北京市某区医院感染控制及流感大流行应对准备现状调查

目的 了解医院应对流感大流行的能力。方法 通过现场调查方法调查6家二级及以上医院和5家一级医院。结果 (1)二级及以上医院呼吸相关科室医生218人（14.15 %），护士314人（19.26%），病床数469张（19.68%），呼吸机27台(36.99%);一级医院呼吸相关科室医生29人（14.79%），护士24人（35.29 %），病床数53张(22.27%); 呼吸相关科室医护人员比例除1家外，其余均低于1：2； 2家医院ICU病床数占整个医院总床数比例低于2%。(2)5家二级及以上医院设置了呼吸相关科室，5家一级医院设置了传染病接诊室。所有医院均能提供口罩和手套，棉纱口罩和N95口罩各有4家医院（36.36%）能够提供，部分医院能够提供洗手设备和洗手用品；2家医院为职工（18.18%）医院接种流感疫苗。(3)10家（91.91%）医院只储备部分个人防护用品，3家（27.27%）储备抗病毒药物。结论 目前医院应对流感大流行的能力有限。

The Survey to Infection Control and Influenza Pandemic Preparedness of a District in Beijing

Objective Learning the hospital capacity to cope with an influenza pandemic .Methods 6 hospitals of second-level and the above, and 5 first-level hospitals are investigated through the spot investigation methods. Results (1)There are 218 doctors(account for 14.15 %), 314 nurses(account for 19.26 %), 469 hospital beds (account for 19.68 %), 27 Ventilators (account for 36.99 %) of Respiratory-related sections in second-level and the above hospitals; there are 29 doctors(account for 14.79 %), 24 nurses(account for 35.29%), 53 hospital beds (account for 22.27 %)of Respiratory-related sections in first-level hospitals; doctor to nurse ratio is below 1:2 except one hospital ; ICU beds in two hospital accounting for the total proportion of the hospital are less than 2% . (2)Five hospitals of second-level and the above set up Respiratory-related sections; five hospitals of first-level set up Infectious Diseases Clinic Access. All hospitals can provide masks and gloves.Cotton masks and N95 masks can be provided in four hospitals(36.36%) respectively.Some hospitals can provide hand-washing facilities and hand-washing supplies; two hospitals (18.18%) take influenza vaccination for workers.(3)Ten hospitals (91.91%) only reserve part of the Personal Protective Equipment, and three hospitals (27.27%) reserve antiviral drugs. Conclusion Hospital response to pandemic influenza is currently in a limited capacity.