2020年,泰国曼谷,一名未确诊的COVID-19患者对一家私立医院医护人员的影响

P. Dejburum, Ratchadaporn Papwijitsil, Sirima Thananun, R. Suphanchaimat
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引用次数: 1

摘要

2020年3月23日,疾病控制部紧急行动中心情况意识小组接到通知,一名感染2019冠状病毒病(COVID-19)的44岁泰国男性在曼谷一家私立医院死亡,怀疑一些医护人员在他死后感染了SARS-CoV-2。进行了描述性横断面研究。我们审查了指示病例的医疗记录,采访了指示病例的亲属,并使用标准问卷进行了接触者追踪。我们可以确定206个高危接触者。206名高危接触者中有20人被发现感染了SARS-CoV-2。其中15人是卫生保健工作者,2人是目前的住院病人,另外3人是家庭接触者。疾病传播的原因可能是首次就诊时未出现上呼吸道症状,漏诊。医护人员之间共用餐点和共用便携式胸部x光机而没有适当的防护设备可能是COVID-19传播的其他原因。
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Impact of a Missed Diagnosed COVID-19 Patient on Healthcare Workers at a Private Hospital, Bangkok, Thailand, 2020
On 23 Mar 2020, the Situation Awareness Team of the Emergency Operations Center, Department of Disease Control, was notified that a 44-year-old Thai male, who was infected with coronavirus disease 2019 (COVID-19), had died in a private hospital in Bangkok, and there was a suspicion that some healthcare workers were infected with SARS-CoV-2 following his death. A descriptive cross-sectional study was conducted. We reviewed medical records of the index case, interviewed relatives of the index case, and performed contact tracing using a standard questionnaire. We could identify 206 high-risk contacts. Twenty out of 206 high-risk contacts were then found to be infected with SARS-CoV-2. Fifteen of them were healthcare workers, two of them were current inpatients, and the other three were household contacts. The likely cause of disease spreading was the missed diagnosis of COVID-19 as the index case did not present with upper respiratory tract symptoms at the first visit to the hospital. Meal sharing among healthcare workers and sharing of a portable chest X-ray machine without proper protective equipment potentially served as other causes of COVID-19 spreading.
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