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新冠肺炎疫情期间医疗机构不同区域工作岗位个人防护专家共识
引用本文：李春辉,黄勋,蔡虻,陈萍,陈文森,陈修文,邓子德,董宏亮,付强,高武强,高晓东,龚瑞娥,巩玉秀,侯铁英,胡国庆,胡必杰,李洁,李卫光,林玲,刘丁,刘聚源,刘卫平,刘运喜,陆群,马红秋,茅一萍,孟秀娟,逄崇杰,乔甫,任南,单淑娟,孙树梅,汤灵玲,童德军,王辉,王力红,王庆红,文建国,吴红曼,吴红梅,吴静,吴秀颖,鲜于舒铭,向天新,熊薇,徐艳,阎颖,杨怀,杨亚红,姚希,袁晓宁,岳丽青,曾翠,曾烂漫,张浩军,张静萍,张乐,张卫红,张永栋,周鹏程,宗志勇,左双燕,李六亿,吴安华,中华预防医学会医院感染控制分会,中国医院协会医院感染管理专业委员会和中国感染控制杂志编辑委员会联合发布.新冠肺炎疫情期间医疗机构不同区域工作岗位个人防护专家共识[J].中国感染控制杂志,2020,19(3):199-213.
作者姓名：李春辉  黄勋  蔡虻  陈萍  陈文森  陈修文  邓子德  董宏亮  付强  高武强  高晓东  龚瑞娥  巩玉秀  侯铁英  胡国庆  胡必杰  李洁  李卫光  林玲  刘丁  刘聚源  刘卫平  刘运喜  陆群  马红秋  茅一萍  孟秀娟  逄崇杰  乔甫  任南  单淑娟  孙树梅  汤灵玲  童德军  王辉  王力红  王庆红  文建国  吴红曼  吴红梅  吴静  吴秀颖  鲜于舒铭  向天新  熊薇  徐艳  阎颖  杨怀  杨亚红  姚希  袁晓宁  岳丽青  曾翠  曾烂漫  张浩军  张静萍  张乐  张卫红  张永栋  周鹏程  宗志勇  左双燕  李六亿  吴安华  中华预防医学会医院感染控制分会  中国医院协会医院感染管理专业委员会和中国感染控制杂志编辑委员会联合发布
作者单位：1. 中南大学湘雅医院 全国医院感染监控管理培训基地 国家老年疾病临床医学研究中心(湘雅), 湖南 长沙 410008;
2. 北京医院, 北京 100730;
3. 成都市公共卫生临床医疗中心, 四川 成都 610000;
4. 江苏省人民医院 南京医科大学第一附属医院, 江苏 南京 210029;
5. 江西省儿童医院, 江西 南昌 330006;
6. 中山大学附属第三医院, 广东 广州 510630;
7. 西安市第九医院, 陕西 西安 710054;
8. 国家医院感染管理专业质控中心, 北京 100191;
9. 复旦大学附属中山医院, 上海 200032;
10. 国家卫生健康委离退局, 北京 100044;
11. 广东省人民医院, 广东 广州 510080;
12. 浙江省疾病预防控制中心, 浙江 杭州 310051;
13. 山东省立医院, 山东 济南 250021;
14. 黑龙江疾病预防控制中心, 黑龙江 哈尔滨 150000;
15. 陆军特色医学中心, 重庆 400042;
16. 内蒙古自治区人民医院, 内蒙古 呼和浩特 010010;
17. 解放军总医院, 北京 100039;
18. 浙江大学医学院附属第二医院, 浙江 杭州 310009;
19. 安徽医科大学第一附属医院, 安徽 合肥 230022;
20. 徐州医科大学附属医院, 江苏 徐州 221006;
21. 天津医科大学总医院, 天津 300052;
22. 四川大学华西医院, 四川 成都 610041;
23. 南方医科大学南方医院, 广东 广州 510515;
24. 浙江树人大学树兰(杭州)医院, 浙江 杭州 310000;
25. 中南大学湘雅二医院, 湖南 长沙 410011;
26. 北京大学人民医院, 北京 100044;
27. 首都医科大学宣武医院, 北京 100053;
28. 新乡医学院第一附属医院, 河南 新乡 453100;
29. 温州市人民医院, 浙江 温州 325000;
30. 海南省人民医院, 海南 海口 570311;
31. 南昌大学第一附属医院, 江西 南昌 330006;
32. 华中科技大学同济医学院附属同济医院, 湖北 武汉 430030;
33. 贵州省人民医院, 贵州 贵阳 550002;
34. 郑州人民医院, 河南 郑州 450003;
35. 甘肃省人民医院, 甘肃 兰州 730000;
36. 北京大学第一医院, 北京 100034;
37. 北京大学第三医院, 北京 100191;
38. 中国医科大学附属第一医院, 辽宁 沈阳 110001;
39. 青海大学附属医院, 青海 西宁 810001
摘    要： 

为更好地防控新型冠状病毒（2019-nCoV）医院感染，保障医疗机构医务人员及其他工作人员的安全，合理使用个人防护用品，中华预防医学会医院感染控制分会、中国医院协会医院感染管理专业委员会、中国感染控制 杂志编辑委员会组织国内专家（包括赴武汉抗疫一线的部分专家）共同制定本共识。本共识主要适用于同时收治新冠肺炎患者和普通患者的医疗机构；指导疫情期间医疗机构一线医务人员合理有效利用防护用品，同时也覆盖了几乎所有非一线医务人员及其他工作人员的防护用品使用。本共识通过评估医疗机构工作人员新冠肺炎暴露的风险，根据暴露风险来确定不同区域不同岗位工作人员的个人防护标准。本共识主要内容还包括：个人防护用品介绍及适用范围，三级防护穿脱流程，个人防护用品异常的防范与应急处理，新型冠状病毒肺炎职业暴露处置流程。同时，本共识特别强调，要合理进行新冠疫情期间医疗机构区域划分，以及重点分诊岗位安排有经验的感染科或呼吸科医生参与分诊，这些是风险评估的前提要求；在选择个人防护用品时，既要防止防护不足，又要避免 滥用与过度使用，以保障工作人员安全为前提，预防新冠肺炎医院感染。
关 键 词：新型冠状病毒  新型冠状病毒肺炎  2019-nCoV  COVID-19  个人防护用品  区域岗位  分级防护  共识  
收稿时间：2020/2/27 0:00:00

Expert consensus on personal protection in different regional posts of medical institutions during COVID-19 epidemic period
Institution:1. National Training Center of Healthcare-associated Infection Management, National Clinical Research Center for Geriatric Disorders[Xiangya Hospital], Xiangya Hospital, Central South University, Changsha 410008, China;
2. Beijing Hospital, Beijing 100730, China;
3. Public Health Center of Clinical Medical of Chengdu City, Chengdu 610000, China;
4. Jiangsu Provincial Hospital, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China;
5. Jiangxi Provincial Children''s Hospital, Nanchang 330006, China;
6. Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China;
7. The Ninth Hospital of Xi''an, Xi''an 710054, China;
8. National Healthcare-associated Infection Management and Control Center, Beijing 100191, China;
9. Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China;
10. National Health Commission of the People''s Republic of China Retired Cadres Bureau, Beijing 100044, China;
11. Guangdong General Hospital, Guangzhou 510080, China;
12. Zhejiang Provincial Centre for Disease Prevention and Control, Hangzhou 310051, China;
13. Shandong Provincial Hospital, Jinan 250021, China;
14. Heilongjiang Provincial Centre for Di-sease Prevention and Control, Harbin 150000, China;
15. Army Medical Center, Chongqing 400042, China;
16. Inner Mongolia People''s Hospital, Hohhot 010010, China;
17. Chinese PLA General Hospital, Beijing 100039, China;
18. The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China;
19. The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China;
20. Affiliated Hospital of Xuzhou Medical University, Xuzhou 221006, China;
21. Tianjin Medical University General Hospital, Tianjin 300052, China;
22. West China Hospital, Sichuan University, Chengdu 610041, China;
23. Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
24. Shulan (Hangzhou) Hospital of Zhejiang Shuren University, Hangzhou 310000, China;
25. The Second Xiangya Hospital of Central South University, Changsha 410011, China;
26. Peking University People''s Hospital, Beijing 100044, China;
27. Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
28. The First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100, China;
29. Wenzhou People''s Hospital, Wenzhou 325000, China;
30. Hainan Provincial People''s Hospital, Haikou 570311, China;
31. The First Affiliated Hospital of Nanchang University, Nanchang 330006, China;
32. Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;
33. Guizhou Provincial People''s Hospital, Guiyang 550002, China;
34. Zhengzhou People''s Hospital, Zhengzhou 450003, China;
35. Gansu Provincial Hospital, Lanzhou 730000, China;
36. Peking University First Hospital, Beijing 100034, China;
37. Peking University Third Hospital, Beijing 100191, China;
38. The First Affiliated Hospital, China Medical University, Shenyang 110001, China;
39. Qinghai University Affiliated Hospital, Xining 810001, China
Abstract:

In order to better prevent novel coronavirus (2019-nCoV) healthcare-associated infection, ensure the safety of health care workers(HCWs) and other staff in medical institutions, and rationally use personal protective equipment(PPE), Healthcare-associated Infection Control Branch of Chinese Preventive Medicine Association, Healthcare-associated Infection Management Committee of Chinese Hospital Association, and Chinese Journal of Infection Control jointly organize domestic experts (including some experts on the frontline of anti-epidemic in Wuhan) to jointly formulate this consensus. This consensus is mainly applicable for medical institutions which receive and cure both patients with coronavirus disease 2019 (COVID-19) and common patients; guide frontline HCWs, non-frontline HCWs, and other staff in medical institutions to rationally and effectively use protective equipment. This consensus determines personal protection standards of staff at different locations and with different working posts through assessment on risk of exposure to COVID-19 among staff in medical institutions. The main contents of this consensus also include introduction and application scope of PPE, putting on and taking off process of three level protection, prevention and emergency treatment of abnormal PPE, treatment process of occupational exposure to COVID-19. At the same time, this consensus particularly emphasizes the rational division of medical institutions during COVID-19 epidemic period, arrange experienced clinicians of departments of infectious or respiratory diseases participate in triage at key triage location, which are the prerequisite requirements of risk assessment; for the selection of PPE, we should not only prevent inadequate protection, but also avoid abuse and overuse, so as to prevent HAI on the premise of ensuring the safety of staff.
Keywords:

novel coronavirus|2019-nCoV|coronavirus disease 2019|COVID-19|personal protective equipment|regional post|classified protection|consensus
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