集中隔离医学观察场所感染防控专家共识

Expert consensus on infection prevention and control in centralized isolation sites for medical observation

摘要:

为科学指导新型冠状病毒肺炎(以下简称新冠肺炎, COVID-19)疫情期间集中隔离医学观察场所内感染防控工作, 在早期有效识别感染者的同时, 有效避免集中隔离医学观察场所内的交叉感染, 中华预防医学会医院感染控制分会、中国医院协会医院感染管理专业委员会、中国感染控制杂志编辑部组织有关专家共同制定本共识。本共识适用于确诊病例、疑似病例、无症状感染者的密切接触者、密切接触者的密切接触者, 以及入境人员或其他根据防控工作需要"应隔尽隔"人员开展集中隔离医学观察时所设置的集中隔离医学观察场所, 指导其工作人员正确做好个人防护及防止感染传播工作, 避免发生场所内感染及传播。本共识借鉴医疗机构内新型冠状病毒感染防控的基本原则、文件规范, 结合集中隔离医学观察场所的特点与实际工作情况, 对不同区域工作人员、工作环节开展新型冠状病毒传播的风险评估, 并据此对集中隔离医学观察场所的感染防控组织架构、选址布局、人员防护、人员闭环管理、清洁消毒、环境核酸监测、人员健康监测、职业暴露处理及交叉感染判定原则等感控相关工作给予指导。

Abstract:

In order to scientifically guide the infection prevention and control in centralized isolation sites for medical observation during the outbreak of coronavirus disease 2019 (COVID-19), effectively avoid cross infection while identifying infected person at an early stage in centralized isolation sites for medical observation, Healthcare-associa-ted Infection Control Branch of Chinese Preventive Medicine Association, Healthcare-associated Infection Management Committee of Chinese Hospital Association, and Editorial Office of Chinese Journal of Infection Control jointly organize experts to formulate this consensus. This consensus is applicable to centralized isolation sites for medical observation of close contacts of confirmed COVID-19 cases, suspected cases and asymptomatic infected person, se-condary contacts, entry personnel, or other personnel who "should be isolated" according to the needs of prevention and control work, instruct staff to properly perform personal protection and prevent infection transmission, so as to avoid infection and spread within the site. This consensus draws on the basic principles and document specifications for the prevention and control of COVID-19 in medical institutions, and combines the characteristics and actual working conditions of centralized isolation sites for medical observation to carry out risk assessment of transmission for staff in different regions and different work links. Based on assessment, guidance will be given to infection control-related work, including organizational structure of infection prevention and control, site selection and layout, personnel protection, personnel closed-loop management, cleaning and disinfection, environmental monitoring of nucleic acid, personnel health monitoring, occupational exposure treatment, and judgement principle of cross infection.