Department of Family Medicine, Normandy Rouen University, Rouen, France.
CPIAS Normandie, Antenne de Rouen, Rouen, France.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211043734. doi: 10.1177/21501327211043734.
The common areas of general practitioners' practices (eg, reception, secretariat, waiting room, toilets) are places at risk of cross-transmission of viral diseases such as COVID-19, however risk is poorly documented.
To evaluate the risks of viral cross-transmission in general practitioners' practices based on the organization of the common areas of the premises.
Cross-sectional multicenter observational study in randomly selected general practitioners' practices in a French department (Seine-Maritime). The practices were included in 4 strata (1, 2, 3-5, or ≥6 general practitioners).
Each practice was visited and a questionnaire describing practice organization, cleaning of the premises, screening of high-risk patients was completed on site and observation of the premises).
Data collection started in December 2019 and was discontinued due to the national lockdown related to the global SARS-CoV-2 pandemic. Eighty-two practices were analyzed. A hydroalcoholic solution was available in 7.3% of practices and surgical masks in 1.2%. In a majority of waiting rooms, the minimum distance between chairs facing each other was >2 m (78.0%), but was more frequently 1 m for chairs at 90° (53.7%). Overall, 79.3% of waiting rooms could be properly ventilated and waste bins were present in 23.9% of cases. A cleaning protocol was reported in 39.2% of practices.
The COVID-19 epidemic allowed the national dissemination of standard precautions. It will be interesting to monitor over the next few years whether the renewed consideration of standard precautions to prevent viral cross-contamination will be maintained over time.
全科医生诊所的公共区域（如接待处、秘书室、候诊室、厕所）是病毒（如 COVID-19）交叉传播的高风险场所，但风险记录不佳。
根据房屋公共区域的组织情况，评估全科医生诊所中病毒交叉传播的风险。
在法国塞纳-马恩省（Seine-Maritime）随机选择的全科医生诊所中进行的横断面多中心观察性研究。将这些实践分为 4 个层次（1、2、3-5 或≥6 名全科医生）。
每家诊所都进行了访问，并在现场完成了描述诊所组织、房屋清洁、高危患者筛查的问卷，并对房屋进行了观察。
数据收集始于 2019 年 12 月，并因与全球 SARS-CoV-2 大流行相关的全国封锁而停止。分析了 82 个实践。7.3%的实践中提供了含酒精的溶液，1.2%的实践中提供了外科口罩。在大多数候诊室中，面对面放置的椅子之间的最小距离>2m（78.0%），但 90°放置的椅子的距离更常见为 1m（53.7%）。总体而言，79.3%的候诊室可以得到适当的通风，23.9%的候诊室配备了废物箱。39.2%的实践报告了清洁方案。
COVID-19 疫情使全国范围内传播了标准预防措施。未来几年，监测标准预防措施是否会随着时间的推移而重新考虑以防止病毒交叉污染，将是一件有趣的事情。
