评估苏丹紧急情况下新冠肺炎疑似病例的分类:临床审计。

IF 1.5 Q3 EMERGENCY MEDICINE Open Access Emergency Medicine Pub Date : 2023-10-18 eCollection Date: 2023-01-01 DOI:10.2147/OAEM.S433240
Bayan E Ibrahim, Rahba Osman El-Amin, Safia Tarig Adam Abdulla
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引用次数: 0

摘要

背景:不可避免的2019冠状病毒病全球大流行严重影响了苏丹脆弱的医疗系统。作者分享了苏丹喀土穆州五家公立医院急诊科新冠肺炎分诊的经验。方法:2020年12月,使用疾病控制和预防中心新冠肺炎疑似病例分诊检查表和监测工具进行临床审计。该工具分为5个领域和38个指标。结果:只有三家医院在其分诊区设有手部卫生站:易卜拉欣·马利克、乌姆杜尔曼和阿尔瑙。乌姆杜尔曼教学医院是唯一一家设有指定呼吸候诊区的医院。在Al Nau和Omdurman医院,所有有呼吸道症状的患者都戴着口罩或其他口罩。Ibrahim Malik和Bahri教学医院的合规率分别为60%和50%,而El Tamayouz医院没有。穿脱区没有张贴海报或工作辅助用具。只有易卜拉欣·马利克(50%)和乌姆杜尔曼(20%)佩戴了重型手套。Ibrahim Malik和Omdurman医院100%的员工穿着封闭式鞋类,El-Tamayouz医院75%,Bahri医院63%,Al-Nau医院没有。为了更好地应对未来的疫情,必须进行系统性改进,并对员工进行一致的培训、标准的分诊算法和充足的个人防护装备。
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Evaluating the Triage of Suspected COVID-19 Cases in Sudan's Emergency Settings: A Clinical Audit.

Background: The inevitable coronavirus disease 2019 global pandemic has severely affected Sudan's fragile healthcare system. The authors share the experience of COVID-19 triage in the emergency departments of five public hospitals in Khartoum state, Sudan.

Methods: A clinical audit was conducted in December 2020 using the Centers for Disease Control and Prevention Checklist and Monitoring Tool for Triage of Suspected COVID-19 Cases. The tool was categorised into 5 domains and 38 indicators.

Results: Only three hospitals had hand hygiene stations in their triage areas: Ibrahim Malik, Omdurman, and Al-Nau. Omdurman Teaching Hospital was the sole hospital with a designated respiratory waiting area. At Al-Nau and Omdurman Hospitals, all respiratory symptomatic patients wore a facemask or alternative. Ibrahim Malik and Bahri Teaching Hospitals had 60% and 50% compliance, respectively, while none at El-Tamayouz Hospital did. No posters or job aids were present in donning and doffing areas. Heavy duty gloves were worn only at Ibrahim Malik (50%) and Omdurman (20%). 100% of staff wore closed-toe footwear at Ibrahim Malik and Omdurman, 75% at El-Tamayouz, 63% at Bahri, and none at Al-Nau.

Conclusion: The healthcare facilities displayed significant shortcomings in preparedness and response to COVID-19, with variations across hospitals in infrastructure, human resources, and procedures. To better combat future outbreaks, systemic improvements and a focused approach on consistent staff training, standard triage algorithms, and adequate PPE availability are imperative.

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来源期刊
Open Access Emergency Medicine
Open Access Emergency Medicine EMERGENCY MEDICINE-
CiteScore
2.60
自引率
6.70%
发文量
85
审稿时长
16 weeks
期刊最新文献
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