Division of Infectious Diseases, Department of Internal Medicine, Gil Medical Center, Gachon University School of Medicine, Incheon, Republic of Korea.
Unit of Infection Control, Gil Medical Center, Gachon University School of Medicine, Incheon, Republic of Korea.
Disaster Med Public Health Prep. 2021 Feb;15(1):e1-e5. doi: 10.1017/dmp.2020.199. Epub 2020 Jun 22.
Here, we present an overview of how a tertiary hospital responded to maintain necessary activities and protect patients and staff from the coronavirus disease (COVID-19) outbreak.
Gil Medical Center, a tertiary hospital in Incheon, has operated a special response team since January 21, 2020. All visitors were assessed for body temperature and respiratory symptoms, and screened for recent overseas travel. Suspected COVID-19 patients were taken to a screening clinic. All febrile patients with or without respiratory symptoms were taken to a respiratory safety clinic. An isolation ward, which consisted of 10 negative-pressure rooms, was used to treat confirmed cases. More than 120 beds were prepared for the outbreak, and patients with pneumonia were preemptively isolated.
By May 5, 480 960 visitors were assessed at the control station, 3350 patients visited the triage center, and 1794 were treated in the respiratory safety clinic. Seventeen confirmed cases were admitted to the negative isolation ward, and 350 patients with pneumonia were preemptively isolated. A total of 2977 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction tests were performed.
While tertiary hospitals play an important role in treating both COVID-19 patients and non-COVID-19 patients, hospital staff have to protect themselves from unexpected in-hospital transmission. A multifaceted response must be undertaken to protect tertiary hospitals and their staff during the COVID-19 epidemic.
本文概述了一家三级医院如何应对新冠疫情，以维持必要的医疗服务，并保护患者和员工免受新冠病毒的侵害。
仁川的吉尔医疗中心自 2020 年 1 月 21 日起设立了一个特别应对小组。所有访客均接受体温和呼吸道症状评估，并筛查近期的境外旅行史。疑似新冠患者被送往筛查诊所。所有有或无呼吸道症状的发热患者被送往呼吸道安全诊所。一个包含 10 间负压病房的隔离病房用于治疗确诊病例。为应对疫情准备了 120 多张床位，并对肺炎患者进行了预先隔离。
截至 5 月 5 日，控制站共评估了 480960 名访客，3350 名患者前往分诊中心，1794 名患者在呼吸道安全诊所接受治疗。17 例确诊病例被收治在负压隔离病房，350 名肺炎患者被预先隔离。共进行了 2977 次严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）聚合酶链反应检测。
虽然三级医院在治疗新冠患者和非新冠患者方面发挥着重要作用，但医院工作人员必须保护自己免受院内意外传播的影响。在新冠疫情期间，必须采取多方面的措施来保护三级医院及其工作人员。
