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基于 COVID-19 疫情期间阻断感染链的综合性医院急诊科管理实践。

Management practices of emergency departments in general hospitals based on blockage of chain of infection during a COVID-19 epidemic.

机构信息

Medical Affairs Department, Peking University First Hospital, Beijing, China.

Emergency Department, Peking University First Hospital, Beijing, China.

出版信息

Intern Emerg Med. 2020 Nov;15(8):1545-1552. doi: 10.1007/s11739-020-02499-6. Epub 2020 Sep 18.

Abstract

In a Coronavirus disease 2019 (COVID-19) epidemic, management of the emergency department is a difficult task in terms of prevention and control of the disease in general hospitals. On top of meeting urgent needs of patients for medical treatment, the emergency department also has to devote resources into investigation and prevention of COVID-19. At the beginning of the epidemic, with the strategy to intercept the chain of infection, Peking University First Hospital (PKUFH) focused on three important aspects: controlling the source of infection, cutting off the route of transmission, and protecting vulnerable populations, to expeditiously draft scientific and proper management measures for the emergency department, followed by real-time dynamic adjustments based on the development trend of the epidemic. These measures effectively ensured a smooth, orderly and safe operation of the emergency department. As of the writing of this manuscript, there has been no active COVID-19 infection in patients and medical staff in the emergency department, and no infection in patients admitted to PKUFH through the emergency department. This study describes the prevention and control measures in the emergency department of PKUFH during the outbreak of COVID-19, aiming to provide some reference for domestic and international medical institutions.

摘要

在 2019 冠状病毒病(COVID-19)疫情期间,综合医院的急诊科在疾病防控方面面临着艰巨的任务。急诊科除了满足患者的紧急医疗需求外,还必须投入资源进行 COVID-19 的调查和预防。在疫情初期,北京大学第一医院(PKUFH)采取了阻断感染链的策略,重点关注三个重要方面:控制传染源、切断传播途径和保护弱势群体,迅速为急诊科制定科学合理的管理措施,然后根据疫情发展趋势进行实时动态调整。这些措施有效地确保了急诊科的平稳、有序和安全运行。截至本手稿撰写之时,急诊科患者和医务人员中尚未出现活动的 COVID-19 感染,也没有通过急诊科收治的 PKUFH 患者感染。本研究描述了 COVID-19 疫情期间 PKUFH 急诊科的防控措施,旨在为国内外医疗机构提供一些参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7565/7500495/a504c40afeb5/11739_2020_2499_Fig1_HTML.jpg

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