建立新型冠状病毒肺炎疑似病例隔离设施的经验与挑战:现场简报

S. Garg, Akshay Kumar, Tushar Nale, N. Verma, M. Dhuria, S. Jain, S. Singh
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引用次数: 0

摘要

由于前所未有的SARS-CoV2大流行,2020年1月下旬,世界上许多国家实施了旅行禁令。世界各国政府启动了对滞留国民的遣返行动。重要的是立即为撤离人员建立隔离设施。由于这是一种相当新的疾病,有关它的数据很少,无法满足这一要求。通过本文,我们将分享我们建立和管理印度首个遣返国民检疫设施的经验,重点关注感染预防和控制、环境清洁和生物医疗废物管理等关键参数以及基本生活要求。该设施共收容了来自中国和意大利的617名撤离者,其中17人初步检测呈阳性,占27.55%,1人在第14天检测呈阳性。考虑到接触程度,对25名接触者进行了追踪,并规定在该设施中再隔离14天,并据此出院。所有撤离者都在国家监测单位的综合疾病监测方案下接受社区监测。后勤供应、人力管理和确保遵守议定书是面临的一些主要挑战。设计并采取了适当的行动来解决这些问题。总之,在当前大流行的背景下,不同利益攸关方之间无可挑剔的合作与协调是任何隔离设施成功运作的最重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience and Challenges for Establishing Quarantine Facility for Suspected COVID-19 Cases: Field Briefing
Due to unprecedented SARS-CoV2 pandemic, in late January 2020, many countries in the world imposed travel ban. The governments across the world initiated repatriation operations for stranded nationals. It was important to instantly develop quarantine facilities for evacuees. As the disease was fairly new, data on it was sparse to fulfil the requirement. With this article, we are sharing our experience of establishing and managing India’s first quarantine facility for repatriate nationals focusing on key parameters including infection prevention & control, environmental cleaning and bio-medical waste management along with basic living requirements. The facility housed a total of 617 evacuees from China and Italy out of who 17 turned out positive on initial testing constituting 27.55% and one tested positive on the 14th day testing. Mindful of the level of exposure 25 contacts were traced and were prescribed additional quarantine period of fourteen days in the facility and discharged accordingly. All evacuees were put on community surveillance under State Surveillance Units by the Integrated Disease Surveillance Programme. Supply of logistics, manpower management and ensuring compliance to protocols were some of the major challenges faced. Appropriate actions were designed and taken to address them. In conclusion, impeccable collaboration and coordination between different stakeholders is most essential ingredient for successful operation of any quarantine facility in the context of current pandemic.
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