综合医院传染病防治管理工作存在问题及对策剖析.docVIP

综合医院传染病防治管理工作存在问题及对策剖析 　　【中图分类号】R19 【文献标识码】A 【文章编号】1672－3783(2011)09－0313－01 　　【摘要】目的：分析综合医院传染病防治管理工作中存在的问题及对策。方法：对某综合医院1993例传染病进行调查分析。结果：各类传染病患者混杂与各科室就诊患者中间，尤其是血源传染病和呼吸道传染病几乎涵盖了所有科室；所有就诊的传染病患者中当天确诊的仅755例，占37.88%，1～3天确诊的有1036例，占51.98%，4～7天确诊的170例，占8.53%，超过7天才确诊的有31例，占1.56%。结论：综合医院内的医患人员有医院感染的隐患，医院需要通过加强传染病知识的宣传教育；建立预警监测系统，提高预警能力；加强消毒隔离的落实等措施来减少加强综合医院的传染病管理防治工作。? 　　General Hospital infectious diseases management problems and countermeasures ? 　　Zhou Dingcheng ? 　　【Abstract 】Objective: To analyze the management of general hospital infectious diseases problems and countermeasures. Methods: 1993 cases of infectious diseases in a general hospital investigation and analysis. The results: mixed types of infectious diseases among patients with various sections of treatment, especially blood diseases and respiratory diseases, covering almost all sections; all day treatment of patients with infectious diseases diagnosed in only 755 cases, accounting for 37.88%, 1 3 days with 1036 cases diagnosed, accounting for 51.98%, 4 to 7 days confirmed 170 cases, accounting for 8.53%, more than 7 days there were 31 confirmed cases, accounting for 1.56%. Conclusion: General Hospital personnel within the patients risk for hospital infections, hospitals need to strengthen publicity and education of knowledge of infectious diseases; establishment of early warning monitoring system to improve early warning capabilities; to strengthen the implementation of disinfection and isolation measures to reduce infectious diseases in general hospitals to strengthen management control work. 　　 传染病因其能在人群中流行传染的特性，而成为社会中的重大问题之一，与人们的日常生活、政治、经济密切相关，已不能够单纯看做社会公共卫生方面的问题。综合医院作为传染病报告、预防、控制及治疗的重要单位，就诊的病人病种复杂、人员众多且流动性大，其医院感染发生几率相对较高，预防和控制医院感染的发生，需要不断完善传染病防治管理工作。? 　　1 资料与方法? 　　1.1 研究对象:某医院就诊的传染病1993例病患资料（包括门诊和住院治疗的病例），病例均按照有关传染病防治法的规定有诊治医生登记报告。? 　　1.3 方法:将病例就诊时间、确诊时间及就诊科室等资料用EXCEL表格分类汇总分析。? 　　2 结果? 　　2.1 各类传染病患者混杂与各科室就诊患者中间，尤其是血源传染病和呼吸道传染病几乎涵盖了所有科室（见表1）。? 　　 2.2 所有就诊的传染病患者中当天确诊的仅755例，占37.88%，1～3天确诊的有103