CAJ | 학술논문

目的：了解2013年初上海市首次发现H7N9新型禽流感病毒并应急处置疫情的全过程。方法：综合运用访谈、二次资料整理、专家咨询等方法。结果：（1）当班医生的传染病职业敏感性是及时检出H7N9新型禽流感病毒的前提。（2）标本在正常送检之后呈送给了有专业资格的检测机构，是及时发现H7N9新型禽流感病毒的关键。（3）医院上报疫情之后，专家组实地核实疫情时重点考察医院发热门诊的完备程度会挫伤医院报送疫情的积极性。结论：（1）需要进一步加强住院医生传染病和流行病学知识培训；（2）允许医院有序向多家病原检测机构送检标本；（3）专家组核实疫情时适当降低对发热门诊的关注度。
목적：료해2013년초상해시수차발현H7N9신형금류감병독병응급처치역정적전과정。방법：종합운용방담、이차자료정리、전가자순등방법。결과：（1）당반의생적전염병직업민감성시급시검출H7N9신형금류감병독적전제。（2）표본재정상송검지후정송급료유전업자격적검측궤구，시급시발현H7N9신형금류감병독적관건。（3）의원상보역정지후，전가조실지핵실역정시중점고찰의원발열문진적완비정도회좌상의원보송역정적적겁성。결론：（1）수요진일보가강주원의생전염병화류행병학지식배훈；（2）윤허의원유서향다가병원검측궤구송검표본；（3）전가조핵실역정시괄당강저대발열문진적관주도。
Objective:To review the whole process of emergency disposal of the H7N9 bird flu virus first found in Shanghai in early 2013. Methods:The integrated use of interviews,secondary data compilation,expert consulting method were applied. Results:(1)Professional sensitivity of the doctor on duty was the premise of timely detection of H7N9.(2)Reporting specimens after normal inspection to the professional testing institution was the key to detecting H7N9 bird flu virus in a timely manner.(3)Experts’ too much attention on the use of fever clinics of hospital would affect the enthusiasm of hospital to report the epidemic situation after the hospital reported epidemic situation. Conclusion:(1)It is suggested to further strengthen the trainings of infectious diseases and epidemiology knowledge of resident physicians.(2)It is suggested to allow hospitals to send samples to more than one pathogenic detection institution.(3)Experts are suggested to pay less attention to fever clinics when they verify the epidemic situation.