Division of Infection Control and Hospital Epidemiology, Marburg University Hospital, Baldingerstrasse 1, 35043, Marburg, Germany.
Department of Infection Control, Hesse Health Office, Dillenburg, Germany.
Antimicrob Resist Infect Control. 2021 Jul 2;10(1):102. doi: 10.1186/s13756-021-00971-2.
In late 2019, a novel coronavirus was detected in China. Supported by its respiratory transmissibility, even by people infected without symptomatic disease, this coronavirus soon began to rapidly spread worldwide.
Many countries have implemented different infection control and containment strategies due to ongoing community transmission. In this context, contact tracing as well as adequate testing and consequent quarantining of high-risk contacts play leading roles in containing the virus by interrupting infection chains. This approach is especially important in the hospital setting where contacts often cannot be avoided and physical distance is usually not possible. Furthermore, health care workers (HCWs) usually have contact with a variety of vulnerable people, making it essential to identify infections among hospital employees as soon as possible to interrupt the rapid spread of SARS-CoV-2 in the facility. Several electronic tools for contact tracing, such as specific software or mobile phone apps, are available for the public health sector. In contrast, contact tracing in hospitals often has to be carried out without helpful electronic tools, and an enormous amount of human resources is typically required.
For rapid contact tracing and effective infection control and management measures for HCWs in hospitals, adapted technical solutions are needed.
In this study, we report the development of our containment strategy to a web-based contact tracing and rapid point-of-care-testing workflow.
RESULTS/CONCLUSION: Our workflow yielded efficient control of the rapidly evolving situation during the SARS-CoV-2 pandemic from May 2020 until January 2021 at a German University Hospital.
2019 年末,在中国发现了一种新型冠状病毒。由于其具有呼吸道传染性,即使是无症状感染者也能传播病毒,这种冠状病毒很快开始在全球范围内迅速传播。
由于持续的社区传播,许多国家已经实施了不同的感染控制和遏制策略。在这种情况下,接触者追踪以及充分的检测和随后对高风险接触者进行隔离,通过中断感染链,在控制病毒方面发挥着主导作用。这种方法在医院环境中尤为重要,因为在医院环境中,接触者通常无法避免,并且通常无法保持身体距离。此外,医护人员(HCWs)通常与各种弱势群体接触,因此必须尽快确定医院员工中的感染情况,以阻止 SARS-CoV-2 在医疗机构中的快速传播。公共卫生部门提供了几种用于接触者追踪的电子工具,例如特定的软件或移动电话应用程序。相比之下,医院中的接触者追踪通常必须在没有有用的电子工具的情况下进行,并且通常需要大量的人力资源。
为了对医院中的医护人员进行快速接触者追踪以及有效的感染控制和管理措施,需要采用适应性强的技术解决方案。
在本研究中,我们报告了我们开发的一种基于网络的接触者追踪和快速即时检测工作流程的遏制策略。
结果/结论:从 2020 年 5 月到 2021 年 1 月,我们的工作流程在一家德国大学医院对 SARS-CoV-2 大流行期间的快速演变情况进行了有效的控制。