新型冠状病毒肺炎疫情期间定点医院缓冲隔离病区的建立与运行

目的新型冠状病毒肺炎(COVID-19)疫情期间,通过建立与运行定点医院缓冲隔离病区,确保新入院非COVID-19的其他传染性疾病患者得到精准救治,防止发生交叉感染。方法结合宜昌市第三人民医院传染病患者收治实际情况,设置缓冲隔离病区,制定门急诊患者诊疗管理流程,通过门诊预检分诊及各专科门诊筛查,初步识别非COVID-19患者与COVID-19患者,并对新入院非COVID-19的普通传染病患者单间收治,集中管理,通过为期6 d的健康监测及规范筛查,再分流到各专科传染病区。结果在COVID-19流行期间,缓冲隔离病区的建立及运行可确保非COVID-19的其他传染性疾病患者也能得到最大限度的及时高效救治,防止医务人员与患者之间、患者与患者之间发生交叉感染。同时通过缓冲隔离病区集中收治,可减少人力资源及防护物资的投入,更利于规范管理。结论设置缓冲隔离病区集中管理,确保了新入院的非COVID-19的其他传染性疾病患者得以精准救治且无交叉感染发生。

Establishment and operation of buffer quarantine area in designated hospital during the pandemic of COVID-19

Objective To ensure the newly admitted patients with non-COVID-19 infection to be well protected through setting up buffer quarantine area in designated hospitals.Methods For safety of the admission of patients with infectious diseases in Yichang Third People’s Hospital,a buffer quarantine area was set up,pathway for outpatient and emergency patients entering management process of diagnosis and treatment was established.Through the outpatient pre-screening and triage,the non-COVID-19 and COVID-19 patients were preliminarily identified.Newly admitted patients with non-coronavirus infectious diseases were managed in separated rooms.Then they were divided into specialized infectious disease areas through a six-day health monitoring and standardized screening.ResultsThe establishment and operation of the buffer quarantine area ensured the regular treatment of patients with other infectious diseases during the COVID-19 pandemic,and prevented cross-infection to medical staff and other patients.At the same time,by buffering and isolating the ward,centralized treatment reduced the investment of human resources and protective materials,which was more conducive to standardized management.Conclusions The setting up of the centralized management of the buffer quarantine area can protect the patients with other infectious diseases and provide them with qualified treatment.