CAJ | 학술논문

本文旨在探讨医院开展丙型肝炎院内感染防控管理的必要性和可行性，以及如何采取有效的干预策略，建立相对规范、完善的管理体系，持续改进丙型肝炎院内感染的防控效果。我院通过加强宣传培训，引进联络员制度，充分做好患者知情同意等工作，使医务人员及患者提高了对丙型肝炎的认识和重视程度，各相关科室之间形成较为顺畅的联系与协作关系，使丙型肝炎院内感染防控取得显著成效。分析加强管理前2011年与加强管理后2012年比，全院非感染科抗 HCV 检测例数占全院手术例数的比例、非感染科抗-HCV 阳性人群 HCV RNA 检测率分别增长了5.87%和28.4%。可见，医院有能力也有必要，通过采取有效的干预策略，加强丙型肝炎院内防控管理，保护医患人员的安全与权益。
본문지재탐토의원개전병형간염원내감염방공관리적필요성화가행성，이급여하채취유효적간예책략，건립상대규범、완선적관리체계，지속개진병형간염원내감염적방공효과。아원통과가강선전배훈，인진련락원제도，충분주호환자지정동의등공작，사의무인원급환자제고료대병형간염적인식화중시정도，각상관과실지간형성교위순창적련계여협작관계，사병형간염원내감염방공취득현저성효。분석가강관리전2011년여가강관리후2012년비，전원비감염과항 HCV 검측례수점전원수술례수적비례、비감염과항-HCV 양성인군 HCV RNA 검측솔분별증장료5.87%화28.4%。가견，의원유능력야유필요，통과채취유효적간예책략，가강병형간염원내방공관리，보호의환인원적안전여권익。
This review aims to discuss the necessity and feasibility of preventing and controlling hepatitis C virus(HCV) infection in hospitals,and how to take effective strategies of intervention,establish a relatively standard and complete management system,and improve the effectiveness of management continually. The Third Affiliated Hospital of Sun Yat-Sen University enhanced the publicity and training of staffs,introduced the liaison system,and ensured patients’informed consent. With these efforts,the medical personnel and the patients have increased awareness of HCV infection and paid more attention to it,and the relevant divisions have achieved cross-sectional cooperation and worked well. The percentage of anti-HCV screening to surgical cases and the percentage of HCV RNA screening in cases with anti-HCV positive in 2012 raised by 5.87% and 28.4%,respectively,as compared to in 2011. It is obvious that hospitals are able and necessary to strengthen management of preventing and control ing the HCV infection with effective measures to protect the safety and rights of patients’and medical personnel’.