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新型冠状病毒肺炎疫情期间个人防护装备脱卸的问题与解决方法

Problems and solutions of personal protective equipment doffing in COVID-19.

作者信息

Cheng Lin, Chen Lei, Xiao Li, Zhang Jianping, Cheng Yilian, Zhou Lian, Peng Yu, Liu Lei

机构信息

Department of Radiology, Southwest Hospital, Army Medical University, Chongqing, 400038, China.

Department of Geriatric, Southwest Hospital, Army Medical University, Chongqing, 400038, China.

出版信息

Open Med (Wars). 2020 Jul 2;15(1):605-612. doi: 10.1515/med-2020-0172. eCollection 2020.

Abstract

The progress of the coronavirus disease 2019 (COVID-19) pandemic is still severe. While everyone has been striving very hard to combat the pandemic, some healthcare professionals have shown varying degrees of infection symptoms and even died. The Chinese Army Medical Aid Team arrived in Wuhan on January 25, 2020, and quickly entered the battle against the pandemic after a short and rigorous training. As one of the earliest medical teams to enter the pandemic area, researchers have been exploring effective infection control measures that are currently in practice. Through observation and research, it has been noticed that layers of protective equipment have a hidden danger of infection while protecting the safety of the personnel. The members of each medical team have typically focused on the standard use of personal protective equipment (PPE). However, after a long period of intensive diagnosis and treatment in clinics and due to physical exertion and tiredness, problems such as improper operation are prone to occur during the tedious PPE doffing, thereby producing a relatively high risk of infection. This study primarily analyzes PPE doffing procedures, existing problems, and measures for improvement to explore methods to improve PPE donning and doffing and reduce the risk of infection.

摘要

2019冠状病毒病(COVID-19)大流行的形势仍然严峻。尽管每个人都在非常努力地抗击疫情,但一些医护人员出现了不同程度的感染症状,甚至死亡。中国军队医疗队于2020年1月25日抵达武汉,经过短暂而严格的培训后迅速投入抗疫战斗。作为最早进入疫情地区的医疗队之一,研究人员一直在探索目前正在实施的有效感染控制措施。通过观察和研究发现,多层防护装备在保护人员安全的同时存在感染隐患。每个医疗队的成员通常都专注于个人防护装备(PPE)的规范使用。然而,在临床长时间高强度诊疗后,由于身体劳累,在繁琐的脱卸个人防护装备过程中容易出现操作不当等问题,从而产生较高的感染风险。本研究主要分析个人防护装备的脱卸程序、存在的问题及改进措施,以探索改进个人防护装备穿脱方法、降低感染风险的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d846/7712172/88e92bb8c725/j_med-2020-0172-fig001.jpg

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