COVID-19疫情間醫療機構全面篩檢之效益分析

目的：本研究目的為探討Coronavirus Disease-2019（COVID-19）爆發社區感染疫情期間，進行全院員工定期篩檢之感染管制作為，對於預防與控制院內感染之重要性。方法：採回溯性橫斷面研究方法。研究對象為台北市某區域醫院全院員工。Real-time reverse transcription-polymerase chain reaction（RT-PCR）核酸檢測為研究工具。自110年5月13日至110年7月31日，每週篩檢一次。依照顧風險等級將工作場域區分紅區（高危）、黃區（中危）、綠區（低危）。評估RT-PCR篩檢陽性比例、比較照顧不同COVID-19風險等級之工作場域人員的RTPCR陽性率。結果：總篩檢1,221人，採檢總量12,381筆，8名RT-PCR檢測陽性，陽性率為0.66%。陽性率依照顧風險等級區分，結果顯示黃區0.7%、綠區0.7%最高，紅區0.6%次之。結論：醫院早期加強監測措施，進行員工全面篩檢，對於早期識別與阻斷新冠肺炎傳播鏈，防止院內感染擴大可能是有助益的。

關鍵字

臺灣；新型冠狀病毒疾病；篩檢；醫院工作人員

並列摘要

Objective: This study aimed to investigate the importance of regular screening for nosocomial infection prevention and control in all hospital staff during the Coronavirus Disease-2019 (COVID-19) outbreak. Methods: A retrospective cross-sectional design was adopted. The target population was the entire hospital staff of a regional hospital in Taipei City. The real-time reverse transcription-polymerase chain reaction (RT-PCR) nucleic acid test was used as the study tool. The screening was performed weekly, from May 13 to July 31, 2021. Depending on their COVID-19 risk levels, the hospital workplaces were divided into the red zone (high risk), yellow zone (medium risk), and green zone (low risk). The RT-PCR screening positive rate was determined, and the positive rates among personnel in workplaces with different risk levels were compared. Results: A total of 1,221 subjects were screened with 12,381 tests over 11 weeks. Eight subjects tested positive by RT-PCR (positive rate of 0.66%). The yellow and green zones had a positive rate of 0.7%, followed by the red zone with 0.6%. Conclusion: Enhanced early surveillance measures in hospital by comprehensive staff screening is potentially helpful for early identification and interruption of the transmission chain to prevent the nosocomial spread of the coronavirus.

並列關鍵字

taiwan ； COVID-19 ； screening ； healthcare workers

延伸閱讀

Kuo, C. C., Lee, L. Y., Lu, Y. H., Wang, Y. L., Lin, H. H., Huang, I. J., Wu, C. C., Hsiao, J. L., & Kang, C. N. (2021). COVID-19疫情期間醫學中心慢箋領藥分流防疫與網路預約之成效探討. 醫療資訊雜誌, 30(1), 13-28. https://www.airitilibrary.com/Article/Detail?DocID=10213155-202103-202107050022-202107050022-13-28
張濱璿、蔡淳娟（2020）。從COVID-19疫情期間遠距診療經驗展望後疫情時代之落地實現與其教育考量。台灣擬真醫學教育期刊，7(2)，23-34。https://doi.org/10.6582/JTSSH.202012_7(2).0003
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