Early Detection and Primary Prevention System in COVID-19 Transmission to Staff and Resident in the Department of Obstetrics and Gynecology

COVID-19 is currently a global problem where transmission is fast and easy to humans. The disease can be symptomatic or without symptoms. Patients with the disease can transmit COVID-19 when the medical team is exposed to these patients. Prevention of transmission as well as early recognition of exposed medical teams is our focus of attention to residents and consultants obgin on our part. The aim of this activity is to evaluate the transmission prevention policies and early detection of COVID-19 in the Obstetrics and Gynecology (OBSGYN) Department, Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada and Sardjito General Hospital. This activity is a management of prevention of transmission and early detection of transmission of COVID-19 among staff and residents of the OBSGYN. The data comes from the report of the COVID-19 team from the OBSGYN Department and the medical records of staff and residents. To prevent the transmission of COVID infection, actions taken by the OBSGYN Department are : a) arrangement of staff and resident watch schedules, b) use of PPE (Personal Protective Equipment) according to protocol, c) tracing or exposure tracking and d) early detection. Resident watch schedule arrangement is carried out by withdrawing residents from network hospitals so that the division of duty schedules at Sardjito General Hospital in a day is divided into 2 shifts of 12 hours each. The PPE usage policy is adjusted to the level of the COVID exposure space and in accordance with established standards. A total of 65 out of 74 residents (88%) had been exposed to suspected COVID-19 patients, and of the exposed residents 12 residents (18%) were isolated independently because of clinical manifestations, exposure to rapid COVID (+) patients or exposure to COVID (+) confirmed patients from the results of the PCR swab. As many as 13 out of 27 staff (48%) have undergone a rapid COVID-19 test with a 100% negative result, 66 of the 74 residents (89%) have undergone a COVID-19 rapid test with a 100% negative result. Efforts to prevent the transmission of COVID-19 have been carried out by the Department of OBSGYN, the results of screening with rapid tests gave negative results on all examinations.