Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minn.
Division of Hospital Internal Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minn.
Am J Med. 2020 Sep;133(9):1019-1024. doi: 10.1016/j.amjmed.2020.03.041. Epub 2020 Apr 25.
Since its emergence in December 2019, the virus known as severe acute respiratory syndrome coronavirus 2 has quickly caused a pandemic. This virus causes a disease now known as coronavirus disease 2019, or COVID-19. As an increasing proportion of the at-risk population becomes infected, and patients with severe illness are hospitalized, it is essential for hospitalists to remain current on how to best care for people with suspected or confirmed disease. Establishing a system for logistical planning, and accurate information sharing is strongly recommended. Infection control remains the ultimate goal. As such, health care workers should be educated on universal and isolation precautions, and the appropriate use of personal protective equipment. Social distancing should be encouraged to prevent the spread of infection, and creative and innovative ways to reduce contact may need to be considered. Moreover, it is imperative to prepare for contingencies as medical staff will inevitably get sick or become unavailable. Hospitalists have the difficult task of caring for patients while also adapting to the many logistical and social elements of a pandemic.
自 2019 年 12 月出现以来，这种被称为严重急性呼吸系统综合症冠状病毒 2 的病毒迅速引发了大流行。这种病毒导致了一种现在被称为 2019 年冠状病毒病，或 COVID-19 的疾病。随着高危人群中越来越多的人感染，以及重症患者住院，医院医生必须了解如何最好地照顾疑似或确诊疾病的患者。强烈建议建立后勤规划和准确信息共享的系统。感染控制仍然是最终目标。因此，应教育医护人员采取普遍和隔离预防措施，以及正确使用个人防护设备。应鼓励保持社交距离以防止感染传播，并需要考虑采用创造性和创新性的方法来减少接触。此外，必须为应急情况做好准备，因为医护人员不可避免地会生病或无法提供服务。医院医生的任务艰巨，既要照顾病人，又要适应大流行带来的许多后勤和社会因素。
