新型冠状病毒肺炎流行期间放射科非隔离机房的感染管理实践

doi:10.3969/j.issn.2095-9400.2020.03.005

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摘要新型冠状病毒肺炎为一种新发急性呼吸道传染病，其传染性强，进展迅速。大型综合医院在疫情防控、患者救治等方面发挥着重要作用。放射科是临床诊疗的重要辅助科室，是医院整个防控链条上的关键节点，承担繁重的检查任务，除新型冠状病毒肺炎患者专用隔离机房外，尚有较多门诊非隔离机房同时在运转，然而，相对于专用隔离机房而言，其防护往往容易被忽视。因此，笔者认为提高门诊非隔离机房的防护意识、压细压实防护措施显得尤为必要。我科针对门诊非隔离机房、内部空间布局改造、人员管理等建立了一整套感染管理措施并逐一落实，以期消除传播隐患，避免院内交叉感染，同时最大程度节约防护物资，切实做到新型冠状病毒肺炎流行期间放射科门诊非隔离机房院感控制的“零死角、零盲区、零疏漏”，保护医患安全。

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	张孝琴
	潘克华
	曹国全
	陈晓宇
	徐浩力
	夏能志
	王斯妮
	孙厚长
	杨运俊
	王美豪
	李建策

关键词 ：新型冠状病毒肺炎, 交叉感染, 放射科

Abstract：COVID-19 is a new acute respiratory infectious disease, highly contagious and rapidly progressing. Large general hospitals play an important role in the prevention and treatment. Department of Radiology is an important auxiliary for clinical diagnosis and treatment of COVID-19, and a key node in the whole epidemic prevention and control chain of the hospital. In Department of Radiology, in addition to special isolation room for COVID-19 patient, there are many non-isolation rooms for outpatient running at the same time. However, compared with the special isolation examination room, their protection is often ignored. Therefore, it is necessary to improve the protection awareness and to refine the measures of the non-isolation examination rooms. Our department has taken a series of measures including infection management, internal space division and personnel protection, which were implemented one by one for the non-isolation examination rooms. In this way, hidden dangers of transmission were eliminated, cross infections were avoided and protective materials were saved to the greatest extent.

Key words： COVID-19 cross infection department of radiology

基金资助:温州市科技局科研基金资助项目（Y20180051）。

通讯作者: 李建策，主任医师，Email：lijiance000@126.com

作者简介: 张孝琴（1975-），女，浙江温州人，副主任护师。

链接本文:

https://xb.wmu.edu.cn/CN/10.3969/j.issn.2095-9400.2020.03.005 或 https://xb.wmu.edu.cn/CN/Y2020/V50/I3/191

[1] ZHU N, ZHANG D, WANG W, et al. A novel coronavirus from patients with pneumonia in China, 2019[J]. N Engl J Med, 2020, 382(8): 727-733.
[2] HUANG C, WANG Y, LI X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China[J]. Lancet, 2020, 395(10223): 497-506.
[3] 傅钢泽, 许崇永, 孙厚长, 等. 胸部CT检查在新型冠状病毒肺炎患者筛查中的应用[J]. 温州医科大学学报, 2020, 50(3): 177-181.
[4] 中华人民共和国国家质量监督检验检疫总局. 医院消毒卫生标准: GB 15982-2012[S]. 北京: 中国标准出版社, 2012.
[5] 中华人民共和国卫生部. 医疗机构消毒技术规范: WS/T 367-2012[S]. 北京: 中国标准出版社, 2012.
[6] 国家卫生健康委办公厅. 医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)[EB/OL].(2020-01-23)[2020-02-12]. http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml.
[7] 王骏. 医学影像科应对SARS的措施和体会[J]. 中华医院管理杂志, 2004, 20(3): 187-188.
[8] CHUNG M, BERNHEIM A, MEI X, et al. CT imaging features of 2019 novel coronavirus (2019-nCoV)[J]. Radiology, 2020, 295(1): 202-207.
[9] 中华人民共和国国家卫生和计划生育委员会. 医疗机构环境表面清洁与消毒管理规范: WS/T 512-2016[S]. 北京标准出版社, 2016.
[10] 陆雪芳, 龚威, 王莉, 等. 新型冠状病毒肺炎初诊临床特征及高分辨率CT影像表现[J]. 中华放射学杂志, 2020, 54(00): E006-E006. DOI: 10.3760/cma.j.issn.1005-1201.2020.0006.
[11] 姜素椿, 魏华, 王冶. 严重急性呼吸综合征医院感染的防治[J]. 中华医院感染学杂志, 2003, 13(5): 401-403.
[12] 易滨, 蔡忠军, 刘希华, 等. 高度重视并科学预防SARS[J].中华医院管理杂志, 2003, 19(7): 389-390.
[13] 国家卫生健康委办公厅. 新型冠状病毒感染的肺炎诊疗方案(试行第五版). [EB/OL].(2020-02-05)[2020-02-12]. http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml.
[14] ZHANG H, KANG Z, GONG H, et al. The digestive system is a potential route of 2019-nCov infection: a bioinformatics analysis based on single-cell transcriptomes[J]. Bio Rxiv, 2020. DOI: 10.1101/2020.01.30.927806.
[15] DESMARETS L M, THEUNS S, ROUKAERTS I D, et al. Role of sialic acids in feline enteric coronavirus infections [J]. J Gen Virol, 2014, 95(9): 1911-1918.