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医疗机构中具有 SARS-CoV-2 院内暴露潜在风险的医护人员的工作限制:一家三级医院的经验。

Work Restrictions for Healthcare Personnel with Potential In-hospital Exposure to SARS-CoV-2: Experience at a Tertiary Hospital.

机构信息

Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

Infection Control Center, Seoul National University Hospital, Seoul, Korea.

出版信息

J Korean Med Sci. 2021 Oct 4;36(38):e274. doi: 10.3346/jkms.2021.36.e274.

Abstract

Applying work restrictions for asymptomatic healthcare personnel (HCP) with potential exposure to coronavirus disease 2019 (COVID-19) is recommended to prevent transmission from potentially contagious HCP to patients and other HCP. However, it can lead to understaffing, which threatens the safety of both patients and HCP. We evaluated 203 COVID-19 exposure events at a single tertiary hospital from January 2020 to June 2021. A total of 2,365 HCP were potentially exposed, and work restrictions were imposed on 320 HCP, leading to the loss of 3,311 working days. However, only one of the work-restricted HCP was confirmed with COVID-19. During the study period, the work restriction measures might be taken excessively compared to their benefit, so establishing more effective standards for work restriction is required.

摘要

建议对接触过 2019 冠状病毒病(COVID-19)但无症状的医护人员(HCP)实施工作限制,以防止可能具有传染性的 HCP 将病毒传播给患者和其他 HCP。然而,这可能导致人手不足,从而威胁到患者和 HCP 的安全。我们评估了 2020 年 1 月至 2021 年 6 月期间一家三级医院的 203 例 COVID-19 接触事件。共有 2365 名 HCP 可能受到暴露,对 320 名 HCP 实施了工作限制,导致 3311 个工作日的损失。然而,仅对一名受工作限制的 HCP 进行了 COVID-19 确诊。在研究期间,与收益相比,工作限制措施可能被过度采取,因此需要建立更有效的工作限制标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/665a/8490786/2ddc9507ec8d/jkms-36-e274-g001.jpg

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