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奥密克戎变异株流行期间上海某大型综合医院集中过渡病房管理实践
邹宜覃1,倪晨明2,高颖3,李洁4,孔祥毓5,楼征6*
0
(1. 海军军医大学(第二军医大学)第一附属医院呼吸与危重症医学科, 上海 200433;
2. 海军军医大学(第二军医大学)第一附属医院普外三科, 上海 200433;
3. 海军军医大学(第二军医大学)第一附属医院风湿免疫科, 上海 200433;
4. 海军军医大学(第二军医大学)第一附属医院肿瘤科, 上海 200433;
5. 海军军医大学(第二军医大学)第一附属医院消化内科, 上海 200433;
6. 海军军医大学(第二军医大学)第一附属医院肛肠外科, 上海 200433
*通信作者)
摘要:
新型冠状病毒肺炎疫情严重影响了人们的正常工作、生活以及就医诊疗。2022年3月以来,上海地区发生严重急性呼吸综合征冠状病毒2奥密克戎变异株大流行,为满足患者住院就诊需求,同时做好疫情防控、控制院内感染,上海某大型三甲医院创新开设院内集中过渡病房,建立了科学的医疗工作制度、因地制宜的医院感染防控规范及高效合理的病区收治规范。集中过渡病房运行期间,共收治各类患者211例(含1例定点医院转入后复阳患者),各项工作有序开展,在住院患者和医务人员中均未发生院内新型冠状病毒肺炎感染事件。本文总结了我院开展集中过渡病房的筹备、运行、管理等各项工作的情况,为综合医院在疫情下开展此项工作提供方法指导和参考。
关键词:  综合医院  新型冠状病毒肺炎  严重急性呼吸综合征冠状病毒2  奥密克戎变异株  集中过渡病房  医院感染
DOI:10.16781/j.CN31-2187/R.20220470
投稿时间:2022-05-17修订日期:2022-09-23
基金项目:
Management of centralized transition ward in a large general hospital in Shanghai during the epidemic caused by severe acute respiratory syndrome coronavirus 2 omicron variant infection
ZOU Yi-tan1,NI Chen-ming2,GAO Ying3,LI Jie4,KONG Xiang-yu5,LOU Zheng6*
(1. Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Department of General Surgery (Ⅲ), The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
3. Department of Rheumatology and Immunology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
4. Department of Oncology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
5. Department of Gastroenterology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
6. Department of Colorectal Surgery, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
The epidemic of coronavirus disease 2019 (COVID-19) has seriously affected people's normal work, life, and medical treatment. Since Mar. 2022, there has been a pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) omicron variant in Shanghai. In order to meet the needs of hospitalization for patients, and at the same time for better control of epidemic and nosocomial infections, a large hospital in Shanghai innovatively set up a centralized transition ward in the hospital, and established scientific rules of medical work, regulations for prevention of nosocomial infections and efficient norms for patient admission. During the operation of the ward, a total of 211 patients were treated and one of the patients was confirmed of COVID-19 recurrence. All work was carried out methodically, and neither hospitalized patients nor medical staff had nosocomial infection of COVID-19. The preparation, operation and management of the central transition ward in our hospital are summarized here to provide guidance and reference for general hospitals to carry out similar work under the epidemic.
Key words:  general hospital  coronavirus disease 2019  severe acute respiratory syndrome coronavirus 2  omicron variant  centralized transition ward  nosocomial infection