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COVID-19 疫情期间介入放射学中的感染控制。

Infection Control in Interventional Radiology During the COVID-19 Era.

机构信息

Department of Radiology, Massachusetts General Hospital, Boston MA; Massaschusetts Institute of Technology, Cambridge MA.

Harvard Medical School, Boston MA; Massaschusetts Institute of Technology, Cambridge MA.

出版信息

Curr Probl Diagn Radiol. 2021 May-Jun;50(3):284-287. doi: 10.1067/j.cpradiol.2020.12.011. Epub 2021 Jan 9.

DOI:10.1067/j.cpradiol.2020.12.011
PMID:33483191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7794602/
Abstract

The COVID-19 pandemic has challenged the capacity of interventional radiology departments worldwide to effectively treat COVID-19 and non-COVID-19 patients while preventing disease transmission among patients and healthcare workers. In this review, we describe the various data driven infection control measures implemented by the interventional radiology department of a large tertiary care center in the United States including the use and novel re-use of personal protective equipment, COVID-19 testing strategies, modifications in procedural workflows and the leveraging of telehealth visits. Herein, we provide effective triage, procedural, and management algorithms that may guide other interventional radiology departments during the ongoing COVID-19 pandemic and in future infectious disease outbreaks.

摘要

COVID-19 大流行对全球介入放射科部门有效治疗 COVID-19 和非 COVID-19 患者的能力提出了挑战,同时还要防止患者和医护人员之间的疾病传播。在这篇综述中,我们描述了美国一家大型三级护理中心介入放射科实施的各种数据驱动的感染控制措施,包括个人防护设备的使用和新的再利用、COVID-19 检测策略、程序工作流程的修改以及远程医疗访问的利用。在此,我们提供了有效的分诊、程序和管理算法,可为其他介入放射科部门在当前 COVID-19 大流行期间以及未来传染病爆发期间提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a9/7794602/035e3716b1cf/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a9/7794602/cb1e28d8cfa2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a9/7794602/035e3716b1cf/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a9/7794602/cb1e28d8cfa2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a9/7794602/035e3716b1cf/gr2_lrg.jpg

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本文引用的文献

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Association Between Universal Masking in a Health Care System and SARS-CoV-2 Positivity Among Health Care Workers.医疗机构内普遍佩戴口罩与医护人员中 SARS-CoV-2 阳性率之间的关联。
JAMA. 2020 Aug 18;324(7):703-704. doi: 10.1001/jama.2020.12897.
2
Changes in Interventional Radiology Practice in a Tertiary Academic Center in the United States During the Coronavirus Disease 2019 (COVID-19) Pandemic.2019年冠状病毒病(COVID-19)大流行期间美国一家三级学术中心介入放射学实践的变化
J Am Coll Radiol. 2020 Jul;17(7):873-877. doi: 10.1016/j.jacr.2020.05.005. Epub 2020 May 16.
3
COVID-19 and Italy: what next?
COVID-19 和意大利:下一步如何?
Lancet. 2020 Apr 11;395(10231):1225-1228. doi: 10.1016/S0140-6736(20)30627-9. Epub 2020 Mar 13.
4
What Is Needed to Make Interventional Radiology Ready for COVID-19? Lessons from SARS-CoV Epidemic.要使介入放射学做好应对新冠疫情的准备需要什么?来自非典疫情的经验教训。
Korean J Radiol. 2020 May;21(5):629-631. doi: 10.3348/kjr.2020.0163. Epub 2020 Mar 13.
5
Coronavirus covid-19 has killed more people than SARS and MERS combined, despite lower case fatality rate.尽管新冠病毒的病死率较低,但新冠病毒造成的死亡人数比非典和中东呼吸综合征的死亡人数总和还要多。
BMJ. 2020 Feb 18;368:m641. doi: 10.1136/bmj.m641.
6
Severe acute respiratory syndrome: 11 years later--a radiology perspective.严重急性呼吸综合征:11年后——放射学视角
AJR Am J Roentgenol. 2014 Oct;203(4):746-8. doi: 10.2214/AJR.14.13062.
7
Is your interventional radiology service ready for SARS?: The Singapore experience.你的介入放射学服务机构应对非典做好准备了吗?:新加坡的经验。
Cardiovasc Intervent Radiol. 2003 Sep-Oct;26(5):421-7. doi: 10.1007/s00270-003-0143-5.