Yang Mi, Wang Hongming, Li Zhi, Zhang Qiang, Liu Xin, He Manxi, Gao Shan
Chengdu Mental Health Center, Chengdu, China.
The Fourth People's Hospital of Chengdu, Chengdu, China.
Front Med (Lausanne). 2020 Jul 3;7:356. doi: 10.3389/fmed.2020.00356. eCollection 2020.
Faced with the rapid spread of the novel coronavirus disease (COVID-19), a global public health threat, psychiatric hospitals are under huge pressure to prevent and control nosocomial infection. The current research analyzed the COVID-19 infection control practices in a regional mental health center in China and addressed how this type of medical institutions could enhance their ability to prevent and control hospital transmission of major respiratory diseases and general management of nosocomial infection risks. Firstly, hospital-related risks of COVID-19 were analyzed, and targeted prevention and control measures were then established. Pre- and post-intervention theoretical knowledge of nosocomial infection control, hand hygiene compliance and accuracy, use of personal protective equipment, and disinfection and sterilization effectiveness were evaluated and compared. All the indexes displayed significant improvements following the implementation of the prevention and control measures. Up to the submission of this paper, the mental health center had obtained no suspected or confirmed case of COVID-19 infection due to hospital transmission. The findings provide empirical evidence for the effectiveness of the COVID-19 preventive strategies and have important implications for integrated and characterized infection control in mental health centers during a major epidemic. The establishment of the transitional isolation ward and air fumigation using traditional Chinese medicine for patients and staff are preventive measures worthy of further discussion and dissemination.
面对新型冠状病毒肺炎(COVID-19)这一全球公共卫生威胁的迅速传播,精神病医院在预防和控制医院感染方面面临巨大压力。本研究分析了中国某地区精神卫生中心的COVID-19感染控制措施,并探讨了这类医疗机构如何提高预防和控制主要呼吸道疾病医院传播的能力以及医院感染风险的总体管理水平。首先,分析了医院相关的COVID-19风险,然后制定了针对性的防控措施。对医院感染控制的干预前后理论知识、手卫生依从性和准确性、个人防护用品的使用以及消毒灭菌效果进行了评估和比较。实施防控措施后,所有指标均有显著改善。截至本文提交时,该精神卫生中心尚未出现因医院传播导致的COVID-19疑似或确诊病例。研究结果为COVID-19预防策略的有效性提供了实证依据,对重大疫情期间精神卫生中心的综合特色感染控制具有重要意义。设立过渡隔离病房以及对患者和工作人员采用中药空气熏蒸是值得进一步探讨和推广的预防措施。