General office of the national health and family planning commission on strengthening medical institutions for the management of infectious diseases notification

Release date: 2017-03-22

Countries who do medical letter [2017] no. 250

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the xinjiang production and construction corps health bureau:

In order to further strengthen the infectious disease management work of medical institutions, and improve the diagnosis and treatment of infectious diseases management of medical institutions and the level of hospital infection management standardization, iatrogenic transmission control, protection of the people's health, regarding the required notice is as follows:

A, raise awareness, improve the construction of management system of infectious diseases

(a) understand deeply the significance of strengthening the infectious disease management work of medical institutions.

Infectious disease is a serious threat to people's health and the importance of social and public health disease. Medical institutions in the face of the complex number, patient, liquidity, and especially early patients of infectious diseases and infectious disease pathogen infection, illness concealed, infectivity is strong, such as found, not in time protection does not reach the designated position, the hospital infection management is not standard, easily lead to iatrogenic transmission of infectious diseases, can affect the health of the people's rights and interests, cause bad social influence. Strengthen infectious disease management work of medical institutions and patients with early detection of infectious diseases and infections, pertinence and treatment measures, in order to strengthen the management of hospital infection, avoid iatrogenic transmission, for ensuring the safety of patients and medical staff to raise the level of infectious disease prevention and control of health system, has the very vital significance.

Around the family planning administrative department of public health and medical institutions should conscientiously implement the national health and health conference spirit, improve the level of people's health, safeguard social stability development height, attaches great importance to the management of infectious diseases. To firmly establish a risk consciousness, responsibility consciousness, vigorously promotes the infectious disease management key link of medical institutions, to ensure that infectious diseases diagnosis and treatment of medical institutions management work orderly.

(2) perfect the infectious diseases prevention and treatment system.

Family planning administrative department of public health at all levels should further improve and refine the medical establishment that decide a dot of institution of disease prevention and control, infectious diseases, specialized subject of institution of disease prevention and control, comprehensive (specialist) and mission of the hospital and so on, a clear division of labor and work link connecting mechanism, to explore the infectious disease integrated management service mode. Secondary functions of the medical institutions to clear the prevention and treatment of infectious diseases management, strengthen the diagnosis and treatment of infectious diseases, referral, and information submitted to the infectious diseases prevention and control of relevant legal function of organization and management. The various medical institutions at various levels shall strengthen responsibility consciousness, to improve the recognition of infectious diseases and the screen at the beginning of first diagnosis ability, to do a good job of finding and reporting referral, and strengthen the hospital infection management, to prevent iatrogenic transmission. The medical establishment that decide a dot of infectious diseases, to improve the system of work of institution of disease prevention and control of the specialized subject, standardize the diagnosis and treatment of infectious diseases, constantly improve the standardization of diagnosis and treatment level. The various medical institutions at various levels shall actively cooperate with disease prevention and control departments, do a good job in detection and diagnosis of infectious diseases epidemic monitoring and information analysis report, epidemic disposal, epidemiological investigation and referral tracking, and health education of prevention and control of key crowd of organization to carry out the patients during treatment of normative management.

Second, strengthen overall infectious disease management work of medical institutions

(a) improve the system of medical institutions of infectious disease management specification. Various medical institutions at all levels to implement the law on the prevention and control of infectious diseases, HIV/AIDS prevention and control ordinance, the emergent public health event emergency ordinance and other laws and regulations and normative documents, combined with its own role localization, formulate infectious disease medical institutions preview isolation triage, diagnosis and treatment, the hospital infection management, reporting referral system specification and disposal plan and implement carefully.

(2) increase the intensity of detection of infectious diseases. All kinds of medical and health institutions at all levels should be in accordance with the relevant laws and regulations, to meet the needs of diagnosis and iatrogenic infection protection, strengthen the focus on infectious diseases such as AIDS, tuberculosis detection, found that patients with infectious diseases or pathogen carriers in time, and take the corresponding protective measures. Medical institutions do not have confirmed a condition, should be timely coordination of referral to the relevant designated hospitals for the re-inspection confirmed, or the patient specimens sent to the institution of disease prevention and control in time for testing.

Noncommunicable diseases, the medical establishment that decide a dot to timely coordination of patient referral to fixed-point medical institutions or specialized subject of institution of disease prevention and control of infectious diseases.

(3) the standard diagnosis and treatment, strengthening quality management. Institution of disease prevention and control of the medical establishment that decide a dot, specialized subject according to the diagnosis standards, guidelines, technical specifications and clinical pathway requirements, specification of related infectious diseases diagnosis and treatment, to carry out the review and follow-up examination, ensure to complete the full treatment, improve the cure rate. The family planning administrative department of public health at various levels shall improve the key infectious medical quality management mechanism, diagnosis and treatment of infectious diseases in the medical treatment quality control system, according to local actual, regulations, rules and concrete implementation scheme formulated.

(4) strengthen the hospital infection management, the control of iatrogenic transmission of infectious diseases. The family planning administrative department of public health at various levels shall incorporate the hospital infection management routine medical management content, various medical institutions at all levels should improve the system of hospital infection management, establish and improve the hospital infection management organization, clear department, personnel, and responsibility. Strict implementation of the prevention and treatment of infectious diseases related to hospital infection management, strengthen the fever clinics, diarrhea outpatient service and emergency treatment, blood transfusion, operating room, injection room, medical test lab, spread of infectious diseases such as risk management of higher department do area to differentiate clearly, process layout is reasonable, the protective facilities; Regulating medical workplace environment clean and reusable medical equipment management, strictly implement the standards for the prevention and aseptic operation procedures, standard operation, endoscopy, injection, blood and other invasive operation management; Strictly implement the regulations on the medical waste management requirements, to strengthen the standardized management of medical waste, medical waste to prevent environmental pollution and the risk of transmission of infectious diseases.

(5) in accordance with the law to do a good job of reporting of infectious diseases. Medical institutions according to the hospital infection outbreak report and disposal management norms "(who d ZhengFa [2009] no. 73) and" infectious disease report information management norms "(countries who do hair [2015] no. 53) for disease control requirements, such as the implementation of iatrogenic infection and infectious diseases reporting system, according to the principle of local administrator and initial diagnosis system, in accordance with the rules of information report in accordance with the law. The family planning administrative department of public health and medical institutions at all levels shall, in accordance with requirements of the informatization construction of overall, improve the level of informationization, improve the relevant technology, gradually realize the diagnosis and treatment of infectious diseases and infectious diseases reporting information system is safe and effective cohesion, ensure the timeliness, integrity and accuracy of the report data. The family planning administrative department of public health at all levels should strengthen the infectious disease report work training, supervising inspection and quality control, and to urge medical institutions to strictly implement the information security management of infectious diseases, improve the ability of prevention.

Third, increase the intensity of infectious disease management work of medical institutions guarantee

(a) to improve and implement policies on infectious disease management support of medical institutions. To enhance the support for medical institutions, to strengthen medical institutions infectious disease diagnostic capacity, capacity building and hospital infection management related equipment configuration. For medical institutions for the prevention and treatment of infectious diseases, information report and other public health function, to ensure allowance of infectious disease prevention and control personnel health and epidemic prevention and related funds in place. Relevant medical institutions, medical staff occupational exposure protection measures should be improved and the performance in title promotion, distribution, etc., to undertake the relevant medical staff of the management of infectious diseases in the tilt.

(2) to strengthen the personnel management and training medical institutions. Medical institutions should strengthen the administration of the medical personnel qualification shall be used for the health technical personnel engaged in medical and health care work. Around the family planning administrative department of public health and medical institutions must strengthen the management of infectious diseases, the hospital infection management, occupational exposure to prevent diagnostic criteria, guidelines and other relevant laws and regulations and professional knowledge skills training; Sterile operation to strengthen the medical staff basic theory, basic knowledge, basic skills training, combined with the medical staff the franco-prussian education, physicians standardized training and regular examination, etc., intensify supervision assessment, management of infectious disease, and improve the professional level, prevent the hospital infection risk.

(3) to develop infectious disease prevention and control of the popular science education. The family planning administrative department of public health at various levels shall constantly innovation methods, comprehensive, multidimensional infectious disease prevention and control knowledge of popular science education and the prevention and treatment of infectious diseases work propaganda, improve the public awareness of infectious diseases, create a good social atmosphere. Medical institutions to meet the needs of clinical work, in patients with infectious diseases, infections, and urogenital surgery patients and other key groups and susceptible with basic conditions, targeted to carry out publicity and education and communication, strengthen the propaganda education actual effect.

The family planning administrative department of public health at various levels shall strengthen the supervision of infectious disease management work of medical institutions and to ensure the implementation of all the work requirements. Screening for weak links, and supervise and urge the rectification, raise the level of infectious disease management work standardization of medical institutions. For violation of the relevant infectious disease management laws, regulations and technical specifications, the cause of iatrogenic infection of infectious diseases, to the related person should be handled in accordance with the law and serious according to regulation, and report timely and inform related situation.

General office of national health and family planning commission

On March 15, 2017