2019冠状病毒病疫情期间消化内镜中心诊疗流程和防控体系的建立及应用  

Establishment of a system for control of cross-infection and workflow in endoscopy center during the pandemic of coronavirus disease 2019

作　　者：陈阳[1] 舒眉 肖定华[1] 王晓艳[1] CHEN Yang;SHU Mei;XIAO Dinghua;WANG Xiaoyan(Department of Gastroenterology,Third Xiangya Hospital,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅三医院消化内科,长沙410013

出　　处：《中南大学学报（医学版）》2020年第5期501-506,共6页Journal of Central South University ：Medical Science

摘　　要：目的:探索及建立2019冠状病毒病(coronavirus disease 2019,COVID-19)疫情期间消化内镜诊疗中心的诊疗流程及有效防控体系,以防止严重急性呼吸综合征冠状病毒2播散,保证医患安全。方法:以国家公布的相关文件和中华医学会消化内镜分会的相关指导意见为基础,梳理COVID-19疫情期间消化内镜诊疗流程及人员防护和环境设备消毒标准,建立有效的消化内镜中心COVID-19防控体系,并在中南大学湘雅三医院消化内镜中心实施。结果:制订了COVID-19疫情期间消化内镜诊治的就诊流程及工作人员防控体系。在2020年1月24日至2月26日疫情期间,中南大学湘雅三医院消化内镜中心完成急诊消化内镜诊疗106例,医护人员、患者及其家属均未出现交叉感染。结论:本研究制订的COVID-19疫情期间消化内镜中心诊疗流程与防控体系安全有效,有利于预防消化内镜中心的COVID-19交叉感染和科学指导消化内镜中心在疫情期间有序开展必需的消化内镜诊疗工作。Objective:To establish a system for control of cross-infection and workflow for preventing severe acute respiratory syndrome coronavirus 2 spread and ensuring the safety of medical staffs and patients in endoscopy center during the pandemic of the coronavirus disease 2019(COVID-19).Methods:Based on the national publication of relevant documents and relevant guidance of Digestive Endoscopy Branch of Chinese Medical Association,we explored and optimized the workflow,staff protection and sterilization of endoscope in digestive endoscopy center during the pandemic of the COVID-19.Results:The prevention system of cross-infection and workflow in endoscopy during the pandemic of the COVID-19 were developed.The optimized workflow in endoscopy was conducted in 106 patients with necessary endoscopy from the Department of Gastroenterology,Third Xiangya Hospital,Central South University between January 24,2020 and February 26,2020,and no case of cross-infection was presented among the medical staffs,patients and family members.Conclusion:Measures on control of cross-infection and workflow in digestive endoscopy center during the pandemic of the COVID-19 are effective,which are beneficial to preventing cross-infection in hospital and provide a scientific guidance for the general work in the digestive endoscopy centers during the pandemic of the COVID-19.

关 键 词：2019冠状病毒病 消化内镜中心 工作流程 内镜消毒 交叉感染 

分 类 号：R197.32[医药卫生—卫生事业管理]