一家三级医疗机构新冠病毒检测中心的经验：一项基于医院的回顾性研究。

Experience from a COVID-19 screening centre of a tertiary care institution: A retrospective hospital-based study.

作者信息

Pradhan Somen Kumar, Sahu Dinesh Prasad, Sahoo Durgesh Prasad, Singh Arvind Kumar, Patro Binod Kumar, Mohanty Sachidananda

机构信息

Department of Community Medicine and Family Medicine, AIIMS, Bhubaneswar, Odisha, India.

Assistant Professor, Department of Community Medicine and Family Medicine, AIIMS Bibinagar, Telangana, India.

出版信息

J Family Med Prim Care. 2021 Aug;10(8):2933-2939. doi: 10.4103/jfmpc.jfmpc_2339_20. Epub 2021 Aug 27.

DOI:10.4103/jfmpc.jfmpc_2339_20

PMID:34660427

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8483098/

Abstract

BACKGROUND

The COVID-19 pandemic continues to be a significant public health concern across the whole world, including India. In the absence of any specific treatment or vaccine against COVID-19, the role of efficient testing and reporting has been uncontested so far as the number of cases is rising daily. In order to strengthen the screening activities and to prevent nosocomial infection, facility-based screening centres have been designed and operated at various levels of healthcare, including tertiary care institutions.

METHODS

The present study has been planned with an objective to understand the patient profile and evaluate the functioning of COVID-19 screening OPD (CS-OPD) at a tertiary care hospital. In this hospital-based retrospective study, data from individuals visiting the COVID-19 screening OPD during the period from 17 March 2020 to 31 July 2020 were collected. We documented and analysed relevant demographic, epidemiological and clinical characteristics of the patients.

RESULTS

A total of 10,735 patients visited the COVID-19 screening OPD during the defined study period of which 3652 individuals were tested. The majority of the patients, i.e., 65.67% (7050) were male and in the 15-59 years age group (84.68%). The most common symptoms among patients visiting CS-OPD was cough (9.86%). Of the total, 17.17% (1843) of patients reported to the CS-OPD with a contact history of COVID-19-positive patient. On the other hand, 13.49% (1448) of patients were with either domestic or international travel history. The overall testing rate and positivity rate for CS-OPD during this period were found to be 34.02% and 7.94%, respectively.

CONCLUSION

The clinical, demographic and epidemiological characteristics of patients visiting CS-OPD varied across the study period depending upon the containment and testing strategy. The CS-OPD played a crucial role in preventing nosocomial infection and maintaining non-COVID care at the tertiary care hospital.

摘要

背景

新型冠状病毒肺炎（COVID-19）大流行仍是包括印度在内的全球重大公共卫生问题。在缺乏针对COVID-19的任何特效治疗或疫苗的情况下，随着病例数每日增加，高效检测和报告的作用至今无可争议。为加强筛查活动并预防医院感染，已在包括三级医疗机构在内的各级医疗保健机构设计并运营了基于设施的筛查中心。

方法

本研究旨在了解患者概况并评估一家三级医院的COVID-19筛查门诊（CS-OPD）的运作情况。在这项基于医院的回顾性研究中，收集了2020年3月17日至2020年7月31日期间到COVID-19筛查门诊就诊的个体的数据。我们记录并分析了患者的相关人口统计学、流行病学和临床特征。

结果

在规定的研究期间，共有10735名患者前往COVID-19筛查门诊就诊，其中3652人接受了检测。大多数患者（即65.67%，7050人）为男性，年龄在15至59岁之间（84.68%）。前往CS-OPD就诊的患者中最常见的症状是咳嗽（9.86%）。总共有17.17%（1843人）的患者因有COVID-19阳性患者接触史而前往CS-OPD就诊。另一方面，13.49%（1448人）的患者有国内或国际旅行史。在此期间，CS-OPD的总体检测率和阳性率分别为34.02%和7.94%。