2022年上海新型冠状病毒奥密克戎变异株流行期间儿童急诊防控管理经验介绍  

Experience on prevention and control management of the pediatric emergency department during the pandemic of Omicron variant of novel coronavirus in Shanghai in 2022

作　　者：何丽明 张燕红[1] 陈扬[1] 程晔[1] 杨雪[1] 马健[2] 王传清[2] 胡静 张晓波 翟晓文 柳龚堡[6] 陆国平[1] He Liming;Zhang Yanhong;Chen Yang;Cheng Ye;Yang Xue;Ma Jian;Wang Chuanqing;Hu Jing;Zhang Xiaobo;Zhai Xiaowen;Liu Gongbao;Lu Guoping(Emergency Department,Children′s Hospital of Fudan University,Shanghai 201102,China;Hospital Infection Control Department,Children′s Hospital of Fudan University,Shanghai 201102,China;Nursing Department,Children′s Hospital of Fudan University,Shanghai 201102,China;Respiratory Department,Children′s Hospital of Fudan University,Shanghai 201102,China;Hematology Department,Children′s Hospital of Fudan University,Shanghai 201102,China;Medical Department,Children′s Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学附属儿科医院急诊部,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护理部,上海201102 [4]复旦大学附属儿科医院呼吸科,上海201102 [5]复旦大学附属儿科医院血液科,上海201102 [6]复旦大学附属儿科医院医务部,上海201102

出　　处：《中国小儿急救医学》2022年第10期773-778,共6页Chinese Pediatric Emergency Medicine

基　　金：国家重点研发计划(2021YFC2701800、2021YFC2701803);上海市市级科技重大专项资助课题(ZD2021CY001)。

摘　　要：目的总结新型冠状病毒奥密克戎变异株流行期间儿童急诊的精准防控经验。方法总结分析复旦大学附属儿科医院急诊科2022年3月至5月急诊防控新型冠状病毒肺炎(简称新冠肺炎)的策略及管理经验。结果作为上海市儿童新冠肺炎定点医院, 我院急诊科面临急危重症患者救治和疫情防控双重压力。根据相应法律法规、新冠肺炎最新防控方案, 结合儿童新冠病毒感染特点, 我院急诊科制定急诊防控管理策略, 包括:(1)设立急诊-发热急诊-新冠急诊三区独立布局;(2)调整急诊预检分诊流程;(3)实施标准医护防护及消毒措施;(4)建立第二急诊诊疗区域等措施。2022年3月初至5月底, 急诊总预检人数约12 000例, 其中入抢救室704例, 入留观室652例, 入急诊病房164例。急诊接诊患儿中, 发现阳性病例6例, 未发生院内感染和医护人员职业暴露。结论经过3个月实践, 结果显示其能充分保障急危重症患儿及时救治, 实现院内零交叉感染, 对新冠疫情期间患儿救治及疫情防控有重要参考意义。Objective To summarize the experience on accurate prevention and control of children′s emergency department during the epidemic of novel coronavirus Omicron variant.Methods We retrospectively analyzed the strategies and management experience of emergency prevention and control of novel coronavirus infection in emergency department at Children′s Hospital of Fudan University from March to May 2022.Results As a designated hospital for treating pediatric patients who contracted novel coronavirus in Shanghai,the emergency department in our hospital was confronted with the dual pressure of critical patients treatment and pandemic prevention and control.We carefully studied a series of laws and regulations,as well as the newest edition of Chinese clinical guidance for novel coronavirus pneumonia diagnosis and treatment,and combined with the characteristics of novel coronavirus infection in children,then formulated the independent emergency department,fever clinics and novel coronavirus clinics;Updated the emergency department pre-examination triage process,the precautions pratice of clinical stuffs and disfection strategy,and established the second emergency department.From the beginning of March to the end of May 2022,a total of about 12000 patients were admitted to the emergency department in our hospital,including 704 patients in the resuscitation room,652 patients in the observation room,and 164 patients in the emergency ward.There were six patients with novel coronavirus infection in the emergency department.Neither nosocomial infection nor occupational exposure occurred.Conclusion After 3 months of practice,the results showed that it can fully guarantee the timely treatment of critically ill children and achieved zero cross-infection in the hospital,which has important reference significance for the treatment of children,epidemic prevention,control during the novel coronavirus epidemic.

关 键 词：新型冠状病毒 儿童 急诊 预检分诊 策略 

分 类 号：R197.323[医药卫生—卫生事业管理]