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目的了解和分析北京市某区医院应对流行性感冒(流感)大流行准备现状,为制定流感大流行应对策略和措施提供基础信息。方法 2010年4月12—23日由接受过培训的疾病预防控制部门工作人员按照统一的调查表对辖区内18家医疗机构进行问卷调查。结果全区有10家发热门诊能正常运转;16家二级以上医院呼吸相关科室平均医护人员比例为1∶1.64,其中13家不足1∶2;16家有病床的医院呼吸相关科室病床占全院病床的比例为11.51%;14家医院有ICU病房,其中8家医院ICU病床占全院病床比例低于2%;10家三级医院中有4家ICU病房呼吸机数量与病床数之比不低于100%;18家医院均无负压隔离病房,13家有普通隔离病房;5家可以开具神经氨酸酶抑制剂类药物。结论全区发热门诊数量和呼吸相关科室病床数不足;ICU病床数占全院病床数比例偏低:抗病毒药物储备不足。目前全区医院应对流感大流行能力有限。
Objective To understand and analyze the current situation of hospital preparation for a pandemic (influenza) pandemic in a district in Beijing and provide basic information for formulating strategies and measures for responding to influenza pandemic. Methods From April 12 to 23, 2010, trained staff of disease prevention and control department conducted a questionnaire survey on 18 medical institutions in the area according to a unified questionnaire. Results There were 10 outpatient fever clinics operating normally in the district. The average number of medical staff in respiratory department of 16 secondary hospitals or above was 1: 1.64, of which 13 were less than 1: 2. The hospital beds of 16 hospital beds Hospital beds accounted for 11.51%; ICU ward in 14 hospitals, of which 8 hospital ICU beds accounted for less than 2% of the hospital beds; 10 tertiary hospitals in 4 ICU ward ventilator number and the ratio of the number of beds Not less than 100%; 18 hospitals were no negative pressure isolation ward, 13 general isolation ward; 5 can be issued neuraminidase inhibitors drugs. Conclusions The number of outpatient fever clinics in the district and the number of respiratory related departments are not enough; the proportion of ICU beds in the total number of hospital beds is low: the stock of antiviral drugs is insufficient. At present, the district hospitals have limited capacity to cope with the influenza pandemic.