Clinical Lab, Sichuan National Emergency Medical Rescue Team/Sichuan Academy of Medical Sciences Sichuan Provincial Peoples Hospital (East), Chengdu, 610100, P.R. China.
Sichuan National Emergency Medical Rescue Team/Sichuan Academy of Medical Sciences Sichuan Provincial Peoples Hospital (East), Chengdu, P.R. China.
Clin Chem Lab Med. 2020 Jun 25;58(7):1077-1080. doi: 10.1515/cclm-2020-0332.
An outbreak of the so-called Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2), has been spreading rapidly nationwide in China since December 2019. Wuhan, Hubei Province, is the hardest-hit region, with a rise in confirmed cases and its hospitals overwhelmed. On 2nd February, 2020, Wuhan began to build a modular hospital to treat patients caught with mild illness. The mobile modular hospital is mainly composed of medical modules, technical support modules, ward units, living support units and transportation capacity under field conditions, and there are complete equipment and specialized personnel to treat patients. Due to the severity and particularity of SARS-CoV-2, taking granted from lessons learnt from mobile modular hospitals, we use the existing large venues to construct a new fixed modular hospital. As patients need to be treated and tested, it is important to develop a clinical laboratory in the modular hospital and ensure biosafety. The construction of a clinical laboratory in the modular hospital is faced with problems such as time pressure, limited site selection, high level of biosafety, lack of experience and so forth. This paper mainly discusses how to construct the clinical laboratory in the modular hospital quickly and safely and put it into use to provide testing service for patients under various limited conditions.
自 2019 年 12 月以来，中国湖北省武汉市爆发了由严重急性呼吸系统综合征冠状病毒 2 型（SARS-CoV-2）引起的所谓 2019 年冠状病毒病（COVID-19）疫情。湖北省武汉市是受疫情影响最严重的地区，确诊病例不断增加，医院人满为患。2020 年 2 月 2 日，武汉开始建造一座用于治疗轻症患者的模块化医院。移动模块化医院主要由医疗模块、技术支持模块、病房单元、生活支持单元和野战条件下的运输能力组成，有完整的设备和专门的人员来治疗患者。由于 SARS-CoV-2 的严重性和特殊性，我们不能想当然地认为从移动模块化医院学到了经验，因此在现有大型场馆中建造了一座新的固定模块化医院。由于需要对患者进行治疗和检测，因此在模块化医院中建立临床实验室并确保生物安全非常重要。模块化医院临床实验室的建设面临着时间紧迫、场地选择有限、生物安全水平高、缺乏经验等诸多问题。本文主要探讨如何在各种有限条件下快速、安全地建造模块化医院临床实验室并投入使用，为患者提供检测服务。
