Department of Orthopedics, University Hospital Magdeburg, House 8, Leipziger Str. 44, 39120, Magdeburg, Germany.
Orthopadie (Heidelb). 2023 Jul;52(7):587-594. doi: 10.1007/s00132-023-04358-6. Epub 2023 Apr 24.
The first severe acute respiratory syndrome coronavirus type 2 (SARS-CoV‑2) pandemic wave in Germany in spring 2020 challenged the largely unprepared healthcare system. A prevention concept was implemented to protect the vulnerable patient group at our orthopedic department. The patient triage during the pre-admission process included screening for symptoms and obtaining information on travel, occupation, contact and cluster (TOCC) [16].In March 2020, all sporting events were also cancelled or postponed [12]. Mitigation strategies for sport activities were necessary to restart training and competition. For the professional handball team of the Sport Club Magdeburg (SCM), a hygiene concept including strict mitigation measures combined with a polymerase chain reaction (PCR) test regime was implemented.We reviewed 15,739 patient contacts in a 12-month period at orthopedic department during the SARS-CoV‑2 pandemic. This epidemiological, retrospective study presents the results of patient triage detecting cases with suspected SARS-CoV‑2 infections when entering the clinic. We also considered 2328 inpatient PCR test results and the infection rates among the medical staff. At the same period, professional athletes underwent 1428 PCR tests as a part of the hygiene concept.During the triage process, 333 cases (2.12%) with suspected SARS-CoV‑2 infections were detected at the orthopedic outpatient department. Three patients had a positive PCR test result after triage. Another four positive PCR tests were found among the inpatient group and one positive result among the medical staff. In the athletes' cohort, none of the 1428 PCR tests was positive.Patient triage as a part of the preadmission process is an effective tool to protect the maximum-care hospital from a SARS-CoV‑2 mass outbreak. A hygiene concept with a defined PCR test regime protects a professional athlete team from SARS-CoV‑2 infections during international competition and training.
2020 年春季，德国首次爆发严重急性呼吸综合征冠状病毒 2 型（SARS-CoV-2）疫情，给原本准备不足的医疗系统带来了巨大挑战。为保护我们骨科病房的弱势群体，我们实施了一项预防措施。在入院前的分诊过程中，对患者进行了症状筛查，并获取了旅行、职业、接触和聚集（TOCC）信息[16]。2020 年 3 月，所有体育赛事也被取消或推迟[12]。为了重启训练和比赛，有必要制定体育活动的缓解策略。对于马格德堡体育俱乐部（SCM）的职业手球队，我们实施了一项包括严格缓解措施和聚合酶链反应（PCR）检测方案的卫生概念。在 SARS-CoV-2 大流行期间，我们回顾了骨科病房 12 个月内的 15739 例患者接触情况。这项流行病学回顾性研究介绍了在进入诊所时对疑似 SARS-CoV-2 感染患者进行分诊的结果。我们还考虑了 2328 例住院患者的 PCR 检测结果和医务人员的感染率。同期，作为卫生概念的一部分，职业运动员接受了 1428 次 PCR 检测。在分诊过程中，骨科门诊发现 333 例（2.12%）疑似 SARS-CoV-2 感染患者。3 例患者经分诊后 PCR 检测结果呈阳性。另外 4 例阳性 PCR 检测结果出现在住院患者组，1 例阳性结果出现在医务人员中。在运动员组中，1428 次 PCR 检测均未呈阳性。作为入院前流程的一部分，患者分诊是保护重症监护医院免受 SARS-CoV-2 大规模爆发的有效工具。一项带有明确 PCR 检测方案的卫生概念可保护职业运动员队免受 SARS-CoV-2 感染，同时还能保证其在国际比赛和训练期间的安全。
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