Farkas Csaba Bence, Petrétei Dávid, Babinszky Gergely, Dudás Gábor, Szabó Gergő, Bognár Csaba, Jäckel Márta
Patológiai és Kórszövettani Diagnosztikai Osztály,Magyar Honvédség Egészségügyi KözpontBudapest, Róbert Károly krt. 44., 1134.
Rendészettudományi Kar,Nemzeti Közszolgálati EgyetemBudapest.
Orv Hetil. 2020 Apr 1;161(17):713-722. doi: 10.1556/650.2020.31818.
The outbreak caused by SARS-CoV-2 beta-coronavirus, first identified in Wuhan, China, was declared a pandemic by the World Health Organization on 11th March, 2020. In Hungary, the first confirmed COVID-19 case was reported on 4th March, 2020, and on 15th March, the first fatality related to the infection was announced. At the moment of the latter event, there was no central, standardized guideline, which could explain the necessary precautions, and provide an unequivocal description on how to handle the dead body. The procedure of transportation, storage, occurent autopsy or final disposition of the deceased raise a lot of questions, especially on how to carry out these tasks. Legislation related to infectious diseases and decedent management in general do not provide enough information on how to perform duties in a COVID-19 fatality case. The chief medical officer suspended the execution of autopsies, except in cases of unnatural death, since 19th March, however, the transportation and storage of fatalities can still be a problem. The Department of Pathology of the Healthcare Professional College of the Ministry of Human capacities published a procedure on recommended post-mortem duties on 21st March, but the suggested protocols only represent a narrow spectrum of international recommendations. Therefore supplementation may be necessary. Sadly, post-mortem protocols, in spite of their importance, are also underrepresented in the international literature. A further problem, wich makes adoptability difficult, is that available foreign guidelines and algorithms are optimized for different legislation, and organisations, resources not available in our country. In this article, besides providing a summary of literature, we would also like to make practical recommendations which may increase the safety of healthcare providers participating in the treatment or pathological duties with COVID-19 suspected, probable and confirmed cases. Orv Hetil. 2020; 161(17): 713–722.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）β冠状病毒引发的疫情最初在中国武汉被发现，2020年3月11日世界卫生组织宣布其为大流行病。在匈牙利，2020年3月4日报告了首例确诊的新冠病毒疾病（COVID-19）病例，3月15日宣布了首例与该感染相关的死亡病例。在后一事件发生时，没有中央标准化指南能够解释必要的预防措施，也无法明确说明如何处理尸体。死者的运输、储存、现场尸检或最终处置程序引发了许多问题，尤其是如何执行这些任务。一般而言，与传染病和死者管理相关的立法并未提供足够信息说明如何在COVID-19死亡病例中履行职责。自3月19日起，首席医疗官暂停了尸检的执行，但非自然死亡情况除外，然而，死者的运输和储存仍然可能是个问题。人力资源部医疗专业学院病理学系于3月21日发布了一份关于推荐的死后职责程序，但建议的方案仅代表了国际建议的一小部分。因此可能需要补充。遗憾的是，尽管死后程序很重要，但在国际文献中也未得到充分体现。另一个使采用变得困难的问题是，现有的国外指南和算法是针对不同的立法以及我国不存在的组织、资源进行优化的。在本文中，除了提供文献综述外，我们还希望提出实用建议，这可能会提高参与COVID-19疑似、可能和确诊病例治疗或病理职责的医护人员的安全性。《匈牙利医学周报》。2020年；161(17): 713–722。
