Hou Fan Fan, Zhou Fuling, Xu Xin, Wang Daowen, Xu Gang, Jiang Tao, Nie Sheng, Wu Xiaoyan, Ren Chanjun, Wang Guangyu, Lau Johnson Yiu-Nam, Wang Xinghuan, Zhang Kang
Nanfang Hospital, Southern Medical University; National Clinical Research Center for Kidney Disease; State Key Laboratory of Organ Failure Research, Guangzhou 510515, China.
Zhongnan Hospital of Wuhan University, Wuhan 430000, China.
Precis Clin Med. 2020 Jul 20;3(3):169-174. doi: 10.1093/pcmedi/pbaa024. eCollection 2020 Sep.
To identify the effectiveness of a personnel protection strategy in protection of healthcare workers from SARS-CoV-2 infection.
During the COVID-19 pandemic, 943 healthcare staff sent from Guangzhou to Wuhan to care for patients with suspected/confirmed COVID-19 received infection precaution training before their mission and were equipped with Level 2/3 personal protective equipment (PPE), in accordance with guidelines from the National Health Commission of China. We conducted a serological survey on the cumulative attack rate of SARS-CoV-2 among the healthcare workers sent to Wuhan and compared the seropositive rate to that in local healthcare workers from Wuhan and Jingzhou.
Serial tests for SARS-CoV-2 RNA and tests for SARS-CoV-2 immunoglobulin M and G after the 6-8 week mission revealed a zero cumulative attack rate. Among the local healthcare workers in Wuhan and Jingzhou of Hubei Province, 2.5% (113 out of 4495) and 0.32% (10 out of 3091) had RT-PCR confirmed COVID-19, respectively. The seropositivity for SARS-CoV-2 antibodies (IgG, IgM, or both IgG/IgM positive) was 3.4% (53 out of 1571) in local healthcare workers from Wuhan with Level 2/3 PPE working in isolation areas and 5.4% (126 out of 2336) in healthcare staff with Level 1 PPE working in non-isolation medical areas, respectively.
Our study confirmed that adequate training/PPE can protect medical personnel against SARS-CoV-2.
确定一项人员防护策略在保护医护人员免受严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染方面的有效性。
在新型冠状病毒肺炎(COVID-19)大流行期间,943名从广州派往武汉护理疑似/确诊COVID-19患者的医护人员在执行任务前接受了感染预防培训,并根据中国国家卫生健康委员会的指南配备了2/3级个人防护装备(PPE)。我们对派往武汉的医护人员中SARS-CoV-2的累积感染率进行了血清学调查,并将血清阳性率与武汉和荆州当地医护人员的血清阳性率进行了比较。
在6-8周的任务结束后,对SARS-CoV-2核糖核酸(RNA)进行的系列检测以及对SARS-CoV-2免疫球蛋白M和G的检测显示累积感染率为零。在湖北省武汉和荆州的当地医护人员中,分别有2.5%(4495人中的113人)和0.32%(3091人中的10人)经逆转录聚合酶链反应(RT-PCR)确诊感染COVID-19。在武汉当地使用2/3级PPE在隔离区域工作的医护人员中,SARS-CoV-2抗体(免疫球蛋白G、免疫球蛋白M或两者均呈阳性)的血清阳性率分别为3.4%(1571人中的53人),在使用1级PPE在非隔离医疗区域工作的医护人员中为5.4%(2336人中的126人)。
我们的研究证实,充分的培训/个人防护装备可保护医务人员免受SARS-CoV-2感染。