Abstract:

Objective To establish a consensus on the protection of high-risk nursing procedures of aerosol transmission in respiratory infectious diseases. Methods The consensus was preliminarily formed through combining relevant literature and the work experience of clinical nursing experts,and it was eventually confirmed by 2 rounds of Delphi expert consultations and expert meetings. Results The consensus included basic requirements for protec-tion and highlights of protection on 6 nursing procedures of high risk of aerosol transmission in respiratory infec-tious diseases. The basic requirements contained 3 aspects,including environmental control,personal protection,mana-gement and control. 6 nursing procedures were listed as following：oxygen inhalation,mechanical ventilation,sputum suction,atomization inhalation,throat swab collection,and cardiopulmonary resuscitation. Conclusion This scientific consensus was conducive to provide clinical guidance for the protection of aerosol-generating nursing procedures.

Key words: Respiratory Infectious Diseases, Aerosol, Nursing Care, Infection Control, Expert Consensus

摘要：

目的 制订呼吸道传染病产生气溶胶高风险护理操作防护专家共识（以下简称《共识》）。方法 查阅国内外相关文献,结合临床护理专家工作经验,通过2轮德尔菲专家咨询和专家会议,对《共识》内容进行调整。结果 《共识》包含防护基本要求和护理操作防护要点2个方面。防护基本要求从环境控制、个人防护、行政管控3个维度展开;涉及氧气吸入疗法、机械通气的护理、吸痰、雾化吸入、咽拭子采集、心肺复苏等6个产生气溶胶高风险护理操作防护要点。结论 《共识》具有一定的科学性,可为呼吸道传染病产生气溶胶高风险护理操作的防护提供临床指导。

关键词: 呼吸道传染病, 气溶胶, 护理, 感染控制, 专家共识