You Jianping,Zhang Bo,Liu Lei,Song Caiping.Necessity of enhancing personal protective equipment for Ebola isolation wards[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):300-303.
You Jianping,Zhang Bo,Liu Lei,Song Caiping.Necessity of enhancing personal protective equipment for Ebola isolation wards[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):300-303.DOI:
Necessity of enhancing personal protective equipment for Ebola isolation wards
PPE)是有效保护自身安全的极其重要的环节,在装备的选择和使用流程上,WHO和中国疾病预防控制中心(center for disease control and prevention,CDC)均提出了建议和指南。我国首批派出的解放军成建制赴利比里亚医疗队在相关指南基础上,制定了更为严格的个人防护装备(personal protection equipment,PPE)防护装备和防护措施。通过队员们在利比里亚医院的实践探索,我们将指南推荐必要时采用的第3层防护装备修改为必备装备,同时增加了部分防护要素。改进后的PPE防护装备和防护要求略显繁琐和耗时,但在实施的过程中能被队员普遍接受,并在治疗过程中完全实现了医务人员“零感染”的目标。在烈性传染病暴发流行时,稍微过度的防护措施能更好地保护医务人员自身的安全。
Abstract
In the fighting against Ebola virus disease (EVD)
the health-care workers (HCWs) in the frontline are of high risk of Ebola virus infection. Therefore
appropriate equipment and usage of personal protective equipment (PPE) become a most important and key step for effective protection of the HCWs selves. For equipment selection and usage process
both the World Health Organization and the Center of Disease Control and Prevention of China provided suggestions and guidelines about the PPE protocols against Ebola virus. Based on above mentioned documents
the Medical Contingent of the Chinese PLA to Liberia
who independently established the China Ebola Treatment Center (ETC)
developed stricter PPE protocols and procedures. Based on the exploration and practice by the contingent members
we changed the third layer of PPE only when need into the necessary equipment. Moreover
additional equipment of protection equipment was also included in above updated protocols. Compared with available protocols
although our developed protocols showed a little bit of tedious and time-consuming
they were much more effective in practice and widely accepted by both China and Liberia local staffs. By application of the above described protocols
we achieved our goal of “zero infectious rate”
which indicate that appropriate enhancement of PPE would exert more protective effects in the fighting against high infectious pathogens.