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.	国家卫生健康委员会办公厅, 国家中医药管理局办公室. 新型冠状病毒肺炎诊疗方案(试行第九版). 中国病毒病杂志, 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 São Bernardo do Campo (HMU-SBC), Brazil. Matern Child Health J, 2023, 27(9): 1529-1539.
6.	杨维中, 张婷. 高度不确定新发传染病的应对策略和措施. 中华流行病学杂志, 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.	国家卫生健康委. 医疗机构内新型冠状病毒感染预防与控制技术指南(第三版). 中国农村卫生, 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.	刘敬涛, 何丹, 赵梓伶. 四川省市级妇幼保健机构发展能力分析. 中国妇幼保健, 2009, 24(30): 4207-4211.
11.	秦小平, 王传清, 王荔, 等. 儿童医院应对新型冠状病毒感染肺炎疫情的防控能力调查分析. 中华医院感染学杂志, 2020, 30(11): 1606-1609.
12.	李芹, 张静, 王鹤蓉, 等. 四川省妇幼保健机构医院感染管理体系现况研究. 华西医学, 2021, 36(3): 362-368.
13.	马月丽. 关于加强县级妇幼保健机构的服务能力建设的探讨. 世界最新医学信息文摘(连续型电子期刊), 2019, 19(94): 242-243.
14.	胡敏敏, 姜立文, 刘晨红, 等. 上海市二三级妇幼保健机构医疗服务能力现状分析. 中国初级卫生保健, 2018, 32(11): 33-34.
15.	李硕, 姚希, 贾会学, 等. 全国妇幼保健机构医院感染管理体系建设现况调查报告. 中国感染控制杂志, 2023, 22(11): 1298-1304.
16.	中国初级卫生保健基金会儿科专家委员会, 中国医药教育协会儿科专业委员会, 中国研究型医院学会儿科学专业委员会, 等. 儿童医院和妇幼保健院发热门诊运营情况调查. 中华实用儿科临床杂志, 2023, 38(12): 921-926.
17.	王佳欣, 吴浩, 赵京伟, 等. 重大传染病疫情应急能力评价指标研究现状. 中华全科医学, 2023, 21(11): 1928-1931.
18.	吕佩源, 高文娟, 何其慧. 常态化疫情防控下综合医院无症状感染者防控体系的构建与完善. 中国医院管理, 2020, 40(6): 41-42.
19.	吕佩源, 宋春风, 宋艳梅, 等. 新冠肺炎聚集性疫情形势下综合医院防控工作再提升. 中国医院管理, 2021, 41(5): 91-93.
20.	中华医学会急诊医学分会, 中国医师协会急诊医师分会, 解放军急救医学专业委员会, 等. 新型冠状病毒肺炎疫情常态化防控形势下急危重症患者急诊预检分诊与救治专家共识. 中华急诊医学杂志, 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. 国家卫生健康委员会办公厅, 国家中医药管理局办公室. 新型冠状病毒肺炎诊疗方案(试行第九版). 中国病毒病杂志, 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 São Bernardo do Campo (HMU-SBC), Brazil. Matern Child Health J, 2023, 27(9): 1529-1539.
6. 杨维中, 张婷. 高度不确定新发传染病的应对策略和措施. 中华流行病学杂志, 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. 国家卫生健康委. 医疗机构内新型冠状病毒感染预防与控制技术指南(第三版). 中国农村卫生, 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. 刘敬涛, 何丹, 赵梓伶. 四川省市级妇幼保健机构发展能力分析. 中国妇幼保健, 2009, 24(30): 4207-4211.
11. 秦小平, 王传清, 王荔, 等. 儿童医院应对新型冠状病毒感染肺炎疫情的防控能力调查分析. 中华医院感染学杂志, 2020, 30(11): 1606-1609.
12. 李芹, 张静, 王鹤蓉, 等. 四川省妇幼保健机构医院感染管理体系现况研究. 华西医学, 2021, 36(3): 362-368.
13. 马月丽. 关于加强县级妇幼保健机构的服务能力建设的探讨. 世界最新医学信息文摘(连续型电子期刊), 2019, 19(94): 242-243.
14. 胡敏敏, 姜立文, 刘晨红, 等. 上海市二三级妇幼保健机构医疗服务能力现状分析. 中国初级卫生保健, 2018, 32(11): 33-34.
15. 李硕, 姚希, 贾会学, 等. 全国妇幼保健机构医院感染管理体系建设现况调查报告. 中国感染控制杂志, 2023, 22(11): 1298-1304.
16. 中国初级卫生保健基金会儿科专家委员会, 中国医药教育协会儿科专业委员会, 中国研究型医院学会儿科学专业委员会, 等. 儿童医院和妇幼保健院发热门诊运营情况调查. 中华实用儿科临床杂志, 2023, 38(12): 921-926.
17. 王佳欣, 吴浩, 赵京伟, 等. 重大传染病疫情应急能力评价指标研究现状. 中华全科医学, 2023, 21(11): 1928-1931.
18. 吕佩源, 高文娟, 何其慧. 常态化疫情防控下综合医院无症状感染者防控体系的构建与完善. 中国医院管理, 2020, 40(6): 41-42.
19. 吕佩源, 宋春风, 宋艳梅, 等. 新冠肺炎聚集性疫情形势下综合医院防控工作再提升. 中国医院管理, 2021, 41(5): 91-93.
20. 中华医学会急诊医学分会, 中国医师协会急诊医师分会, 解放军急救医学专业委员会, 等. 新型冠状病毒肺炎疫情常态化防控形势下急危重症患者急诊预检分诊与救治专家共识. 中华急诊医学杂志, 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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