CAJ | 학술논문

目的探讨各级综合性医院预防控制传染病疫情院内扩散的有效方法.方法选自2009年以来泰安地区一级、二级、三级各2所的6所综合性医院在诊疗传染病过程中,根据患者来院就诊方式、就诊渠道和就诊心理等,对A1、A2、A3 3个级别的综合性医院实行了传染病五级预检分诊法,对B1、B2、B3 3个级别的综合性医院仍实施常规预检分诊法.结果对两组3个级别的综合性医院实施不同预检分诊法所造成的传染病漏检病例进行比较,用x2检验,P值均＜0.005,差异有统计学意义.结论五级预检分诊法能对各级医院将传染病或疑似传染病患者在第一时间内从来院就诊的所有患者中甄别、检查、筛选和截留出来,从而有效预防和控制传染疫情扩散而致医源性感染甚至暴发.
목적 탐토각급종합성의원예방공제전염병역정원내확산적유효방법.방법 선자2009년이래태안지구일급、이급、삼급각2소적6소종합성의원재진료전염병과정중,근거환자래원취진방식、취진거도화취진심리등,대A1、A2、A3 3개급별적종합성의원실행료전염병오급예검분진법,대B1、B2、B3 3개급별적종합성의원잉실시상규예검분진법.결과 대량조3개급별적종합성의원실시불동예검분진법소조성적전염병루검병례진행비교,용x2검험,P치균＜0.005,차이유통계학의의.결론 오급예검분진법능대각급의원장전염병혹의사전염병환자재제일시간내종래원취진적소유환자중견별、검사、사선화절류출래,종이유효예방화공제전염역정확산이치의원성감염심지폭발.
Objective To investigate effective methodology for preventing infectious diseases from spreading within general hospitals at all levels. Methods Six hospitals at three levels in the city were made into two groups and investigated for their treatment of infectious diseases. The group of A1, A2 and A3 hospitals employs the five pre-triage, while the group of B2, B2 and B3 employs the routine pretriage. Results Comparison of undetected infectious cases between group A1, A2, A3 and group B1,B2,B3 identified significant difference with x2 testing, P＜0. 005. Conclusion Five pre-triage method can screen, identify and pinpoint confirmed or suspected infectious disease patients from all outpatients in the first time, thus preventing and controlling the nosocornial transmission of epidemic or even an outbreak of nosocomial infection effectively.