Survey on the construction of the prevention and control system for emerging infectious diseases in maternal and child health institutions in Sichuan_West China Medical Journal

Authors：

ZHANG Jing ¹ , LIU Weixin ¹ , LI Qu ¹ , ZHAO Tianjing ¹ , LI Wenjia ¹ , YE Liwen ² ,  LUO Tongyong ¹

1. Department of Hospital Infection Control, Sichuan Provincial Maternity and Child Health Care Hospital, Chengdu, Sichuan 610045, P. R. China;
2. Department of Epidemiology and Statistics, School of Public Health, Chengdu Medical College, Chengdu, Sichuan 610599, P. R. China;

Corresponding?author：

LUO Tongyong, Email: whnic@msn.com

Keywords：

Maternal and child health institutions; emerging infectious diseases; prevention and control system

DOI：

10.7507/1002-0179.202401047

Video：

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Objective To investigate the organizational structure, routine management, emergency response, and material reserves related to the prevention and control of infectious diseases in maternal and child health institutions at all levels in Sichuan, and to understand the construction of emerging infectious diseases prevention and control system in maternal and child health institutions throughout the province. Methods We conducted a survey on the current situation of the epidemic prevention and control system in maternal and child health institutions using a self-developed questionnaire, which was conducted in October 2020 and July 2021, respectively. We conducted comparative analysis on the basic situation, the construction of emerging infectious disease prevention and control systems, and the setting and management of fever clinics/rooms of maternal and child health institutions at all levels in Sichuan in 2020 and 2021. Results In 2020, a total of 166 maternal and child health institutions participated in the survey, and 166 questionnaires were collected, including 17 at the provincial and municipal levels and 149 at the county level. In 2021, a total of 182 maternal and child health institutions participated in the survey, and 182 questionnaires were collected, including 17 at the provincial and municipal levels and 165 at the county level. In 2021, all levels of maternal and child health institutions in Sichuan had established epidemic prevention and control leadership groups. Compared with 2020, the construction of the emerging infectious disease prevention and control system in maternal and child health institutions at all levels in Sichuan in 2021 had improved to a certain extent in terms of establishing epidemic prevention and control leadership groups, hospital area three channel management, three-level pre-examination triage, inpatient area allocation, staff management, and patient management (P<0.05). Compared with 2020, fever clinics that met the requirements of three zones and two channels management, fever clinics that met the requirements of closed-loop management, and management of fever clinics/rooms in maternal and child health institutions at all levels in Sichuan in 2021 had improved to a certain extent (P<0.05). Conclusion Through strengthened construction during the epidemic prevention and control period, the construction of the emerging infectious disease prevention and control system in maternal and child health institutions in Sichuan has improved, but still faces continuous challenges in normalized prevention and control.

Citation： ZHANG Jing, LIU Weixin, LI Qu, ZHAO Tianjing, LI Wenjia, YE Liwen, LUO Tongyong. Survey on the construction of the prevention and control system for emerging infectious diseases in maternal and child health institutions in Sichuan. West China Medical Journal, 2024, 39(3): 440-444. doi: 10.7507/1002-0179.202401047 Copy

1.	Mostafavi E, Ghasemian A, Abdinasir A, et al. Emerging and re-emerging infectious diseases in the WHO eastern mediterranean region, 2001-2018. Int J Health Policy Manag, 2022, 11(8): 1286-1300.
2.	Mandato C, Colucci A, Vajro P. Emerging, re-emerging and/or atypically behaving infectious diseases. Acta Paediatr, 202, 112(6): 1145-1147.
3.	國家衛生健康委員會辦公廳, 國家中醫藥管理局辦公室. 新型冠狀病毒肺炎診療方案(試行第九版). 中國病毒病雜志, 2022, 12(3): 161-169.
4.	McClymont E, Albert AY, Alton GD, et al. Association of SARS-CoV-2 infection during pregnancy with maternal and perinatal outcomes. JAMA, 2022, 327(20): 1983-1991.
5.	Steiner ML, Cunha BCR, de Almeida JFM, et al. Evaluation of maternal fetal outcomes of pregnant women and mothers with suspected infection by SARS-CoV-2 treated at the municipal hospital of S?o Bernardo do Campo (HMU-SBC), Brazil. Matern Child Health J, 2023, 27(9): 1529-1539.
6.	楊維中, 張婷. 高度不確定新發傳染病的應對策略和措施. 中華流行病學雜志, 2022, 43(5): 627-633.
7.	Akande A. Emerging and re-emerging infectious agents of nosocomial diseases – the need for review of hospital policy and control strategies. Bayero J Pure Appl Sci, 2013, 5(2): 19-25.
8.	國家衛生健康委. 醫療機構內新型冠狀病毒感染預防與控制技術指南(第三版). 中國農村衛生, 2022, 14(1): 7-11.
9.	Otter JA, Newsholme W, Snell LB, et al. Evaluation of clinical harm associated with omicron hospital-onset COVID-19 infection. J Infect, 2023, 86(1): 29.
10.	劉敬濤, 何丹, 趙梓伶. 四川省市級婦幼保健機構發展能力分析. 中國婦幼保健, 2009, 24(30): 4207-4211.
11.	秦小平, 王傳清, 王荔, 等. 兒童醫院應對新型冠狀病毒感染肺炎疫情的防控能力調查分析. 中華醫院感染學雜志, 2020, 30(11): 1606-1609.
12.	李芹, 張靜, 王鶴蓉, 等. 四川省婦幼保健機構醫院感染管理體系現況研究. 華西醫學, 2021, 36(3): 362-368.
13.	馬月麗. 關于加強縣級婦幼保健機構的服務能力建設的探討. 世界最新醫學信息文摘(連續型電子期刊), 2019, 19(94): 242-243.
14.	胡敏敏, 姜立文, 劉晨紅, 等. 上海市二三級婦幼保健機構醫療服務能力現狀分析. 中國初級衛生保健, 2018, 32(11): 33-34.
15.	李碩, 姚希, 賈會學, 等. 全國婦幼保健機構醫院感染管理體系建設現況調查報告. 中國感染控制雜志, 2023, 22(11): 1298-1304.
16.	中國初級衛生保健基金會兒科專家委員會, 中國醫藥教育協會兒科專業委員會, 中國研究型醫院學會兒科學專業委員會, 等. 兒童醫院和婦幼保健院發熱門診運營情況調查. 中華實用兒科臨床雜志, 2023, 38(12): 921-926.
17.	王佳欣, 吳浩, 趙京偉, 等. 重大傳染病疫情應急能力評價指標研究現狀. 中華全科醫學, 2023, 21(11): 1928-1931.
18.	呂佩源, 高文娟, 何其慧. 常態化疫情防控下綜合醫院無癥狀感染者防控體系的構建與完善. 中國醫院管理, 2020, 40(6): 41-42.
19.	呂佩源, 宋春風, 宋艷梅, 等. 新冠肺炎聚集性疫情形勢下綜合醫院防控工作再提升. 中國醫院管理, 2021, 41(5): 91-93.
20.	中華醫學會急診醫學分會, 中國醫師協會急診醫師分會, 解放軍急救醫學專業委員會, 等. 新型冠狀病毒肺炎疫情常態化防控形勢下急危重癥患者急診預檢分診與救治專家共識. 中華急診醫學雜志, 2022, 31(3): 297-302.

1. Mostafavi E, Ghasemian A, Abdinasir A, et al. Emerging and re-emerging infectious diseases in the WHO eastern mediterranean region, 2001-2018. Int J Health Policy Manag, 2022, 11(8): 1286-1300.
2. Mandato C, Colucci A, Vajro P. Emerging, re-emerging and/or atypically behaving infectious diseases. Acta Paediatr, 202, 112(6): 1145-1147.
3. 國家衛生健康委員會辦公廳, 國家中醫藥管理局辦公室. 新型冠狀病毒肺炎診療方案(試行第九版). 中國病毒病雜志, 2022, 12(3): 161-169.
4. McClymont E, Albert AY, Alton GD, et al. Association of SARS-CoV-2 infection during pregnancy with maternal and perinatal outcomes. JAMA, 2022, 327(20): 1983-1991.
5. Steiner ML, Cunha BCR, de Almeida JFM, et al. Evaluation of maternal fetal outcomes of pregnant women and mothers with suspected infection by SARS-CoV-2 treated at the municipal hospital of S?o Bernardo do Campo (HMU-SBC), Brazil. Matern Child Health J, 2023, 27(9): 1529-1539.
6. 楊維中, 張婷. 高度不確定新發傳染病的應對策略和措施. 中華流行病學雜志, 2022, 43(5): 627-633.
7. Akande A. Emerging and re-emerging infectious agents of nosocomial diseases – the need for review of hospital policy and control strategies. Bayero J Pure Appl Sci, 2013, 5(2): 19-25.
8. 國家衛生健康委. 醫療機構內新型冠狀病毒感染預防與控制技術指南(第三版). 中國農村衛生, 2022, 14(1): 7-11.
9. Otter JA, Newsholme W, Snell LB, et al. Evaluation of clinical harm associated with omicron hospital-onset COVID-19 infection. J Infect, 2023, 86(1): 29.
10. 劉敬濤, 何丹, 趙梓伶. 四川省市級婦幼保健機構發展能力分析. 中國婦幼保健, 2009, 24(30): 4207-4211.
11. 秦小平, 王傳清, 王荔, 等. 兒童醫院應對新型冠狀病毒感染肺炎疫情的防控能力調查分析. 中華醫院感染學雜志, 2020, 30(11): 1606-1609.
12. 李芹, 張靜, 王鶴蓉, 等. 四川省婦幼保健機構醫院感染管理體系現況研究. 華西醫學, 2021, 36(3): 362-368.
13. 馬月麗. 關于加強縣級婦幼保健機構的服務能力建設的探討. 世界最新醫學信息文摘(連續型電子期刊), 2019, 19(94): 242-243.
14. 胡敏敏, 姜立文, 劉晨紅, 等. 上海市二三級婦幼保健機構醫療服務能力現狀分析. 中國初級衛生保健, 2018, 32(11): 33-34.
15. 李碩, 姚希, 賈會學, 等. 全國婦幼保健機構醫院感染管理體系建設現況調查報告. 中國感染控制雜志, 2023, 22(11): 1298-1304.
16. 中國初級衛生保健基金會兒科專家委員會, 中國醫藥教育協會兒科專業委員會, 中國研究型醫院學會兒科學專業委員會, 等. 兒童醫院和婦幼保健院發熱門診運營情況調查. 中華實用兒科臨床雜志, 2023, 38(12): 921-926.
17. 王佳欣, 吳浩, 趙京偉, 等. 重大傳染病疫情應急能力評價指標研究現狀. 中華全科醫學, 2023, 21(11): 1928-1931.
18. 呂佩源, 高文娟, 何其慧. 常態化疫情防控下綜合醫院無癥狀感染者防控體系的構建與完善. 中國醫院管理, 2020, 40(6): 41-42.
19. 呂佩源, 宋春風, 宋艷梅, 等. 新冠肺炎聚集性疫情形勢下綜合醫院防控工作再提升. 中國醫院管理, 2021, 41(5): 91-93.
20. 中華醫學會急診醫學分會, 中國醫師協會急診醫師分會, 解放軍急救醫學專業委員會, 等. 新型冠狀病毒肺炎疫情常態化防控形勢下急危重癥患者急診預檢分診與救治專家共識. 中華急診醫學雜志, 2022, 31(3): 297-302.

West China Medical Journal

Survey on the construction of the prevention and control system for emerging infectious diseases in maternal and child health institutions in Sichuan

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