About hospital infection prevention and control technology guidelines issued by the ebola hemorrhagic fever (first edition) 
 
 
The 2014-09-01 national health and population and family planning commission of the People's Republic of China
 
 
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Provinces, autonomous regions and municipalities directly under the central government health and family planning commission (health bureaus), the xinjiang production and construction corps health bureaus:
In order to strengthen the ebola haemorrhagic fever hospital infection prevention and control of the preparation, by commission to make a "ebola haemorrhagic fever hospital infection prevention and control technology guide (first edition)". Hereby printed and distributed to you, please refer to execution.
At the same time, by commission commissioned the Chinese hospital association of professional committee of the hospital infection management, to translate the world health organization (who) in August 2014, the latest medical institutions "suspected and confirmed filamentous hemorrhagic fever virus (with a focus on the ebola virus) infection prevention and control of the temporary guide, related links in the medical administration by commission website ever home page, for medical institutions to carry out the ebola haemorrhagic fever hospital infection prevention and control work as a reference. 

General office of national health and family planning commission
On August 27, 2014 

Ebola haemorrhagic fever hospital infection prevention and control technology guide (first edition) 

In order to strengthen the Ebola haemorrhagic Fever (which Hemorrhagic Fever) hospital infection prevention and control of the preparation, minimize the hospital infection risk, according to the law on the prevention and control of infectious diseases, "hospital infection management method" and other laws and regulations, formulate this technical guide.
One, the basic requirement of ebola haemorrhagic fever prevention and control
(a) the Ebola hemorrhagic fever is caused by the Ebola virus (which virus get) an acute hemorrhagic infectious disease. Mainly through contact with patients or infected animal's blood, body fluids, secretions, and waste and pollution and infection. Although has not yet been confirmed cases through sexual transmission and spread through the air, but should be vigilant, do a good job protection. Ebola haemorrhagic fever, there is no vaccine can prevent at present, the medical institution shall, according to the epidemiological characteristics of ebola haemorrhagic fever, in view of the source of infection, route of transmission, and vulnerable groups, combined with the actual situation, establish early warning mechanism, contingency plans and the work process.
(2) medical institutions shall be on the basis of the standard prevention contact isolation and droplet isolation measures.
(3) of a medical institution shall conduct clinical medical personnel training, request medical personnel grasp the diagnostic criteria of ebola haemorrhagic fever, hospital infection control and prevention related knowledge and technology, completes the personal protection.
(4) a medical institution shall do preview for fever patients triage work. Clinical doctors should according to the patients clinical symptoms and epidemiological history of illness, for under observation, suspected and confirmed cases in accordance with relevant provisions of the corresponding report. Strictly carry out initial clinical doctor system.
(5) the ebola haemorrhagic fever in patients with isolated areas should be strictly limited personnel, medical personnel should be relatively fixed.
(6) of a medical institution shall prepare medical personnel protection, disinfection measures necessary goods of reserves, protective equipment and related supplies shall comply with the relevant national requirements.
(7) a medical institution shall strictly follow the "technical standard for disinfection of medical institutions (WS/T 367-2012) requirements, do a good job in medical apparatus and instruments, surface and ground cleaning and disinfection.
(eight) ebola haemorrhagic fever ward were under observation units and fixed-point shall establish a strict visiting institutions, without escort. If you must visit, visitors should be in strict accordance with the provisions of personal protection.
Second, the management of ebola haemorrhagic fever patients and close contacts
(a) the management of ebola haemorrhagic fever patients.
1. Under observation, patients with suspected or confirmed strict contact isolation measures shall be taken to a single isolated; The fixed-point hospital shall timely transfer the patient to the hospital make a diagnosis and give treatment. For patients with suspected or confirmed, conditional should be placed in the negative pressure wards for diagnosis and treatment.
2. The diagnosis and treatment and nursing in patients with as much as possible the use of disposable supplies, according to the medical waste disposal after use; Must be repeated use of medical apparatus and instruments, appliances and items should be with 1000 mg/L chlorine disinfectant soaking after 30 minutes, then in accordance with normal procedures for processing. Patient discharge, waste, pollution and so on small area covering sterilization composition containing moisture absorption materials and absorbed by the medical waste disposal, then the corresponding environment and items of cleaning and disinfection; Covered a wide range of pollution, the preferred bleaching powder and liquid absorption after cleaning, pour into the sewage system.
 
3. The isolation ward disinfection work should follow the basic requirement of "technical standard for disinfection of medical institutions and principles. Stethoscope, thermometer, blood pressure monitor medical instruments should be dedicated to disinfect regularly. In case of pollution, disinfection at any time.
4. Ward surfaces such as ark of the head of a bed, faucet, doorknobs, and all sorts of mesa, etc., with 500 mg/L - 1000 mg/L of chlorine disinfectants accords with a requirement or other surface disinfectants, such as alcohols disinfectant wiping disinfection; The ground every day with 500 mg/L - 1000 mg/L chlorine disinfectant wet cleaning and disinfection. In case of pollution, disinfection at any time.
5. The patient's activities should be restricted within the isolation ward, if it is really necessary to leave the isolation ward or isolated areas, should take corresponding measures to prevent cross infection.
6. When patients discharged from hospital, transfer shall be in accordance with the requirements of the technical standard for disinfection of medical institutions to strictly terminal disinfection.
7. All of the patients with waste shall be deemed to be medical waste, strictly in accordance with the requirements of the "regulations on the administration of medical waste", double sealing, clearly marked. Shall timely airtight transhipment, related medical waste incineration treatment.
8 patients died after, shall reduce the handling and transportation. Body shall immediately after disinfection with double seal leakage items, cremation in a timely manner.
(2) medical institutions in the management of the close contacts.
Close contacts within the medical institutions in isolation immediately medical observation, isolation medical observation for the duration of exposure from the last time the date of 21 days.
Third, medical personnel protection
Medical staff should be in the standard prevention, on the basis of strict engagement isolated and droplet precautions. Specific include:
(a) in the process of diagnosis and treatment should be wearing latex gloves, medical protective mask, mask (goggles), wear protective clothing, shoes and shoe covers of waterproof boots or seal and other personal protective equipment, avoiding unprotected contact of the patient's blood, body fluids, secretions, feces, or by blood, body fluids, fecal contamination of objects and the environment; To reduce the use of needles and other sharp instrument as far as possible, the implementation of safe injection, correctly handle sharps, strictly prevent sharps injuries.
(2) medical personnel in and out of the isolation ward, shall follow the "technical specification for hospital isolation (WS/T 311-2009) of the relevant requirements, in strict accordance with the corresponding process, the right to wear protective equipment, focus on eyes, nose and oral cavity mucous membrane protection. Wear personal protective equipment, in order to reduce and avoid possible pollution measures process, suggest to wear a face mask to wear a hat, to ensure that the measures can finally remove mask; Goggles and face shield should be completed before the wear protective clothing, should first take off protective clothing again measures when measures of face protective equipment. After use, one-time use of protective equipment in strict accordance with the medical waste disposal, can reuse of protective equipment strictly follow the process of disinfection and sterilization.
(3) the medical personnel should strictly follow the medical staff hand hygiene standard (WS/T313-2009) requirements, timely correct hand hygiene.
(4) medical workers exposed to a patient's blood, body fluids, secretions, or waste, should immediately with water or soap and water thoroughly clean skin, with a 0.5% or 75% chlorhexidine iodine volts disinfectant alcohol to wipe disinfection. Mucous membrane application amount of saline flushing or 0.05% iodine volts wash; Menthods injury occurs, it shall timely disposed of in accordance with the processing process of the sharp injury; After exposure to the medical staff shall be carried out in accordance with the close contacts isolation medical observation.
(5) specimens shall do a good personal protection. Specimen of transhipment shall be carried out in accordance with the class A infectious material packing and shipping requirements, which shall be in compliance with biological danger tags, identification, transportation form, warning language and expressions of container, container should be placed in A waterproof, prevent breakage, leakage, high temperature resistant, resistant to high pressure of the outer packing, fill enough adsorption between main containers and packaging materials. Specimens from staff, car escorted to the specially designated by the family planning administrative department of public health laboratory, escort shall take the corresponding protective measures in the process.
(6) should be involved in the diagnosis and treatment of patients with the medical staff of health monitoring, once suspected symptoms or symptoms of infection, should be in isolation, make a diagnosis and give treatment and report immediately.