综合医院传染病五级预检分诊效果研究

目的 探讨各级综合性医院预防控制传染病疫情院内扩散的有效方法.方法 选自2009年以来泰安地区一级、二级、三级各2所的6所综合性医院在诊疗传染病过程中,根据患者来院就诊方式、就诊渠道和就诊心理等,对A1、A2、A3 3个级别的综合性医院实行了传染病五级预检分诊法,对B1、B2、B3 3个级别的综合性医院仍实施常规预检分诊法.结果 对两组3个级别的综合性医院实施不同预检分诊法所造成的传染病漏检病例进行比较,用x2检验,P值均＜0.005,差异有统计学意义.结论 五级预检分诊法能对各级医院将传染病或疑似传染病患者在第一时间内从来院就诊的所有患者中甄别、检查、筛选和截留出来,从而有效预防和控制传染疫情扩散而致医源性感染甚至暴发.

Abstract：

Objective To investigate effective methodology for preventing infectious diseases from spreading within general hospitals at all levels. Methods Six hospitals at three levels in the city were made into two groups and investigated for their treatment of infectious diseases. The group of A1, A2 and A3 hospitals employs the five pre-triage, while the group of B2, B2 and B3 employs the routine pretriage. Results Comparison of undetected infectious cases between group A1, A2, A3 and group B1,B2,B3 identified significant difference with x2 testing, P＜0. 005. Conclusion Five pre-triage method can screen, identify and pinpoint confirmed or suspected infectious disease patients from all outpatients in the first time, thus preventing and controlling the nosocornial transmission of epidemic or even an outbreak of nosocomial infection effectively.

Study on the effect of the five pre-triage for infectious diseases in general hospitals

Objective To investigate effective methodology for preventing infectious diseases from spreading within general hospitals at all levels. Methods Six hospitals at three levels in the city were made into two groups and investigated for their treatment of infectious diseases. The group of A1, A2 and A3 hospitals employs the five pre-triage, while the group of B2, B2 and B3 employs the routine pretriage. Results Comparison of undetected infectious cases between group A1, A2, A3 and group B1,B2,B3 identified significant difference with x2 testing, P＜0. 005. Conclusion Five pre-triage method can screen, identify and pinpoint confirmed or suspected infectious disease patients from all outpatients in the first time, thus preventing and controlling the nosocornial transmission of epidemic or even an outbreak of nosocomial infection effectively.