Moey Peter Kirm Seng, Ang Andrew Teck Wee, Ee Adrian Guan Liang, Ng David Chee Chin, Ng Mark Chung Wai, Teo Stephanie Swee Hong, Tay Ee Guan, Tan Ngiap Chuan
SingHealth Polyclinics, Singapore
Family Medicine Academic Clinical Programme, SingHealth Duke-NUS, Singapore.
BMJ Open. 2021 Jun 28;11(6):e049190. doi: 10.1136/bmjopen-2021-049190.
To examine factors contributing to the low COVID-19 infectivity rate among healthcare workers in SingHealth Polyclinics (SHP), Singapore, from February to July 2020.
Retrospective description, analysis and discussion of the factors and their contribution.
Single-institution study.
We describe and discuss the healthcare policies, infrastructure, people and processes contributing to the low COVID-19 infectivity rate in SHP.There were 1212 full-time and 198 contract staff. Of these, 171 SHP employees also supported the work in dormitories, isolation and community care facilities. During the review period, healthcare workers (HCWs) in SHP managed about 867 076 patient attendances, including 63 503 for upper respiratory tract infections, across its cluster of eight polyclinics. 29 642 swabs for COVID-19 were performed in SHP, with 126 positive results. 395 swabs were carried out in the dormitories and 59 were positive. Despite the high exposure, only two SHP staff were infected with COVID-19. Both have recovered well.
Provision of adequate personal protection equipment, zonal segregation of high-risk patients, reduction in physical patient visits, effective staff communication, implementation of self-declared temperature monitoring and the maintenance of sustainable workload and work hours of HCWs contributed to the mitigation of COVID-19 infection risk among our staff.
Until the widespread uptake of safe and effective vaccines against COVID-19, these measures are important in protecting HCWs. They are also important when managing future pandemics of similar nature to COVID-19.
研究2020年2月至7月期间新加坡樟宜综合诊疗所（SHP）医护人员中新冠病毒感染率低的相关因素。
对相关因素及其作用进行回顾性描述、分析和讨论。
单机构研究。
我们描述并讨论了有助于SHP实现低新冠病毒感染率的医疗政策、基础设施、人员和流程。SHP有1212名全职员工和198名合同工。其中，171名SHP员工还支援了宿舍、隔离和社区护理设施的工作。在审查期间，SHP的医护人员在其8家综合诊疗所集群中管理了约867076人次的患者就诊，其中包括63503例上呼吸道感染病例。SHP共进行了29642次新冠病毒拭子检测，其中126例呈阳性。在宿舍进行了395次拭子检测，59例呈阳性。尽管暴露风险高，但只有两名SHP员工感染了新冠病毒。两人均已康复良好。
提供充足的个人防护装备、对高风险患者进行分区隔离、减少患者现场就诊、有效的员工沟通、实施自我申报体温监测以及维持医护人员可持续的工作量和工作时间，有助于降低我们员工感染新冠病毒的风险。
在安全有效的新冠病毒疫苗广泛接种之前，这些措施对于保护医护人员非常重要。在应对未来类似新冠病毒的大流行时，它们也很重要。
