Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; The Center for Infection Control, National Taiwan University Hospital, Taipei, Taiwan.
The Center for Infection Control, National Taiwan University Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2022 Mar;121(3):613-622. doi: 10.1016/j.jfma.2021.07.018. Epub 2021 Jul 23.
Healthcare personnel (HCP) at the front line of care are exposed to occupational hazards that place them at risk for infection, which then endanger patient safety and compromise the capability of the healthcare workforce. As of March 8, 2021 more than 420,170 HCP in US had been infected with SARS CoV-2 with 1388 deaths. In two Taiwan hospitals COVID-19 outbreaks involved HCP and resulted in shutdown of service. This report describes our prospective health surveillance of the HCP and COVID-19 containment measures in a teaching hospital in Taiwan during Jan. 1 through June 30, 2020.
We prospectively monitored incidents, defined as an HCP with the predefined symptoms, reported by HCP through the web-based system. HCP were managed based on an algorithm that included SARS CoV-2 RNA PCR testing. Infection prevention and control policy/practice were reviewed.
This hospital took care of 17 confirmed COVID-19 cases during the study period and the first Case was admitted on January 23, 2020. Among the 14,210 HCP, there were 367 incident events. Of 283 HCP tested for SARS CoV-2, 179 had predefined symptoms. These included 10 HCP who met the national case definition for COVID-19 infection and 169 based on Extended COVID-19 Community Screening program. The other 104 asymptomatic HCP were tested based on hospital policy. All of them had tested negative.
We attribute our success in preventing COVID-19 infections among HCP to rapid, proactive, decisive, integrated national and institutional response in the early stages of the epidemic.
处于护理一线的医护人员（HCP）面临职业危害，使他们面临感染风险，从而危及患者安全并削弱医护人员的工作能力。截至 2021 年 3 月 8 日，美国超过 420170 名 HCP 感染了 SARS CoV-2，其中 1388 人死亡。在台湾的两家医院，COVID-19 疫情涉及医护人员，导致服务中断。本报告描述了我们在台湾一家教学医院对 HCP 进行的前瞻性健康监测以及 COVID-19 控制措施，时间为 2020 年 1 月 1 日至 6 月 30 日。
我们通过基于网络的系统前瞻性监测事件，这些事件定义为 HCP 报告的具有预定义症状的事件。HCP 根据包括 SARS CoV-2 RNA PCR 检测的算法进行管理。审查了感染预防和控制政策/实践。
这家医院在研究期间照顾了 17 例确诊的 COVID-19 病例，第一例病例于 2020 年 1 月 23 日入院。在 14210 名 HCP 中，有 367 起事件。在接受 SARS CoV-2 检测的 283 名 HCP 中，有 179 名出现预定义症状。其中包括 10 名符合国家 COVID-19 感染病例定义的 HCP 和 169 名根据扩展 COVID-19 社区筛查计划的 HCP。另外 104 名无症状 HCP 根据医院政策进行了检测。他们的检测结果均为阴性。
我们将在疫情早期快速、积极、果断、综合的国家和机构应对措施归因于我们在预防 HCP 感染 COVID-19 方面的成功。
