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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (8): 643-645.doi: 10.3969/j.issn.1000-6621.2014.08.005

• 专家论坛 • 上一篇    下一篇

我国医疗卫生机构和结核病防治工作者结核感染控制的现状及建议

何广学 宋渝丹 杨曦 王吉春 赵飞   

  1. 102206  北京,中国疾病预防控制中心科技处
  • 收稿日期:2014-07-05 出版日期:2014-08-10 发布日期:2014-09-07
  • 通信作者: 何广学 E-mail:hegx@chinacdc.cn

Current situation and suggestions on tuberculosis infection control for Chinese health care facilities and tuberculosis care workers

HE Guang-xue, SONG Yu-dan, YANG Xi, WANG Ji-chun, ZHAO Fei   

  1. Division of Science and Technology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2014-07-05 Online:2014-08-10 Published:2014-09-07
  • Contact: HE Guang-xue E-mail:hegx@chinacdc.cn

摘要: 关于我国医疗卫生机构和结核病防治工作者结核感染控制的信息和有关资料比较少。近年来,我国在结核感染控制方面做了一些工作,编写了《中国结核感染预防控制手册》和《中国结核感染控制标准操作程序》,开展了一系列培训和调查研究。研究发现我国大多数地区还未开展规范的结核感染控制工作,医疗机构缺乏专职或兼职的结核感染控制人员,结核感染控制经费不足,一些医疗卫生机构建筑设计和功能分区不符合结核感染控制要求,医务人员个人防护用品配备不足并且使用不正确。结核病防治工作者结核分枝杆菌感染和患病率较高,主要与职业暴露有关,而且,医务人员对结核感染控制知晓水平一般。鉴于医疗卫生机构和结核防治工作者结核感染控制现状,我国应加强结核感染控制工作,制定结核感染控制政策,加大对医疗卫生机构感染控制的经费投入,建立系统的医务人员结核感染控制和患病筛查制度,并加强结核感染控制相关知识的教育和培训。

关键词: 结核, 肺/预防和控制, 疾病传播, 病人至卫生人员/预防和控制

Abstract: There were little information and relevant data on tuberculosis (TB) infection control, its relevant health care facilities and health care workers in China. Some TB infection control efforts have been made recently, including issued “Chinese TB Infection Control Manual”, “Chinese TB Infection Control Standardized Operational Procedure”, and conducted a series of trainings and investigations in China. The studies show that most areas in China have not carried out standardized TB infection control measures, health care facilities lack of full-time or part-time infection control staff, lack of funds, the architectural design and functional partition do not meet the TB infection control requirements in some health care facilities, short of and inappropriate use of personal protective equipment. Mycobacterium tuberculosis infection and disease rates were higher among TB prevention and control staff, mainly associated with their occupation exposures, moreover, the awareness level of TB infection control knowledge was generally low among health care workers. In view of the current TB infection control situation of health care facilities and TB control and prevention staff, China should strengthen its TB infection control efforts, make TB infection control policy, increase expenditure on infection control in health care facilities, establish a systematic screening system for medical staff to receive regular TB infection and disease examinations, and strengthen the education and training on TB infection control knowledge.

Key words: Tuberculosis, pulmonary/prevention &, control, Disease transmission, patient-to-professional/prevention &, control