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当前放射科 COVID-19 感染控制与预防措施中的漏洞及改进建议。

Loopholes in Current Infection Control and Prevention Practices Against COVID-19 in Radiology Department and Improvement Suggestions.

机构信息

Department of Radiology, The First Affiliated Hospital of Shenzhen University, Health Science Center, 499778Shenzhen Second People's Hospital, Shenzhen, People's Republic of China.

Department of Radiology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, People's Republic of China.

出版信息

Can Assoc Radiol J. 2021 May;72(2):215-221. doi: 10.1177/0846537120916852. Epub 2020 Apr 13.

DOI:10.1177/0846537120916852
PMID:32281391
Abstract

OBJECTIVES

To improve the infection control and prevention practices against coronavirus disease 2019 (COVID-19) in radiology department through loophole identification and providing rectifying measurements.

METHODS

Retrospective analysis of 2 cases of health-care-associated COVID-19 transmission in 2 radiology departments and comparing the infection control and prevention practices against COVID-19 with the practices of our department, where no COVID-19 transmission has occurred.

RESULTS

Several loopholes have been identified in the infection control and prevention practices against COVID-19 of the 2 radiology departments. Loopholes were in large part due to our limited understanding of the highly contagious coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which is characterized by features not observed in other SARS viruses. We recommend to set up an isolation zone for handling patients who do not meet the diagnostic criteria of COVID-19 but are not completely cleared of the possibility of infection.

CONCLUSIONS

Loopholes in the infection control and prevention practices against COVID-19 of the 2 radiology departments are due to poor understanding of the emerging disease which can be fixed by establishing an isolation zone for patients not completely cleared of SARS-CoV-2 infection.

摘要

目的

通过识别漏洞并提供纠正措施,改进放射科针对 2019 年冠状病毒病(COVID-19)的感染控制和预防措施。

方法

回顾性分析 2 个放射科发生的 2 例医护相关性 COVID-19 传播病例,并将其 COVID-19 感染控制和预防措施与我们科(未发生 COVID-19 传播)的情况进行比较。

结果

在这 2 个放射科的 COVID-19 感染控制和预防措施中发现了几个漏洞。这些漏洞在很大程度上是由于我们对高传染性冠状病毒严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的了解有限,其特征是与其他 SARS 病毒不同。我们建议为不符合 COVID-19 诊断标准但尚未完全排除感染可能性的患者设立隔离区。

结论

这 2 个放射科的 COVID-19 感染控制和预防措施中的漏洞是由于对新发疾病的认识不足造成的,可以通过为尚未完全清除 SARS-CoV-2 感染的患者设立隔离区来解决。

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