37.5%);全区共有发热门诊8家,1家未运行,开诊的7家医疗机构,大部分的门诊设置不合理。结论:宝安区医疗机构应对人感染H7N9禽流感准备不充分,监测系统的敏感性不高,应加强监督改进。
Objective: To understand the medical preparations for H7N9 bird flu in Shenzhen. Methods: To act as a patient to investigate the selected medical institutions unannounced visits. Results: In the unannounced interview, 8 medical institutions, 3 district-level hospitals and 5 street-level hospitals were surveyed. During the consultation, 3 persons (37.5%) who were infected with H7N9 bird flu and correctly disposed of them were identified. Among the 8 medical institutions (50%) of the triage stations serving as pre-screening for infectious diseases. The first department of eight medical institutions was found to be susceptible to H7N9 bird flu (50%), Three in history (37.5%) voluntarily asked about the epidemiological history. There were 8 outpatient fever clinics in the district, and 1 non-operation and 7 medical institutions were opened. Most of the outpatient settings were unreasonable. Conclusion: The medical institutions in Bao’an District should not adequately prepare for the human infection of H7N9 bird flu, and the sensitivity of monitoring system is not high. Supervision and improvement should be strengthened.