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非医疗领域大型工作场所中 SARS-CoV-2(COVID-19)感染的生物安全性——一个流行病学家的观点。

Biological security of the SARS-CoV-2 (COVID-19) infection in large workplaces outside the healthcare sector - an epidemiologist's point of view.

机构信息

Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Environmental Medicine).

Medical University of Lodz, Łódź, Poland (Department of Orthodontics).

出版信息

Med Pr. 2020 Sep 29;72(1):89-97. doi: 10.13075/mp.5893.01036. Print 2021 Feb 4.

Abstract

Populations in large workplaces are particularly susceptible to the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In the following article, an attempt has been made to identify main problems regarding the biological security in large workplaces outside the healthcare sector, while simultaneously pointing out the possible solutions to these problems. In this article, a literature review was performed with regard to publications that have been published within the last 4 months, concerning the issue of risk factors with regard to SARS-CoV-2 infections in large populations. Experts' opinions and statements released by institutions working in this field were also taken into consideration. On the basis of the available publications, key procedures to protect workers in large workplaces against COVID-19 were established. One of these key factors is infection prevention. It is commonly known that, due to limited possibilities of identifying infected people that are asymptomatic, physical distance in the whole employee population should be kept; personal protective equipment (PPE) should be used and tele-work should be implemented. The results of recent research have shown that, apart from airborne ways of transmission, there also exists a possibility of getting infected by coming into contact with contaminated surfaces and objects. Therefore, frequent disinfection of rooms and work tools is essential. In the current situation, due to the lack of a vaccine, only going through the COVID-19 disease, either in a symptomatic or asymptomatic form, significantly increases the chances of developing natural immunity. The means of preventing SARS-CoV-2 infections include quickly identifying the infected people on the basis of the symptoms they report, keeping physical distance, using PPE, disinfecting rooms and applying proper ventilation. Limiting the number of workers by implementing a remote work pattern is also recommended. Med Pr. 2021;72(1):89-97.

摘要

大型工作场所的人群特别容易感染严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)。在本文中,尝试确定非医疗保健部门的大型工作场所的生物安全主要问题,同时指出这些问题的可能解决方案。本文对过去 4 个月内发表的关于 SARS-CoV-2 在大型人群中感染风险因素的出版物进行了文献回顾,并考虑了该领域机构发布的专家意见和声明。根据现有出版物,确定了保护大型工作场所工人免受 COVID-19 感染的关键程序。其中一个关键因素是预防感染。众所周知,由于无法识别无症状感染者,因此应保持整个员工群体的物理距离;应使用个人防护设备(PPE)并实施远程工作。最近的研究结果表明,除了空气传播途径外,还有可能通过接触受污染的表面和物体而感染。因此,经常对房间和工作工具进行消毒至关重要。在当前情况下,由于缺乏疫苗,只有通过有症状或无症状的 COVID-19 疾病,才能显著增加产生自然免疫力的机会。预防 SARS-CoV-2 感染的方法包括根据报告的症状快速识别感染者,保持物理距离,使用 PPE,对房间进行消毒并进行适当的通风。还建议通过实施远程工作模式来限制工人数量。医学实践。2021;72(1):89-97。

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