隔离病房、口罩和强化手卫生在肺部临床环境中预防医院获得性 COVID-19 传播的作用。
The role of isolation rooms, facemasks and intensified hand hygiene in the prevention of nosocomial COVID-19 transmission in a pulmonary clinical setting.
机构信息
Department of Respiratory and Critical Care Medicine, Zhongnan Hospital of Wuhan University, 169 Eastlake Road, Wuhan, 430071, China.
Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
出版信息
Infect Dis Poverty. 2020 Jul 23;9(1):104. doi: 10.1186/s40249-020-00725-z.
Abstract
From December 25, 2019 to January 31, 2020, 33 cases of the coronavirus disease 2019 (COVID-19) were identified in the Department of Respiratory and Critical Care Medicine of Zhongnan Hospital of Wuhan University, China, yet none of the affiliated HCWs was infected. Here we analyzed the infection control measures used in three different departments in the Zhongnan Hospital of Wuhan University and correlated the measures with the corresponding infection data of HCWs affiliated with these departments. We found that three infection control measures, namely the isolation of the presumed positive patients, the use of facemasks and intensified hand hygiene play important roles in preventing nosocomial transmission of COVID-19.
摘要
从 2019 年 12 月 25 日至 2020 年 1 月 31 日，中国武汉大学中南医院呼吸与危重症医学科共发现 33 例 2019 年冠状病毒病（COVID-19）病例，但该院附属医务人员均未感染。在这里，我们分析了武汉大学中南医院三个不同科室使用的感染控制措施，并将这些措施与这些科室附属的医务人员的相应感染数据进行了关联。我们发现，隔离疑似阳性患者、使用口罩和加强手卫生这三种感染控制措施在预防 COVID-19 医院内传播方面发挥了重要作用。
相似文献
1
The role of isolation rooms, facemasks and intensified hand hygiene in the prevention of nosocomial COVID-19 transmission in a pulmonary clinical setting.隔离病房、口罩和强化手卫生在肺部临床环境中预防医院获得性 COVID-19 传播的作用。
Infect Dis Poverty. 2020 Jul 23;9(1):104. doi: 10.1186/s40249-020-00725-z.
2
Preventing intrahospital transmission of COVID-19: Experience from the University Hospital Zurich in Switzerland.预防新型冠状病毒肺炎的院内传播：来自瑞士苏黎世大学医院的经验
S Afr Med J. 2020 Jun 25;110(8):709-710.
3
COVID-19 contagion and contamination through hands of trauma patients: what risks and what precautions?创伤患者手部导致的COVID-19传播与污染：有哪些风险及预防措施？
J Hosp Infect. 2020 Jun;105(2):354-355. doi: 10.1016/j.jhin.2020.03.037. Epub 2020 Apr 4.
4
Reducing hand recontamination of healthcare workers during COVID-19.在新型冠状病毒肺炎疫情期间减少医护人员手部再污染
Infect Control Hosp Epidemiol. 2020 Jul;41(7):870-871. doi: 10.1017/ice.2020.111. Epub 2020 Apr 6.
5
Airborne Transmission of Covid-19: Implications for Irish Hospitals.新冠病毒的空气传播：对爱尔兰医院的影响
Ir Med J. 2020 Jul 30;113(7):126.
6
Masks and Coronavirus Disease 2019 (COVID-19).口罩与2019冠状病毒病（COVID-19）
JAMA. 2020 May 26;323(20):2103. doi: 10.1001/jama.2020.6437.
7
[Hand hygiene and facemasks against COVID-19: Should we consider alternate strategies?].[手部卫生和口罩预防 COVID-19：我们是否应考虑其他策略？]
J Fr Ophtalmol. 2020 May;43(5):386-388. doi: 10.1016/j.jfo.2020.03.001. Epub 2020 Mar 31.
8
Environmental contamination of SARS-CoV-2 in healthcare premises.医疗场所中 SARS-CoV-2 的环境污染。
J Infect. 2020 Aug;81(2):e1-e5. doi: 10.1016/j.jinf.2020.04.034. Epub 2020 Apr 30.
9
Stopping the Spread of COVID-19.阻止新冠病毒的传播。
JAMA. 2020 Apr 21;323(15):1516. doi: 10.1001/jama.2020.4269.
10
Emergency management of 2019 novel coronavirus: implications for the dermatology department.2019 年新型冠状病毒的应急管理：对皮肤科的影响。
Br J Dermatol. 2020 Jun;182(6):e195. doi: 10.1111/bjd.19074.
引用本文的文献
1
Changes in infant respiratory pathogens pre-, during, and post-COVID-19 non-pharmacological interventions in Beijing.北京新冠疫情非药物干预措施实施前、期间及之后婴儿呼吸道病原体的变化
Ital J Pediatr. 2025 Jan 22;51(1):8. doi: 10.1186/s13052-025-01848-5.
2
Score of fear of COVID-19 and physical activity level are related to the habitual consumption of dietary supplements.对 COVID-19 的恐惧得分和身体活动水平与习惯性食用膳食补充剂有关。
PLoS One. 2024 Sep 6;19(9):e0307870. doi: 10.1371/journal.pone.0307870. eCollection 2024.
3
Association of institutional masking policies with healthcare-associated SARS-CoV-2 infections in Swiss acute care hospitals during the BA.4/5 wave (CH-SUR study): a retrospective observational study.瑞士急性护理医院在 BA.4/5 波期间机构口罩政策与医疗保健相关 SARS-CoV-2 感染的关联（CH-SUR 研究）：一项回顾性观察研究。
Antimicrob Resist Infect Control. 2024 Jun 18;13(1):64. doi: 10.1186/s13756-024-01422-4.
4
Assessing Stress and Anxiety in Firefighters During the Coronavirus Disease-2019 Pandemic: A Comparative Adaptation of the Stress and Anxiety in the Viral Epidemic-9 Items and Stress and Anxiety in the Viral Epidemics-6 Items Scales.评估2019冠状病毒病大流行期间消防员的压力和焦虑：《病毒流行期间的压力与焦虑-9项量表》和《病毒流行期间的压力与焦虑-6项量表》的比较改编版
Psychiatry Investig. 2023 Nov;20(11):1095-1102. doi: 10.30773/pi.2023.0260. Epub 2023 Nov 21.
5
Exposure risk management: Personal protective equipment and the risk of accidents occurring during aerosol generating procedures applied to COVID-19 patients.暴露风险管理：COVID-19 患者应用气溶胶生成程序时的个人防护设备和事故发生风险。
PLoS One. 2023 Mar 7;18(3):e0282673. doi: 10.1371/journal.pone.0282673. eCollection 2023.
6
A Cohort Study of Seroprevalence of Antibodies Against SARS-CoV-2 Infection Among Healthcare Workers at a Tertiary Hospital in Saudi Arabia.沙特阿拉伯一家三级医院医护人员中抗SARS-CoV-2感染抗体血清阳性率的队列研究。
Infect Drug Resist. 2022 Aug 10;15:4393-4406. doi: 10.2147/IDR.S369755. eCollection 2022.
7
Determining the Case Fatality Rate of COVID-19 in Italy: Novel Epidemiological Study.确定意大利 COVID-19 的病死率：一项新的流行病学研究。
JMIR Public Health Surveill. 2022 Feb 10;8(2):e32638. doi: 10.2196/32638.
8
Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method.重症监护病房的感染控制：使用德尔菲法对 SARS-CoV-2 的专家共识声明。
Lancet Infect Dis. 2022 Mar;22(3):e74-e87. doi: 10.1016/S1473-3099(21)00626-5. Epub 2021 Nov 10.
9
Update Alert 4: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers.最新警报4：医护人员感染冠状病毒的流行病学及危险因素
Ann Intern Med. 2020 Oct 20;173(8):143-144. doi: 10.7326/L20-1134. Epub 2020 Sep 11.
本文引用的文献
1
Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.2020 年 2 月，加利福尼亚州索拉诺县，在接触住院患者期间 COVID-19 向医护人员的传播。
MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):472-476. doi: 10.15585/mmwr.mm6915e5.
2
Risk Factors of Healthcare Workers With Coronavirus Disease 2019: A Retrospective Cohort Study in a Designated Hospital of Wuhan in China.2019冠状病毒病医护人员的危险因素：中国武汉一家定点医院的回顾性队列研究
Clin Infect Dis. 2020 Nov 19;71(16):2218-2221. doi: 10.1093/cid/ciaa287.
3
Clinical Characteristics of Coronavirus Disease 2019 in China.《中国 2019 年冠状病毒病临床特征》
N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.
4
Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China.《武汉 2019 年新型冠状病毒感染的肺炎 138 例住院患者临床特征分析》
JAMA. 2020 Mar 17;323(11):1061-1069. doi: 10.1001/jama.2020.1585.
5
Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany.德国一名无症状接触者传播2019新型冠状病毒感染
N Engl J Med. 2020 Mar 5;382(10):970-971. doi: 10.1056/NEJMc2001468. Epub 2020 Jan 30.
6
Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia.新型冠状病毒感染肺炎在中国武汉的早期传播动力学。
N Engl J Med. 2020 Mar 26;382(13):1199-1207. doi: 10.1056/NEJMoa2001316. Epub 2020 Jan 29.
7
Importation and Human-to-Human Transmission of a Novel Coronavirus in Vietnam.越南新型冠状病毒的输入及人传人情况
N Engl J Med. 2020 Feb 27;382(9):872-874. doi: 10.1056/NEJMc2001272. Epub 2020 Jan 28.
8
Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.中国武汉地区 2019 年新型冠状病毒感染患者的临床特征。
Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24.
9
A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster.一个涉及 2019 年新型冠状病毒的家庭聚集性肺炎病例，提示存在人际传播：一项家庭聚集性研究。
Lancet. 2020 Feb 15;395(10223):514-523. doi: 10.1016/S0140-6736(20)30154-9. Epub 2020 Jan 24.
10
Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America.成人社区获得性肺炎诊断和治疗。美国胸科学会和美国传染病学会的官方临床实践指南。
Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-e67. doi: 10.1164/rccm.201908-1581ST.
Zotero 插件