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目的:探讨传染病管理在医疗机构中的问题和对策。方法:选取该县于2014年1月~2014年12月期间,上报的866例传染病患者作为观察对象,对患者的临床资料进行分析,根据中华人民共和国传染病防治法所规定的内容,设计调查问卷,对传染病患者进行现场询问、观察记录、查阅资料及实地核查,分析患者在病发期间、诊治期间,传染病管理在医疗机构中的问题和对策。结果:传染病管理在医疗机构中的问题有传染病患者接诊不集中,与普遍患者混合接诊、混住一室;诊疗记录不规范、忽视传染病疫情报告;医疗废物、污水处置不当;传染病疫情控制、消毒隔离不符合规定;医院的传染病管理能力差、医护人员对传染病认识不充分、院内组织分工不明确、硬件设备滞后。结论:医疗机构在传染病管理中,应进行传染病预检、分诊,详细记录疑似传染病患者的相关资料并妥善保管,及时上报疑似或确诊的传染病病例,合理配置传染病管理的工作人员及设备,落实相关管理者的工作职责、内容及责任,对相关的医护人员进行传染病相关知识的培训。
Objective: To explore the problems and countermeasures of infectious disease management in medical institutions. METHODS: A total of 866 cases of infectious diseases reported in this county from January 2014 to December 2014 were selected as the observation objects. The clinical data of the cases were analyzed. According to the provisions of the Law of the People’s Republic of China on the Prevention and Control of Infectious Diseases, Questionnaire, on-site interrogation of infectious disease patients, observation records, access to information and field verification, analysis of patients in the disease period, diagnosis and treatment, infectious disease management in the medical institutions problems and countermeasures. Results: The problems of infectious disease management in medical institutions are: Infectious diseases patients do not receive the admissions, mixed with universal patients, admissions, mixed room; irregular treatment records, neglect of infectious disease reports; medical waste, sewage disposal improper; infection Disease control, disinfection and isolation do not meet the requirements; hospital infectious disease management is poor, inadequate awareness of infectious diseases among medical staff, the hospital organization of labor is not clear, the hardware equipment lags behind. Conclusion: In the management of infectious diseases, medical institutions should conduct pre-screening and triage of infectious diseases, record the relevant information of patients suspected of infectious diseases in detail and keep them in a safe manner, timely report cases of suspected or confirmed communicable diseases and rationally allocate infectious disease management Personnel and equipment to implement the job responsibilities, contents and responsibilities of relevant managers, and train related medical staffs on relevant knowledge of infectious diseases.