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从非洲视角对2019冠状病毒病作为医院感染的批判性评估

A critical appraisal of COVID-19 as a nosocomial infection: an African perspective.

作者信息

Oladipo Elijah Kolawole, Ariyo Olumuyiwa Elijah, Ibukun Francis Ifedayo, Osasona Oluwadamilola Gideon, Akinbodewa Ayodeji Akinwumi, Abejegah Chukwuyem, Oloke Julius Kola

机构信息

Department of Microbiology, Laboratory of Molecular Biology, Bioinformatics and Immunology, Adeleke University, Ede, Osun State, Nigeria.

Genomics Unit, Helix Biogen Consult, Ogbomoso, Oyo State, Nigeria.

出版信息

Pan Afr Med J. 2020 Aug 20;36:310. doi: 10.11604/pamj.2020.36.310.25010. eCollection 2020.

DOI:10.11604/pamj.2020.36.310.25010
PMID:33282093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7687480/
Abstract

The pandemic of Coronavirus disease 19 is not abating since the outbreak began in December 2019. Africa is currently experiencing a surge after an initial low incidence and nosocomial infections could be contributing to this. A dominant factor responsible for this is a weak healthcare system because of many years of neglect due to abysmal budgetary allocation to the sector. The testing capacity for COVID-19 diagnosis in Africa is grossly inadequate coupled with a severe shortage of personal protective equipment and inadequate infectious diseases expert. These factors exposed the frontline health workers and patients to the hazard of nosocomial infection with the attendants´ morbidity and mortality. Deliberate efforts need to be made toward reducing nosocomial COVID-19 infection.

摘要

自2019年12月新冠疫情爆发以来,新冠病毒疾病大流行一直没有减弱。非洲在经历了最初的低发病率之后,目前正经历病例激增,医院感染可能是造成这种情况的原因之一。造成这种情况的一个主要因素是医疗体系薄弱,这是由于多年来对该部门预算拨款少得可怜而导致的忽视。非洲新冠病毒疾病诊断的检测能力严重不足,同时个人防护装备严重短缺,传染病专家也不足。这些因素使一线医护人员和患者面临医院感染的风险,导致医护人员发病和死亡。需要做出刻意努力以减少医院内新冠病毒感染。

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本文引用的文献

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Nosocomial infections among patients with COVID-19, SARS and MERS: a rapid review and meta-analysis.新型冠状病毒肺炎、严重急性呼吸综合征和中东呼吸综合征患者的医院感染:快速综述与荟萃分析
Ann Transl Med. 2020 May;8(10):629. doi: 10.21037/atm-20-3324.
2
COVID-19 in Africa: care and protection for frontline healthcare workers.非洲的 COVID-19:为一线医护人员提供护理和保护。
Global Health. 2020 May 15;16(1):46. doi: 10.1186/s12992-020-00574-3.
3
COVID-19: Are Africa's diagnostic challenges blunting response effectiveness?新冠疫情:非洲的诊断难题是否在削弱应对成效?
AAS Open Res. 2020 Apr 17;3:4. doi: 10.12688/aasopenres.13061.1. eCollection 2020.
4
Identifying Key Challenges Facing Healthcare Systems In Africa And Potential Solutions.识别非洲医疗系统面临的关键挑战及潜在解决方案。
Int J Gen Med. 2019 Nov 6;12:395-403. doi: 10.2147/IJGM.S223882. eCollection 2019.