Kriegmair M C, Kowalewski K F, Lange B, Heininger A, Speck T, Haas H, Michel M S
Klinik für Urologie und Urochirurgie, Universitätsmedizin Mannheim, Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
Krankenhaushygiene, Universitätsmedizin Mannheim, Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
Urologe A. 2020 Apr;59(4):442-449. doi: 10.1007/s00120-020-01200-1.
The coronavirus pandemic is a major challenge for healthcare systems worldwide. For urology, the expansion of the health-care structures for the treatment of patients suffering from COVID-19 should be supported as best as possible. At the same time, one should aim to ensure adequate care for urological emergencies and urgent urological treatments as far as possible, even during the pandemic. For this, patients must be prioritized individually, alternative therapy concepts must be considered and regional and supraregional cooperation must be used. Outpatient departments are of great importance in the care, examination and coordination of urological emergencies and urgent treatment. Urological clinics must prepare themselves to perform urgent operations and interventions on SARS-CoV‑2-positive patients. Here, the creation of a separate, appropriately equipped emergency operating room to perform operations and interventions on SARS-CoV‑2 patients should be considered. Furthermore strictly defined hygiene measures to protect employees in various clinical scenarios should be set up.
冠状病毒大流行对全球医疗系统来说是一项重大挑战。对于泌尿外科而言,应尽可能地支持扩大针对新冠肺炎患者的医疗保健结构。与此同时,即便在大流行期间,也要尽可能确保对泌尿外科急症和紧急泌尿外科治疗给予充分的护理。为此,必须对患者进行个体优先排序,考虑替代治疗方案,并开展区域和跨区域合作。门诊部在泌尿外科急症和紧急治疗的护理、检查及协调方面至关重要。泌尿外科诊所必须做好准备,为感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的患者进行紧急手术和干预。在此,应考虑设立一个单独的、配备适当的急诊手术室,以便对感染SARS-CoV-2的患者进行手术和干预。此外,还应制定严格界定的卫生措施,以保护处于各种临床场景中的员工。