琼南地区新冠病毒奥密克戎变异株BA.5.1.3感染定点医院儿科病区管理策略  

Management strategies for pediatric wards of designated hospitals for Omicron variant BA.5.1.3 infection in South area of Hainan

作　　者：张华[1] 陈海丹[1] 陈泽燕[1] 邱斐沁 高麟 朱虹 王小丽[1] 吴夏婴 ZHANG Hua;CHEN Hai-dan;CHEN Ze-yan;QIU Fei-qin;GAO Lin;ZHU Hong;WANG Xiao-li;WU Xia-ying(Sanya Central Hospital(Hainan Third People's Hospital),Sanya,Hainan 572002,China;不详)

机构地区：[1]三亚中心医院(海南省第三人民医院)儿科,海南三亚572002 [2]广州医科大学,广东广州511436

出　　处：《中华医院感染学杂志》2023年第2期275-280,共6页Chinese Journal of Nosocomiology

摘　　要：目的阐述在三亚新冠肺炎“0801”疫情流行期间,定点医院对儿童新冠肺炎病例在“混搭”式下的综合管理经验。方法在定点医院专门开辟了儿童与家长“混搭”式的儿科综合病区,对儿科患儿进行全面收治管理。结果自2022年8月1日-10月1日,三亚中心医院(海南省第三人民医院)作为本轮新冠肺炎病例琼南地区的定点收治医院,儿科综合病区共收治了0~14岁儿童新冠肺炎病例251例、14岁以上195例。14岁以下患儿中,0~28天新生儿10例(4.0%),29天~1岁32例(12.7%),1~3岁87例(34.7%),3~14岁122例(48.6%);普通型16例(6.4%),轻型223例(88.8%),无症状12例(4.8%),复阳7例(2.8%);有陪护儿童病例246例(98.0%),无陪护病例5例(2.0%),合并基础疾病的病例23例(9.2%)。最小年龄11天,最大年龄77岁,年龄跨度大,治疗依从性差,给定点医院儿童患者的诊治带来了前所未有的挑战,通过“混搭”式综合管理及多学科的诊治,达到了患者“零死亡”,医护人员“零感染”的终极目标。结论通过优化流程、强调院感防控、多学科合作、信息平台支撑等综合管理手段,对定点医院儿科综合病区的“混搭”式的管理提供了有力的保障,为儿童呼吸道传染性疾病的集中诊疗提供了科学的、可供借鉴的学习经验。OBJECTIVE To describe the experience of comprehensive management of pediatric COVID-19 cases in designated hospitals under′mixed management mode′during the′0801′epidemic in Sanya.METHODS A pediatric comprehensive ward of children and parents has been specially opened in the designated hospitals to carry out comprehensive treatment and management of pediatric children.RESULTS From Aug 1,2022 to Oct 1,2022,Sanya Central Hospital(Hainan Third People′s Hospital),as the designated hospital for the treatment of COVID-19 cases in South area of Hainan,a total of 251 children aged between 0 and 14 year old and 195 aged more than 14 years old were treated for COVID-19 in the pediatric comprehensive wards.Among children under 14 years old,including 10(4.0%)neonates aged between 0 and 28 days,32(12.7%)cases aged between 29 days and 1 year old,87(34.7%)cases aged between 1 and 3 years old and 122(48.6%)cases aged between 3 and 14 years old.There were 16(6.4%)cases of common type,223(88.8%)cases of mild type,12(4.8%)asymptomatic cases and 7(2.8%)re-positive cases.There were 246(98.0%)children with accompanying care and 5(2.0%)children without accompanying care and 23(9.2%)children complicated with underlying diseases.The youngest age was 11 days,and the oldest age was 77 years old.The large age span and poor compliance with treatment brought unprecedented challenges to the diagnosis and treatment of children in the designated hospitals.The mixed model of comprehensive management and multidisciplinary diagnosis and treatment helped to achieve the ultimate goals of′zero death)of patients and′zero infection′of health care workers.CONCLUSION The comprehensive management means such as optimization of flow,stress on prevention and control of nosocomial infection,multidisciplinary collaboration and support of information platform offer strong guarantee for the mixed mode of management as well as scientific experience for centralized diagnosis and treatment of respiratory infectious diseases in children.

关 键 词：新冠病毒 奥密克戎变异株BA.5.1.3 琼南地区 定点医院儿科 病房管理 

分 类 号：R563.1[医药卫生—呼吸系统]