Donà Daniele, Giaquinto Carlo, Baraldi Eugenio, Biffi Alessandra, Gamba Piergiorgio, Saieva Anna Maria, Antoniello Luca, Costenaro Paola, Masiero Susanna, Sainati Laura, Da Dalt Liviana, Perilongo Giorgio
Division of Pediatric Infectious Diseases, Department of Women's and Children's Health, University of Padua, Via Giustiniani 3, 35128 Padua, Italy.
Neonatal Intensive Care Unit, Department of Women's and Children's Health, University of Padua, Via Giustiniani 3, 35128 Padua, Italy.
Healthcare (Basel). 2020 Sep 1;8(3):311. doi: 10.3390/healthcare8030311.
Since February 2020, Italy has been faced with the dramatic spread of novel Coronavirus SARS-CoV-2. This impetuous pandemic infection forced many hospitals to reorganize their healthcare systems. Predicting a rapid spread of the SARS-CoV-2 virus within our region, the Department for Women's and Children's Health promptly decided (i) to revise the distribution of the clinical areas in order to create both designated COVID-19 and COVID-19-free areas with their own access, (ii) to reinforce infection prevention control (IPC) measures for all healthcare workers and administrative staff and (iii) to adopt the new "double-gate approach": a phone call pre-triage and nasopharyngeal swab for SARS-CoV-2 detection before the admission of all patients and caregivers. Between 21 February 2020 till 04 May 2020, only seven physicians, two nurses and two of the administrative staff resulted positive, all during the first week of March. No other cases of intra-department infection were documented among the healthcare workers since all the preventive procedures described above were implemented. It is predicted that similar situations can happen again in the future, and thus, it is necessary to be more prepared to deal with them than we were at the beginning of this COVID-19 pandemic.
自2020年2月以来，意大利一直面临新型冠状病毒SARS-CoV-2的急剧传播。这场迅猛的大流行感染迫使许多医院重新组织其医疗系统。由于预测到SARS-CoV-2病毒将在我们所在地区迅速传播，妇女和儿童健康部迅速做出决定：(i) 修订临床区域的分布，以创建既有指定的COVID-19区域又有非COVID-19区域，且各有独立通道；(ii) 加强对所有医护人员和行政人员的感染预防控制（IPC）措施；(iii) 采用新的“双门方法”：在所有患者和护理人员入院前进行电话预分诊和鼻咽拭子检测以检测SARS-CoV-2。在2020年2月21日至2020年5月4日期间，仅有7名医生、2名护士和2名行政人员检测呈阳性，均发生在3月的第一周。自实施上述所有预防措施以来，医护人员中未记录到其他部门内感染病例。预计未来可能再次出现类似情况，因此，有必要比在此次COVID-19大流行开始时更有准备地应对这些情况。
