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住院精神病学应对 SARS-CoV-2 奥密克戎变异株激增。

Inpatient psychiatry response to the SARS-CoV-2 Omicron variant surge.

机构信息

Weill Cornell Medicine Psychiatry and New York Presbyterian Westchester Behavioral Health Center, 21 Bloomingdale Road, White Plains, NY 10605, United States.

Weill Cornell Medicine Psychiatry and New York Presbyterian Westchester Behavioral Health Center, 21 Bloomingdale Road, White Plains, NY 10605, United States.

出版信息

Psychiatry Res. 2022 Oct;316:114746. doi: 10.1016/j.psychres.2022.114746. Epub 2022 Jul 27.

DOI:10.1016/j.psychres.2022.114746
PMID:35917649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9327184/
Abstract

The increased transmissibility of the omicron variant of the SARS-CoV-2 virus resulted in a rapid increase in infection among many psychiatric inpatients in our hospital between December 2021 and February 2022. This required our institution to close affected units to new admissions. In response, we implemented a model utilizing universal SARS-CoV-2 polymerase chain reaction (PCR) testing at the time of admission, the development of "admitting units" where all patients were quarantined for four days followed by repeat PCR testing, and subsequent transition to COVID-19 negative and COVID-19 positive "receiving units" based on the results of the second test. No unit closures occurred following full implementation of the model.

摘要

2021 年 12 月至 2022 年 2 月期间,SARS-CoV-2 病毒的奥密克戎变异株传播性增强,导致我院许多精神科住院患者感染迅速增加。这要求我们医院关闭受影响的病房,停止接收新病人。为此,我们实施了一种模式,即在入院时进行通用的 SARS-CoV-2 聚合酶链反应(PCR)检测,建立“收治病房”,所有患者在那里隔离四天,然后进行重复 PCR 检测,然后根据第二次检测的结果,转为 COVID-19 阴性和 COVID-19 阳性的“收治病房”。在全面实施该模式后,没有发生病房关闭的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e1/9327184/106daa02caeb/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e1/9327184/106daa02caeb/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e1/9327184/106daa02caeb/gr1_lrg.jpg

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本文引用的文献

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2
Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility.普遍进行 COVID-19 检测和采用三区分诊方案与住院精神科机构中可能发生的医院感染减少九倍有关。
Psychiatry Res. 2021 Aug;302:114036. doi: 10.1016/j.psychres.2021.114036. Epub 2021 May 28.
3
The Interface of COVID-19 and Inpatient Psychiatry: Our Experience and Lessons Learned.
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J Psychiatr Pract. 2021 May 5;27(3):172-183. doi: 10.1097/PRA.0000000000000551.
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Epidemiology, Infection Prevention, Testing Data, and Clinical Outcomes of COVID-19 on Five Inpatient Psychiatric Units in a large Academic Medical Center.在一家大型学术医疗中心的五所住院精神病科中,COVID-19 的流行病学、感染预防、检测数据和临床结果。
Psychiatry Res. 2021 Apr;298:113776. doi: 10.1016/j.psychres.2021.113776. Epub 2021 Feb 2.
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