【摘要】 目的评价在肺结核病房实施管理措施、环境控制、个人防护等感染预防控制措施的效果。方法设置隔离肺结核病房,实施感染预防控制:制定管理办法,对医护人员进行知识培训;对隔离病房进行三区、两通道、中间实际错开屏障门设置,安装实施低负压定向通风和循环风空气消毒等环境控制措施;配备足够的医护人员并使用N95口罩,免费为患者提供外科口罩并督促使用。混住(非隔离)肺结核病房不实施分区、通风等措施,医护人员戴外科口罩,患者不戴口罩。分析对比隔离病房与混住病房医护人员结核病发病率。结果混住病房医护人员结核病发病率为10.8%,隔离病房医护人员结核病发病率为0。结论在肺结核病房实施加强管理、环境控制、个人防护等预防控制措施对降低医护人员结核病发病率效果显著。更多还原

【Abstract】 Objective To evaluate the effect of the infection prevention and control measures in pulmonary tuberculosis ward such as management measures, environmental control and personal protective etc. Methods Set the isolation tuberculosis ward, to performing infection prevention and control measures: management measures, knowledge training for medical staff. Perform environment control measure, such as three area, two channels, the actual separation barrier gate settings, installing low negative pressure ventilation and the circulative wind disinfection. Equip with enough staff, use the N95 masks for staff, surgical masks for free with patients and urge to use. Do not perform the measures including area separation and wind circulation in the non-isolation ward, and equip with surgical masks for staff, without masks for patients. Analyze the incident rate of tuberculosis of the staff in isolation ward and non-isolation ward. Results The tuberculosis incident rate in non-isolation ward is 8.3%, and the rate in isolation ward is 0. Conclusion The effect is remarkable to decrease the TB incident rate of the staff to performing infection prevention and control measures in pulmonary tuberculosis ward such as management measures, environmental control and personal protective etc.更多还原