Head Nurse, Tianjin Medical University Cancer Institute & Hospital, Tianjin, China.
Nursing Director, Tianjin Medical University Cancer Institute & Hospital, Tianjin, China.
Int Nurs Rev. 2021 Jun;68(2):172-180. doi: 10.1111/inr.12636. Epub 2021 Jan 28.
The rampant spread of the novel coronavirus disease (COVID-19) has assumed pandemic proportions across the world. Attempts to contain its spread have entailed varying early screening and triage strategies implemented in different countries and regions.
To share the experience of scientific and standardized management of fever clinics in China, which provide the first effective checkpoint for the prevention and control of COVID-19.
A fever clinic was established at our hospital in Tianjin, China, for initially identifying suspected cases of COVID-19 and controlling the spread of the disease.
The management system covered the following aspects: spatial layout; partitioning of functional zones; a work management system and associated processes; management of personnel, materials and equipment; and patient education.
Within two months of introducing these measures, there was a comprehensive reduction in the number of new COVID-19 cases in Tianjin, and zero infections occurred among medical staff at the fever clinic.
The fever clinic plays an important role in the early detection, isolation and referral of patients presenting with fevers of unknown origin. Broad screening criteria, an adequate warning mechanism, manpower reserves and staff training at the clinic are essential for the early management of epidemics.
The spread of COVID-19 has been effectively curbed through the establishment of the fever clinic, which merits widespread promotion and application.
Health managers should be made aware of the important role of fever clinics in the early detection, isolation and referral of patients, and in the treatment of infectious diseases to prevent and control their spread. In the early stage of an epidemic, fever clinics should be established in key areas with concentrated clusters of cases. Simultaneously, the health and safety of health professionals require attention.
新型冠状病毒病（COVID-19）在全球范围内呈爆发式蔓延，已达到大流行的程度。为了控制其传播，不同国家和地区采取了不同的早期筛查和分诊策略。
分享中国发热门诊科学规范管理的经验，为 COVID-19 的防控提供第一道有效关卡。
中国天津市的一家医院设立了发热门诊，用于初步识别 COVID-19 疑似病例并控制疾病传播。
管理系统涵盖以下方面：空间布局；功能区划分；工作管理制度及流程；人员、物资和设备管理；患者教育。
在实施这些措施后的两个月内，天津市新增 COVID-19 病例数量全面减少，发热门诊的医务人员零感染。
发热门诊在不明原因发热患者的早期发现、隔离和转诊中发挥着重要作用。广泛的筛查标准、充足的预警机制、人力储备和对发热门诊工作人员的培训，对于传染病的早期管理至关重要。
通过设立发热门诊，有效遏制了 COVID-19 的传播，值得广泛推广和应用。
卫生管理人员应认识到发热门诊在早期发现、隔离和转诊患者以及治疗传染病以预防和控制其传播方面的重要作用。在疫情早期，应在病例集中的重点地区设立发热门诊。同时，应关注卫生专业人员的健康和安全。
