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2019年冠状病毒病大流行期间内镜中心交叉感染控制及工作流程体系的建立

Establishment of a system for control of cross-infection and workflow in endoscopy center during the pandemic of coronavirus disease 2019.

作者信息

Chen Yang, Shu Mei, Xiao Dinghua, Wang Xiaoyan

机构信息

Department of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha 410013, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2020 May 28;45(5):501-506. doi: 10.11817/j.issn.1672-7347.2020.200204.

DOI:10.11817/j.issn.1672-7347.2020.200204
PMID:32879097
Abstract

OBJECTIVES

To establish a system for control of cross-infection and workflow for preventing severe acute respiratory syndrome coronavirus 2 spread and ensuring the safety of medical staffs and patients in endoscopy center during the pandemic of the coronavirus disease 2019 (COVID-19).

METHODS

Based on the national publication of relevant documents and relevant guidance of Digestive Endoscopy Branch of Chinese Medical Association, we explored and optimized the workflow, staff protection and sterilization of endoscope in digestive endoscopy center during the pandemic of the COVID-19.

RESULTS

The prevention system of cross-infection and workflow in endoscopy during the pandemic of the COVID-19 were developed. The optimized workflow in endoscopy was conducted in 106 patients with necessary endoscopy from the Department of Gastroenterology, Third Xiangya Hospital, Central South University between January 24, 2020 and February 26, 2020, and no case of cross-infection was presented among the medical staffs, patients and family members.

CONCLUSIONS

Measures on control of cross-infection and workflow in digestive endoscopy center during the pandemic of the COVID-19 are effective, which are beneficial to preventing cross-infection in hospital and provide a scientific guidance for the general work in the digestive endoscopy centers during the pandemic of the COVID-19.

摘要

目的

建立一种交叉感染控制系统和工作流程,以防止严重急性呼吸综合征冠状病毒2传播,并在2019冠状病毒病(COVID-19)大流行期间确保内镜中心医护人员和患者的安全。

方法

基于国家发布的相关文件以及中华医学会消化内镜分会的相关指导意见,我们对COVID-19大流行期间消化内镜中心的工作流程、人员防护和内镜消毒进行了探索与优化。

结果

制定了COVID-19大流行期间内镜检查的交叉感染预防系统和工作流程。2020年1月24日至2020年2月26日期间,对中南大学湘雅三医院消化内科106例有必要进行内镜检查的患者实施了优化后的内镜检查工作流程,医护人员、患者及家属中均未出现交叉感染病例。

结论

COVID-19大流行期间消化内镜中心交叉感染控制措施及工作流程是有效的,有利于预防医院内交叉感染,为COVID-19大流行期间消化内镜中心的日常工作提供了科学指导。

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