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零医护人员感染:利比里亚埃博拉疫情期间中国埃博拉治疗中心的经验

Zero Health Worker Infection: Experiences From the China Ebola Treatment Unit During the Ebola Epidemic in Liberia.

作者信息

Liu Lei, Yin Huahua, Liu Ding

机构信息

1Department of Nursing,Daping Hospital,Third Military Medical University,Chongqing,People's Republic of China.

2Department of Infection Control,Daping Hospital,Third Military Medical University,Chongqing,People's Republic of China.

出版信息

Disaster Med Public Health Prep. 2017 Apr;11(2):262-266. doi: 10.1017/dmp.2016.103. Epub 2016 Sep 26.

DOI:10.1017/dmp.2016.103
PMID:27666397
Abstract

In November 2014, a total of 164 health care workers were dispatched by the Chinese government as the first medical assistance team to Liberia. The tasks of this team were to establish a China Ebola treatment unit (ETU), to commence the initial admission and treatment of suspected and confirmed Ebola patients, and to provide public health and infection control training for relevant local personnel. Overall, during the 2-month stay of this first medical assistance team in Liberia, 112 Ebola-suspected patients presented to the ETU, 65 patients were admitted, including 5 confirmed cases, and 3 confirmed cases were cured. Furthermore, 1520 local people were trained, including health care workers, military health care workers, staff members employed by the ETU, and community residents. Most importantly, as the first Chinese medical assistance team deployed to Liberia fighting the Ebola virus on the frontline, not a single member of this team or the hired local staff were infected by Ebola virus. This highly successful outcome was due to the meticulous infection control initiatives developed by the team, thereby making a significant contribution to China's ETU "zero infection" of health workers in Liberia. The major infection control initiatives conducted in the China ETU that contributed to achieving "zero infection" of all health workers in the ETU are introduced in this report. (Disaster Med Public Health Preparedness. 2017;11:262-266).

摘要

2014年11月,中国政府派遣了一支由164名医护人员组成的医疗援助队作为首批赴利比里亚医疗队。该医疗队的任务是建立中国埃博拉治疗中心(ETU),开始对疑似和确诊的埃博拉患者进行初步收治,并为当地相关人员提供公共卫生和感染控制培训。总体而言,在这支首批医疗援助队在利比里亚停留的2个月期间,有112名疑似埃博拉患者前往ETU就诊,65名患者入院治疗,其中包括5例确诊病例,3例确诊病例治愈。此外,还培训了1520名当地人,包括医护人员、军队医护人员、ETU雇佣的工作人员以及社区居民。最重要的是,作为首批部署到利比里亚抗击埃博拉病毒前线的中国医疗队,该医疗队的任何一名成员或雇佣的当地工作人员都没有感染埃博拉病毒。这一极为成功的结果得益于医疗队制定的细致的感染控制措施,从而为中国在利比里亚的ETU实现医护人员“零感染”做出了重大贡献。本报告介绍了在中国ETU实施的主要感染控制措施,这些措施促成了ETU所有医护人员的“零感染”。(《灾难医学与公共卫生防范》。2017年;11:262 - 266)

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