Experience in prevention and control of COVID-19 in tramatological and microsurgical wards

Q4 Medicine 中华创伤骨科杂志 Pub Date : 2020-02-15 DOI:10.3760/CMA.J.ISSN.1671-7600.2020.02.011

Fan Yang, Jing Hu, Lanping Hu, Zonghuan Li, Aixi Yu, Yingying Zhang

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Abstract

Objective To report our experience in the prevention and control of COVID-19 in the tramatological and microsurgical wards. Methods A retrospective study was conducted of the COVID-19 infections in the 51 medical staff and patients from 31 December, 2019 to 14 February, 2020 at Department of Traumatology and Microsurgery, Zhongnan Hospital. The prevention and control measures were upgraded after 20 January, 2020 to address the serious epidemic situation, including preventive disinfection, terminal disinfection and personnel disinfection in wards, management of emergency patients, inpatients and patients suspected of COVID-19 infection, and training, management and psychological intervention of medical staff. The outcomes resulting from different prevention and control measures before and after 20 January, 2020 were compared. Results From 31 December, 2019 to 20 January, 2020, there were altogether 3 cases of definite COVID-19 infection and 2 ones of suspected COVID-19 infection at the department. One doctor, one technician and one nurse were diagnosed as definite COVID-19 infection while one nurse and one patient as suspected COVID-19 infection. The 4 medical staff members infected were cured and discharged before 14 February, 2020 but unfortunately the one patient infected died. After the prevention and control measures for COVID-19 infection had been upgraded since 20 January, 2020, 12 out of the 29 emergency patients at our wards had fever (body temperature ≥37.3℃) but none COVID-19 infection. All the 47 medical staff on duty at the department got trained and none of them was infected by COVID-19 or suffered from mental disorder. Conclusion In the epidemic of COVID-19, as our prevention and control measures for COVID-19 infection were adjusted and upgraded in response to the changing epidemic situation, they eliminated nosocomial infection scientifically and effectively and ensured life safety of the medical staff and patients at the department. Key words: COVID-19; Orthopaedics; Epidemic situation; Infection prevention and control

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肿瘤科和显微外科病区防控新冠肺炎经验

目的报告新冠肺炎内科和显微外科病房的预防和控制经验。方法对中南医院创伤与显微外科2019年12月31日至2020年2月14日收治的51名医护人员和患者的新冠肺炎感染情况进行回顾性研究。2020年1月20日后，针对严重的疫情形势，升级了防控措施，包括病房的预防性消毒、终末消毒和人员消毒，急诊患者、住院患者和疑似新冠肺炎感染者的管理，以及医务人员的培训、管理和心理干预。比较了2020年1月20日前后不同预防和控制措施的结果。结果2019年12月31日至2020年1月20日，该科共有3例新冠肺炎确诊感染者和2例新冠肺炎疑似感染者。一名医生、一名技术人员和一名护士被诊断为新冠肺炎确诊感染，一名护士和一名患者被诊断为新冠肺炎疑似感染。4名感染的医护人员在2020年2月14日前治愈出院，但不幸的是，一名感染患者死亡。自2020年1月20日起，新冠肺炎感染防控措施升级后，我病房29名急诊患者中有12人发烧（体温≥37.3℃），但无新冠肺炎感染。该部门的47名值班医务人员都接受了培训，没有一人感染新冠肺炎或患有精神障碍。结论在新冠肺炎疫情中，随着疫情形势的变化，我院新冠肺炎感染防控措施的调整和升级，科学有效地消除了医院感染，保障了医务人员和患者的生命安全。关键词：新冠肺炎；骨科；疫情；感染预防和控制

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