广东省13家医院医护人员严重急性呼吸综合征医院内感染情况

目的　分析收治严重急性呼吸综合征 (SARS)患者重点医院医护人员发生SARS院内感染的因素 ,评价干预措施。方法　通过对 13家重点医院收治SARS患者的数量及病情、医护人员SARS的发病率、医院性质、病区 (科室 )环境及隔离措施调查 ,分析医护人员发生SARS院内感染的原因。结果　 13家医院共收治SARS患者 84 1例 ,参加诊治工作的 2 36 5名医护人员中 2 85人发病。综合性医院、收治危重患者较多的医院、医护人员个人防护不到位的医院医护人员发病率较高 (93/2 85 ,32 .6 3% ) ;独立病房收治SARS患者的医院、具有感染科或隔离病区 (包括临时开设的隔离病区 )的医院医护人员发病率较低。结论　收治SARS患者的病情、医院性质、病区 (科室 )环境、个人防护状况是医护人员感染SARS的危险因素

An investigation on nosocomial infection with severe acute respiratory syndrome in health-care workers at 13 key hospitals in Guangdong Province

Objective To analysis the risk factors influencing nosocomial infection of severe acute respiratory syndrome (SARS) in health care workers and to evaluate effectiveness of its control and preventive measures in 13 key hospitals caring for SARS patients. Methods Number of SARS patients, clinical conditions of them, its attack rate in health care workers, and characteristics of hospitals, including their environment, isolating measures, etc. were investigated at the 13 hospital in Guangzhou to analyze the risk factors influencing nosocomial infection of SARS and its attack rates in health care workers before and after implementation of preventive measures and to evaluate their effectiveness. Results Totally, 841 patients with SARS were treated at the 13 hospitals in Guangzhou and 285 health care workers caring for them infected nosocomially. Attack rate in health care workers was higher at general hospitals, hospital accepting more cases in critical conditions and hospitals with poor precautious measures, and lower in hospitals with isolated wards or areas, or departemtn of infection, specially caring for SARS patients, and those with effective intervention measures to prevent secondary infection. Conclusion Nosocomial infection of SARS in health care workers was affected by clinical condition of SARS patients, characterisitics and environment of hospitals and their personal protective measures adopted.