上海地区新型冠状病毒奥密克戎变异株流行期间儿童重症监护病房防控管理经验介绍  

Experience on prevention and control management in PICU during the epidemic of novel coronavirus Omicron variant in Shanghai

作　　者：张铮铮 马健[2] 杨玉霞 陶金好 明美秀 周吉华 张震宇 朱雪梅 蔡小狄 刘盼 沈伟杰 王传清[2] 柳龚堡[3] 陆国平 陈伟明 Zhang Zhengzheng;Ma Jian;Yang Yuxia;Tao Jinhao;Ming Meixiu;Zhou Jihua;Zhang Zhenyu;Zhu Xuemei;Cai Xiaodi;Liu Pan;Shen Weijie;Wang Chuanqing;Liu Gongbao;Lu Guoping;Chen Weiming(Pediatric Intensive Care Unit,Children's Hospital of Fudan University,Shanghai 201102,China;Department of Infection Control,Children's Hospital of Fudan University,Shanghai 20102,China;Department of Medical Affairs,Children's Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学附属儿科医院重症医学科,上海201102 [2]复旦大学附属儿科医院院感科,上海201102 [3]复旦大学附属儿科医院医务科,上海201102

出　　处：《中国小儿急救医学》2022年第10期768-772,共5页Chinese Pediatric Emergency Medicine

基　　金：国家重点研发计划(2021YFC2701800、2021YFC2701803);上海市申康医院发展中心-促进市级医院临床技能与临床创新能力三年行动计划,重大临床研究项目(SHDC2020CR4092)。

摘　　要：目的总结新型冠状病毒奥密克戎变异株流行期间PICU精准防控的经验。方法总结分析复旦大学附属儿科医院PICU 2022年3月1日至5月10日PICU精准化防控新型冠状病毒肺炎(简称新冠肺炎)的策略及管理经验。结果根据国家及上海市新冠肺炎防控标准,我院PICU针对重症医学科的专科特点,联合院感科、医务科共同构建本次奥密克戎变异株疫情暴发阶段的精准化病房管理策略。从危重患儿收治流程、PICU病房区域划分及院感防护、患儿家属的接待管理制度和PICU工作人员"气泡管理"制度四个方面制定精准防控管理策略,并在疫情期间运行3个月内无患儿或医护人员发生新冠肺炎院内感染。期间共收治140例危重患儿,其中院内普通病房转入87例,急诊(非发热)收治48例(3例转运团队转入),发热门诊4例,管控病房1例。其中4例危重患儿入PICU时无急诊核酸检测报告。140例危重患儿中接受机械通气54例,血液净化18例,肝移植术后监护2例;合并基础疾病共78例(55.7%)。结论上海地区本轮新冠肺炎疫情期间,我院PICU制定的危重儿童收治及病房管理流程,在确保新冠肺炎院感防控零感染同时,最大程度上保证危重症患儿的救治。Objective To summarize the experience of the precise prevention and control strategy of novel coronavirus infection in the pediatric intensive care unit(PICU)during the epidemic of the Omicron variant.Methods A retrospective analysis was performed on the strategies and management experience of precise prevention and control of novel coronavirus infection in PICU at Pediatric Hospital of Fudan University from March 1 to May 10,2022.Results According to the national and Shanghai novel coronavirus infection prevention and control standards,the PICU in our hospital,in accordance with the specialty characteristics of PICU,cooperated with the hospital′s department of infection and medical department to jointly construct a precise ward management strategy for the outbreak of the omicron mutants infection.Precise prevention and control management strategies were formulated from four aspects:the admission process of critically ill children,the division of PICU ward areas and nosocomial infection protection,the reception management system for children′s family members,and the"bubble management"system for PICU staff,and run them for 3 months.During the epidemic,there was no nosocomial infection of novel coronavirus infection in children or medical staff.During the period,a total of 140 critically ill children were admitted,including 87 cases transferred from the general ward in the hospital,48 cases from the emergency department(non-febrile,3 cases transferred by the transfer team),four cases from fever clinic,and one case from control ward.Four of the critically ill children had no emergency nucleic acid test report when they were admitted to the PICU.Among the 140 critically ill children,54 patients received mechanical ventilation,18 patients received blood purification,and two patients were monitored after liver transplantation.Seventy-eight(55.7%)children had underlying diseases.Conclusion During the current round of novel coronavirus epidemic in Shanghai,PICU in our hospital formulated the admission and ward manage

关 键 词：新型冠状病毒 常态化精准防控管理策略 儿童重症监护病房 

分 类 号：R197.323[医药卫生—卫生事业管理]