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Hospital-Acquired SARS-Cov-2 Infections in Patients: Inevitable Conditions or Medical Malpractice?患者医院获得性 SARS-CoV-2 感染:不可避免的情况还是医疗事故?
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2
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本文引用的文献

1
Covid-19: risks to healthcare workers and their families.新型冠状病毒肺炎:医护人员及其家人面临的风险。
BMJ. 2020 Oct 28;371:m3944. doi: 10.1136/bmj.m3944.
2
Incidence of Nosocomial COVID-19 in Patients Hospitalized at a Large US Academic Medical Center.美国一大学附属医院住院患者院内 COVID-19 感染发生率。
JAMA Netw Open. 2020 Sep 1;3(9):e2020498. doi: 10.1001/jamanetworkopen.2020.20498.
3
Postmortem examination of three SARS-CoV-2-positive autopsies including histopathologic and immunohistochemical analysis.对 3 例 SARS-CoV-2 阳性尸检进行的剖检检查,包括组织病理学和免疫组织化学分析。
Int J Legal Med. 2021 Jan;135(1):329-339. doi: 10.1007/s00414-020-02406-w. Epub 2020 Aug 27.
4
A comprehensive review of COVID-19 characteristics.对新冠病毒特性的全面综述。
Biol Proced Online. 2020 Aug 4;22:19. doi: 10.1186/s12575-020-00128-2. eCollection 2020.
5
Nosocomial spread of COVID-19: lessons learned from an audit on a stroke/neurology ward in a UK district general hospital.COVID-19 医院内传播:从英国地区综合医院中风/神经科病房的审计中吸取的经验教训。
Clin Med (Lond). 2020 Sep;20(5):e173-e177. doi: 10.7861/clinmed.2020-0422. Epub 2020 Jul 27.
6
Nosocomial COVID-19 infection: examining the risk of mortality. The COPE-Nosocomial Study (COVID in Older PEople).医院获得性 COVID-19 感染:死亡率风险研究。COPE-医院获得性研究(老年人中的 COVID)。
J Hosp Infect. 2020 Oct;106(2):376-384. doi: 10.1016/j.jhin.2020.07.013. Epub 2020 Jul 21.
7
Nosocomial SARS-CoV-2 Infections in Japan: A Cross-sectional Newspaper Database Survey.日本医院获得性新型冠状病毒2感染:一项横断面报纸数据库调查
Int J Health Policy Manag. 2020 Oct 1;9(10):461-463. doi: 10.34172/ijhpm.2020.75.
8
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.
9
Nosocomial Transmission of Coronavirus Disease 2019: A Retrospective Study of 66 Hospital-acquired Cases in a London Teaching Hospital.2019 年冠状病毒病医院内传播:伦敦教学医院 66 例医院获得性病例的回顾性研究。
Clin Infect Dis. 2021 Feb 16;72(4):690-693. doi: 10.1093/cid/ciaa816.
10
Absence of nosocomial transmission of coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in the prepandemic phase in Hong Kong.在香港大流行前阶段,由于 SARS-CoV-2 导致的 2019 年冠状病毒病(COVID-19)医院内传播的情况并不存在。
Am J Infect Control. 2020 Aug;48(8):890-896. doi: 10.1016/j.ajic.2020.05.018. Epub 2020 May 24.

患者医院获得性 SARS-CoV-2 感染:不可避免的情况还是医疗事故?

Hospital-Acquired SARS-Cov-2 Infections in Patients: Inevitable Conditions or Medical Malpractice?

机构信息

Department of Legal and Forensic Medicine, University of Genova, 16132 Genova, Italy.

出版信息

Int J Environ Res Public Health. 2021 Jan 9;18(2):489. doi: 10.3390/ijerph18020489.

DOI:10.3390/ijerph18020489
PMID:33435324
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7827479/
Abstract

Despite numerous measures to contain the infection and limit its spread, cases of SARS-CoV-2 infections acquired in hospitals have been reported consistently. In this paper, we will address issues of hospital-acquired COVID-19 in hospitalized patients as well as medico-legal implications. After having conducted a literature search, we will report on papers on hospital-acquired SARS-CoV-2 infections. Ten scientific papers were selected and considered suitable for further analysis. According to several reports, the SARS-CoV-2 hospital-acquired infection rate is 12-15%. Hospital-acquired COVID-19 represents a serious public health issue, which is a problem that could create reluctance of patients to seek hospital treatment for fear of becoming infected. Healthcare personnel should do all that is necessary to address the problem and prevent further spreading, such as rigorous compliance with all procedures for containing the spread. From a medical-legal point of view, multiple aspects must be considered in order to understand whether the infection is a result of "malpractice" or an inevitable condition.

摘要

尽管采取了许多措施来控制感染并限制其传播,但仍不断报告在医院获得的 SARS-CoV-2 感染病例。在本文中,我们将讨论住院患者的医院获得性 COVID-19 以及医学法律方面的问题。在进行了文献检索之后,我们将报告有关医院获得性 SARS-CoV-2 感染的论文。选择了十篇科学论文,并认为它们适合进一步分析。根据一些报告,SARS-CoV-2 医院获得性感染率为 12-15%。医院获得性 COVID-19 是一个严重的公共卫生问题,这可能导致患者不愿因担心感染而寻求医院治疗。医疗保健人员应尽一切必要措施来解决问题并防止进一步传播,例如严格遵守所有控制传播的程序。从医学法律的角度来看,必须考虑多个方面,以了解感染是“医疗事故”还是不可避免的情况。