新型冠状病毒肺炎疫情期间创伤显微外科病区的感染防控经验

目的总结新型冠状病毒肺炎(COVID-19)疫情期间创伤显微外科病区的感染防控经验。方法回顾性分析2019年12月31日至2020年2月14日期间武汉大学中南医院创伤与显微骨科51名医务人员和收治患者感染COVID-19的情况。2020年1月20日升级感染防控措施,包括病区的预防性消毒、终末消毒及人员消毒管理,急诊患者管理,住院患者管理,疑似患者管理,医务人员的培训、防控管理及心理干预。对比2020年1月20日前后不同感染防控措施的结果。结果2019年12月31日至2020年1月20日期间科室共有COVID-19确诊病例3例,疑似病例2例。确诊病例包括1名医师、1名技师、1名护士,疑似病例包括1例患者、1名护士。截至2020年2月14日,4名医护技人员均已治愈出院,1例患者死亡。从2020年1月20日感染防控措施升级后,科室共收治29例急诊患者,其中12例患者出现发热(体温≥37.3℃),无一例患者感染COVID-19;科室在岗的47名医务人员培训率达100%,无一名医务人员感染COVID-19和出现心理疾患。结论COVID-19疫情期间,随着疫情的变化,科室采取的感染防控措施不断调整升级,最终科学、有效地杜绝了院内感染的发生,保障了科室医务人员及患者的生命安全。

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

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 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,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 and 2 ones of suspected COVID-19 at the department.One doctor,one technician and one nurse were diagnosed as definite COVID-19 while one nurse and one patient as suspected COVID-19.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 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.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 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.