在三级医疗服务机构内部打破传播链：COVID-19 大流行期间的接触者追踪方法。
Breaking the chain of transmission within a tertiary health service: An approach to contact tracing during the COVID-19 pandemic.
机构信息
Monash Health, Melbourne, Victoria, Australia; Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
出版信息
Infect Dis Health. 2021 May;26(2):118-122. doi: 10.1016/j.idh.2020.11.003. Epub 2020 Nov 17.
BACKGROUND
Tertiary referral health service.
INTERVENTION(S): An approach to hospital based contact tracing is described along with tools employed to streamline the process and including the development of an outbreak management team (OMT) for each contact trace.
RESULTS
Forty-one OMTs occurred, involving 23 HCW and 18 patient index cases. The total furloughed HCWs arising from these contact traces was 383, with individual contact traces furloughing a mean (range) of 10 (0-80) HCWs. Importantly, 15 furloughed HCWs subsequently became COVID-19 positive during their 14-day isolation period, showing the importance of the contact tracing process and the ability to remove workers from the workplace before they become infectious.
CONCLUSIONS
A standardised, streamlined contact tracing procedure in healthcare settings ensures any impacts of COVID-19 positive cases are consistently managed. This response framework may be of use to other health services and help reduce the transmission of COVID-19 in the workplace.
背景
三级转诊保健服务。
干预措施
描述了一种基于医院的接触者追踪方法，以及用于简化该过程的工具，包括为每个接触者追踪开发暴发管理团队（OMT）。
结果
发生了 41 次 OMT，涉及 23 名 HCW 和 18 名患者索引病例。这些接触者追踪导致的总休假 HCW 为 383 人，每个接触者追踪休假的 HCW 平均（范围）为 10（0-80）人。重要的是，在 14 天的隔离期间，有 15 名休假的 HCW 随后 COVID-19 检测呈阳性，这表明接触者追踪过程的重要性，以及在工人具有传染性之前将其从工作场所中移除的能力。
结论
在医疗保健环境中标准化、精简的接触者追踪程序可确保一致管理 COVID-19 阳性病例的影响。该应对框架可能对其他卫生服务有用，并有助于减少 COVID-19 在工作场所的传播。
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