Hellenic Center for Disease Control and Prevention, Athens, Greece.
J Hosp Infect. 2012 Jul;81(3):184-91. doi: 10.1016/j.jhin.2012.04.019. Epub 2012 May 29.
The management of patients with highly infectious diseases (HIDs) is a challenge for healthcare provision requiring a high level of care without compromising the safety of other patients and healthcare workers.
To study the infection control practice in isolation facilities participating in the European Network for Highly Infectious Diseases (EuroNHID) project.
A survey was conducted during 2009 of 48 isolation facilities caring for patients with HIDs in 16 European countries. Checklists and standard evaluation forms were used to collect and interpret data on hand hygiene, routine hygiene and disinfection, and waste management.
Forty percent of HIDs had no non-hand-operated sinks or alcohol-based antiseptic distributors, while 27% did not have procedures for routine hygiene, final disinfection, or safe discarding of non-disposable objects or equipment. There was considerable variation in the management of waste and in the training of housekeeping personnel. EuroNHID has developed recommendations for hand hygiene, disinfection, routine hygiene, and waste management.
Most aspects of hand hygiene, routine hygiene and disinfection, and waste management were considered at least partially adequate in the majority of European isolation facilities dedicated for the care of patients with HIDs. But considerable variability was observed, with management of waste and training of housekeeping personnel being generally less satisfactory.
高度传染性疾病（HIDs）患者的管理对医疗服务提出了挑战，需要高度的护理，同时又不能危及其他患者和医护人员的安全。
研究参与欧洲高度传染性疾病网络（EuroNHID）项目的隔离设施中的感染控制实践。
2009 年，对 16 个欧洲国家的 48 个隔离设施中护理 HIDs 患者的情况进行了调查。使用清单和标准评估表收集和解释有关手部卫生、常规卫生和消毒以及废物管理的数据。
40%的 HIDs 没有非手动操作的水槽或酒精基抗菌剂分配器，而 27%的 HIDs 没有常规卫生、最终消毒或安全处置非一次性物品或设备的程序。废物管理和家政人员培训方面存在相当大的差异。EuroNHID 已为手部卫生、消毒、常规卫生和废物管理制定了建议。
在大多数欧洲隔离设施中，考虑到了手部卫生、常规卫生和消毒以及废物管理的大部分方面，认为至少在大多数方面是足够的。但是，观察到相当大的可变性，废物管理和家政人员培训通常不太令人满意。
