结核与肺部疾病杂志 ›› 2020, Vol. 1 ›› Issue (2): 109-111.doi: 10.3969/j.issn.2096-8493.2020.02.003

• 专论 • 上一篇    下一篇

新型冠状病毒感染疫情期间以发热门诊为核心的综合医院防控策略

林明贵(), 林金兰, 魏来, 张萍, 周碧琴, 张文砚, 华昊, 赵文静, 聂广孟, 苏立楠, 王小辉, 陈凯丽   

  1. 102218 清华大学附属北京清华长庚医院感染科
  • 收稿日期:2020-06-04 出版日期:2020-09-30 发布日期:2020-10-15
  • 通信作者: 林明贵 E-mail:linminggui309301@126.com

Study on the prevention strategy of general hospital with fever clinic as the focus during the outbreak of COVID-19

LIN Ming-gui(), LIN Jin-lan, WEI Lai, ZHANG Ping, ZHOU Bi-qin, ZHANG Wen-yan, HUA Hao, ZHAO Wen-jing, NIE Guang-meng, SHU Li-nan, WANG Xiao-hui, CHEN Kai-li   

  1. Department of Infection, Beijing Tsinghua Changgerg Hospital Affiliated to Tsinghua University, Beijing 102218, China
  • Received:2020-06-04 Online:2020-09-30 Published:2020-10-15
  • Contact: LIN Ming-gui E-mail:linminggui309301@126.com

摘要:

新型冠状病毒肺炎(简称“新冠肺炎”)疫情2019年12月在湖北省武汉市暴发以来,因其传染性强、播散速度快、早期医务人员感染率高等特点,促使全国所有医院都进入紧急防控状态。清华长庚医院作为北京市具有发热门诊的非新冠肺炎定点治疗医院,从疫情开始就担负起疾病筛查、确诊及转运新冠肺炎患者的任务。通过认真学习国家卫生健康委员会一系列法律法规、诊治指南及国内外最新文献,并结合医院的特点,清华长庚医院以发热门诊为核心,制定了一系列新型冠状病毒感染筛查流程和管理策略,并根据疾病流行情况的变化不断地进行相应的调整与修改。同时,医院还改造了发热门诊和留观隔离病房,增设了专用CT诊断仪与实验室;应用了与清华大学协同攻关的多项科研成果,从而确保了全院所有人员零感染、筛查患者零漏诊、转运患者零差错。目前,医院的防控工作已进入常态化、持续化、经常化之中。

关键词: 门诊医疗, 新型冠状病毒肺炎, 感染控制, 医院, 综合, 医院管理, 结果评价(卫生保健)

Abstract:

Since the outbreak of COVID-19 in Wuhan, Hubei Province in December 2019, all hospitals across the country have been in an emergency prevention and control state due to the virus’ strong infectivity, fast spreading speed and high infection rate among medical personnel at early stage. Tsinghua Changgung Hospital, as a non-appointed COVID-19 treatment hospital with fever clinic in Beijing, is responsible for disease screening, diagnosis and transportation of COVID-19 patients since the outset of the epidemic. By carefully studying a series of law, diagnosis guidelines of the National Health Commission and the latest literature at home and abroad, also considering the characteristics of our own hospital, we focused on fever clinic, formulated a series of COVID-19 infection screening protocals and management strategies, and made corresponding adjustments and modifications according to changes of the epidemic. At the same time, by applying products of a number of scientific research with Tsinghua University, the fever clinic and isolation ward were reformed, and dedicated CT and laboratory were added. All staff in our hospital have no infections, make no missed diagnosis in screening patients and no error in transferring patients. At present, the prevention work of our hospital has entered into normalization, gained sustainability and regularity.

Key words: Ambulatory care, Coronavirus disease 2019 (COVID-19), Infection control, Hospitals, general, Hospital administration, Outcome assessment (health care)