[关于根据圣卡米洛歌剧院基金会设施实施的战略,管理与SARS-COV-2对医院和养老院工作人员构成的风险有关的健康监测和监测程序的提案]。

IF 0.4 Q3 Medicine
Gianni Saretto, Carla Bozzi
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引用次数: 0

摘要

摘要:本文描述了医院和养老院采用的健康监测方案如何应对SARS-CoV-2的传播及其风险。这些变化涉及必须紧急进行的评估,以发现可能表明传染病的潜在病例和症状,并保护易受伤害和敏感的工作人员。此外,实施这些改革是为了规范指定的职业医生应如何执行日常任务,特别是在预防性检查、定期检查、办公室检查和授权返回工作场所的检查方面。本文建议预防性就诊和定期就诊均应包括快速抗原拭子检测,以筛查SARS-CoV-2(如果阳性,应通过分子检测确认)和血清学检测,以检测IgG SARS-CoV-2抗体。由于这一阶段对医疗机构的风险很大,本文建议每月进行一次拭子检测,每三个月进行一次血清学检测(取决于第一次检测是否检测到IgG抗体)。通过结合抗原和分子拭子检测,医护人员可以诊断出工人是否患有SARS-CoV-2,并识别出阳性的无症状病例。由于其成本和结果周转时间较长,仅在需要确认抗原拭子测试阳性结果时才建议使用分子拭子测试。血清学检测应与拭子检测一起使用,以获得有关工人免疫的数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A proposal for the management of health surveillance and monitoring procedures in relation to the risks posed by SARS-COV-2 to hospital and nursing home workers, based on strategies implemented in the facilities of the Fondazione Opera San Camillo].

Summary: This paper describes how the health surveillance protocols adopted in hospitals and nursing homes have changed in response to the spread of SARS-CoV-2 and its risks. These changes concern assessments that must be performed with urgency, to detect potential cases and symptoms that may indicate contagion and to protect vulnerable and hypersensitive workers. Besides, these changes have been implemented in order to regulate how the appointed occupational physician should perform everyday tasks, particularly in regard to preventive visits, periodic visits, office visits, and visits meant to authorize one's return to the workplace. This paper recommends that both preventive visits and periodic visits should include rapid antigen swab tests to screen for SARS-CoV-2 (which, if positive, should be confirmed by molecular tests) and serologic tests to detect IgG SARS-CoV-2 antibodies. Since this phase involves great risks for healthcare facilities, this paper proposes that swab testing should be performed every month and that serologic testing should be performed every three months (depending on whether the first test detects the presence of IgG antibodies). By combining antigen and molecular swab tests, healthcare professionals can diagnose workers with SARS-CoV-2 and identify positive asymptomatic cases. Because of its costs and its long turnaround times for results, molecular swab testing is recommended only when one needs to confirm a positive antigen swab test result. Serologic testing should be used alongside swab testing, to acquire data concerning the immunity of workers.

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来源期刊
Giornale italiano di medicina del lavoro ed ergonomia
Giornale italiano di medicina del lavoro ed ergonomia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.80
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0.00%
发文量
10
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