三级保健医院护士管理COVID-19接触者追踪诊所的经验

IF 1.7 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Maha Aljuaid, Ahmad Deeb, Nabiha Tashkandi, Reem Al Rowaithy, Muneera Al Shammary
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引用次数: 0

摘要

背景:新冠肺炎疫情在全球迅速蔓延,世卫组织宣布其为国际关注的突发公共卫生事件。卫生机构筛查和检测COVID-19的能力对于发现、预防和管理该疾病的传播至关重要。目的:本报告记录了某三级医院开展COVID-19接触者追踪门诊护理工作的经验教训。方法:2020年3月,由沙特阿拉伯利雅得国民警卫队卫生事务部初级卫生保健服务、门诊护理中心、感染预防和控制司和护理服务部的工作人员组成的多学科团队协同合作,在医院外建立了2个专门的COVID-19接触者追踪诊所,一个面向公众,另一个面向医院工作人员。建立了监测系统,以发现和控制尽可能多的病例。本报告重点介绍了建立和维护接触者追踪诊所的结构和管理工作流程的过程。我们计算了2020年3月至2021年3月期间两家诊所的鼻咽拭子数量和每日平均患者就诊次数。结果:在一年的时间里,诊所接待了79 146名来访者,平均每天工作人员52次就诊,成人159次就诊,儿童16次就诊。这两个诊所进行了73 924次聚合酶链反应试验。两家诊所的工作人员都没有感染COVID-19。结论:尽管建立接触者追踪诊所存在挑战,但采用单独地理位置的决定有助于降低诊所工作人员的感染暴露风险。有效实施接触者追踪干预措施依赖于部门间合作和有效沟通,以遏制病毒传播的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurses' experiences of managing COVID-19 contact tracing clinics in a tertiary care hospital.

Background: The COVID-19 pandemic spread rapidly globally, making the WHO to declare it a public health emergency of international concern. The ability of health institutions to screen and test for COVID-19 has been critical in detecting, preventing, and managing the spread of the disease.

Aims: This report documents lessons from the ambulatory care nursing for COVID-19 contact tracing at a tertiary care hospital.

Methods: In March 2020, a multidisciplinary team consisting of staff of the Primary Healthcare Services, Ambulatory Care Center, Infection Prevention and Control Department, and Nursing Services at the Ministry of National Guard Health Affairs in Riyadh, Saudi Arabia, worked collaboratively to establish 2 dedicated COVID-19 contact tracing clinics away from hospital premises, one clinic established for the public and another for hospital staff. Surveillance system was established to detect and contain as many cases as possible. This report highlights the process of establishing and maintaining the structure and managing workflow of the contact tracing clinics. We calculated the number of nasopharyngeal swabs and the daily average number of patient visits for both clinics between March 2020 and March 2021.

Results: Over the one-year period, the clinics served 79 146 visitors with an average of 52 visits for staff, 159 visits for adults, and 16 visits for children per day. The 2 clinics conducted 73 924 polymerase chain reaction tests. There was zero transmission of COVID-19 infection to staff working at both clinics.

Conclusion: Despite the challenge of setting up contact tracing clinics, the decision to use separate geographic locations contributed to reducing the risk of infection exposure among staff of the clinics. Effective implementation of contact tracing interventions relies on interdepartmental cooperation and effective communication to contain the risk of viral spread.

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来源期刊
Eastern Mediterranean Health Journal
Eastern Mediterranean Health Journal HEALTH CARE SCIENCES & SERVICESPUBLIC, ENV-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
3.30
自引率
4.80%
发文量
112
期刊介绍: The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean. The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health. The EMHJ: -publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region -encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition -provides up-to-date information on public health developments with special reference to the Region. The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.
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