Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Department of Obstetrics and Gynecology, Tufts University Medical School, Boston, MA.
Am J Obstet Gynecol. 2020 Jul;223(1):3-8. doi: 10.1016/j.ajog.2020.05.024. Epub 2020 May 15.
Since December 2019, the outbreak of novel coronavirus disease 2019 became a major epidemic threat in China and later spread worldwide. During the coronavirus disease 2019 outbreak in mainland China, the Chinese Obstetricians and Gynecologists Association distributed guidelines regarding the care of gynecologic patients. These guidelines were developed by the Department of Obstetrics and Gynecology at the Peking Union Medical College Hospital and represent an effort to integrate infection control strategy and promote professionalism in medical practice. The guidelines represent collaboration with experts from 31 provinces and autonomous regions of mainland China over 2 weeks' time. With the implementation of these guidelines, no nosocomial infections of coronavirus disease 2019 have been identified at the Peking Union Medical College Hospital. We think these guidelines might be helpful to departments of obstetrics and gynecology internationally during these unprecedented times. In our guidelines, we describe basic infection precaution principles, an epidemiologic screening tool, prioritization of surgical procedures, and operating room requirements. Using these principles, we then review the management of gynecologic patients during the coronavirus disease 2019 epidemic in the outpatient and operative and nonoperative inpatient settings and in clinical trials.
自 2019 年 12 月以来，新型冠状病毒病 2019 疫情在中国爆发，成为主要的流行威胁，随后在全球范围内蔓延。在中国大陆的冠状病毒病 2019 疫情期间，中国妇产科医师协会发布了妇科患者护理指南。这些指南由北京协和医学院医院妇产科制定，旨在整合感染控制策略并促进医学实践的专业化。这些指南是与来自中国大陆 31 个省、自治区和直辖市的专家合作制定的，历时两周。这些指南的实施使北京协和医学院医院没有发生冠状病毒病 2019 的医院感染。我们认为，在这个前所未有的时期，这些指南可能对国际妇产科有所帮助。在我们的指南中，我们描述了基本的感染预防原则、流行病学筛查工具、手术程序的优先级和手术室要求。然后，我们使用这些原则回顾了在冠状病毒病 2019 流行期间在门诊和手术及非手术住院患者环境以及临床试验中对妇科患者的管理。
