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尼泊尔医院对冠状病毒病的应对准备:一项全国性调查。

Preparedness for Coronavirus Disease in Hospitals of Nepal: A Nationwide Survey.

作者信息

Shrestha Gentle Sunder, Paneru Hem Raj, Acharya Subhash Prasad, Shrestha Sanjeet Krishna, Sigdel Mahesh Raj, Tiwari Sanjeeb, Yadav Bharat Kumar, Rijal Badri, Karki Lochan, Neupane Yogesh, Thapa Narmaya, Lakhey Sanjay

机构信息

Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Lalitpur.

出版信息

JNMA J Nepal Med Assoc. 2020 Apr 30;58(224):248-251. doi: 10.31729/jnma.4941.

Abstract

INTRODUCTION

Coronavirus disease pandemic has affected large number of people globally and has continued to spread. Preparedness of individual nations and the hospitals is important to effectively deal with the surge of cases. We aimed to obtain nation wide data from Nepal, about hospital preparedness for COVID-19.

METHODS

Online questionnaire was prepared in accordance with the Center for Disease Control recommendations to assess preparedness of hospitals for COVID-19. The questionnaire was circulated to the over 800 doctors across the nation, who are the life members of six medical societies.

RESULTS

We obtained 131 completed responses from all seven provinces. Majority of respondents had anaesthesiology as the primary specialty. Only 52 (39.7%) participants mentioned that their hospital had policy to receive suspected or proven cases with COVID-19. Presence of isolation ward was mentioned by 83 (63.4%) respondents, with only 9 (6.9%)mentioning the presence of airborne isolation. Supply of personal protective equipment (PPE) was inadequate as per 124 (94.7%) respondents. Critical care services for COVID-19 patients were possible only in hospitals of 42 (32.1%)respondents. RT-polymerase chain reaction could be performed only in the hospital of 6 (4.6%) respondents.

CONCLUSIONS

It is apparent that most of the hospitals are not well prepared for management of patients with COVID-19. Resource allocation and policy making should be aimed to enhance national preparedness for the pandemic.

摘要

引言

冠状病毒病大流行已在全球影响了大量人群,且仍在持续传播。各个国家及医院做好准备对于有效应对病例激增至关重要。我们旨在获取尼泊尔全国范围内关于医院对新冠病毒病准备情况的数据。

方法

根据疾病控制中心的建议编制了在线问卷,以评估医院对新冠病毒病的准备情况。该问卷分发给了全国800多名医生,他们是六个医学协会的终身会员。

结果

我们从所有七个省份获得了131份完整回复。大多数受访者的主要专业是麻醉学。只有52名(39.7%)参与者提到他们的医院有接收新冠病毒病疑似或确诊病例的政策。83名(63.4%)受访者提到有隔离病房,只有9名(6.9%)提到有空气传播隔离设施。根据124名(94.7%)受访者的说法,个人防护装备(PPE)供应不足。只有42名(32.1%)受访者所在的医院能够为新冠病毒病患者提供重症监护服务。只有6名(4.6%)受访者所在的医院能够进行逆转录聚合酶链反应。

结论

显然,大多数医院对新冠病毒病患者的管理准备不足。资源分配和政策制定应旨在加强国家对该大流行的准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/7580458/cadaf7e29a7f/JNMA-58-224-248-g1.jpg

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