基于COVID-19疫情应对的医疗机构内感染防控实践思考

新型冠状病毒肺炎(COVID-19)疫情自暴发以来,全国已有多例一线医护人员确诊病例,医护人员医疗机构内感染发生率高于平时,引起了全社会关注。医护人员感染不仅给医护人员身心健康造成损害,也对COVID-19救治和防控工作造成巨大影响。在当前COVID-19疫情防控工作处于焦灼状态的关键时期,准确分析医务人员医疗机构内感染防控的形势,提出针对性的防控措施,预防医务人员感染性职业暴露,是保持医疗救治持久力,夺取COVID-19疫情防控工作最终胜利的关键科学问题。针对这些问题,本文基于COVID-19疫情相关救治工作的现场调研及对医疗机构内感染防控实践经验的梳理,对医疗机构感染防控策略与核心措施进行了系统的再思考和深入的再探讨。

Reflection on practice of prevention and control of infection in medical institutions based on response to COVID-19 epidemic

A number of frontline medical staff have been confirmed with COVID-19 around the country since its outbreak, the incidence of infection in medical staff of medical institutions is higher than usual, which attracts the public concern. The infection in the medical staff not only causes harm to physical and mental health of the medical staff but also leads to great impact on treatment, prevention and control of COVID-19. At present, the prevention and control of COVID-19 epidemic has entered into a crucial period of anxious state, it is the key scientific issue to accurately analyze the situation of prevention and control of the infection in the medical staff of medical institutions, put forward targeted prevention and control measures and prevent the medical staff’s occupational exposure to infections so as to maintain the sustainability of medical treatment and achieve the ultimate victory in prevention and control of COVID-19. A systematic rethinking and further discussion are carried out for the strategies for prevention and control of infection and the core measures in medical institutions based on the onsite survey of treatment of COVID-19 and the practical experience in prevention and control of infection in medical institutions.