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傳染病防治醫療網應變醫院之COVID-19感染管制作為:以北區為例

Procedures of Infection Control for COVID-19 in an Communicable Disease Control Medical Network Strain Hospital in Northern Taiwan

摘要


面對各種新興傳染病患時,平時的反覆訓練及嚴格遵守感染控制準則極為重要,北區傳染病防治醫療網應變醫院透過歷年對新興傳染病經驗累積彙整而成的醫院「疫情整備期單位自我查檢表」及其他整備表單,讓院內全體單位及同仁在有限時間裡,迅速自我檢查及整備完成,能隨時準備迎戰這無聲的敵人。作者醫院在台灣首例新型冠狀病毒感染病(COVID-19)照護成功的經驗顯示,除了扎實的人員訓練,優質的團隊溝通也是防疫成功重要關鍵,所有照顧病患人員都能遵從規定,減少環境暴露,提升整體安全;也藉由團體成員的互相支持,減少心理壓力。該醫院後續又透過嚴謹的感染疾病管制作為執行多位「符合通報定義」個案的住院篩檢及多位COVID-19確診個案的治療,保障同仁安全,降低院內感染風險,因此藉此文分享該醫院感染管制作為。

並列摘要


In the battle of beating some highly contagious infectious disease, following the infection control measures and regulations would be crucial, especially encountering with an unfamiliar and novel infection disease-Coronavirus disease 2019(COVID-19), developed in China since December, 2019. In the present article, the well-organized serial self-check lists are shown that could be followed by each unit and all the staffs in a communicable disease control medical network strain hospital in northern Taiwan. Otherwise, the comprehensive training, sufficient protective devices and good social and family support are still important.

並列關鍵字

CDVID-19 Infection control Checklist

參考文獻


Cheng SC, Chang YC, Fan Chiang YL, et al.: First case of coronavirus disease 2019 (COVID-19) pneumonia in Taiwan. J Formos Med Assoc 2020 [in press] Available online February 26, 2020 at: https://doi.org/10.1016/j.jfma.2020.02.007
衛生福利部疾病管制署:國際重要疫情(Jan 2,2019):中國大陸-新型冠狀病毒肺炎。https://www.cdc.gov.tw/TravelEpidemic/Detail/4x3Ks7o9L_pvqjGI6c5N1Q?epidemicId=g1fK03WCf6zXymhtJWFVrA。引用2/27/2020。Taiwan Center for Disease Control: Important international outbreak(Jan 2,2019): China-Pneumonia with New Corona Virus. Available at: https://www.cdc.gov.tw/TravelEpidemic/Detail/4x3Ks7o9L_pvqjGI6c5N1Q?epidemicId=g1fK03WCf6zXymhtJWFVrA. Accessed Feb 27, 2020. [In Chinese]
陳怡君、劉建衛:以南韓爆發群突發事件認識中東呼吸症候群冠狀病毒感染症。感染控制雜誌 2015;25:222-9。Chen YC, Liu JW: Recognition of Middle East respiratory syndrome by the outbreak in South Korea. Infection Control Journal 2015;25:222-9. [In Chinese: English abstract]
衛生福利部疾病管制署:因應嚴重特殊傳染性肺炎疫情整備應變計畫,2019。Taiwan Center for Disease Control: Preparedness Plan for Severe Pneumonia with Novel Pathogens (COVID-19), 2019. [In Chinese]
衛生福利部疾病管制署:醫療機構因應嚴重特殊傳染性肺炎感染管制措施指引,2020。Taiwan Center for Disease Control: Infection Control Guidance on Severe Pneumonia with Novel Pathogens (COVID-19) for Medical institutions, 2020. [In Chinese]

被引用紀錄


胡嘉桂、謝采恩、鍾佩婷、周安妮、陳麗琴、廖玉美、武香君(2020)。南部某醫學中心負壓病房護理人員在COVID-19防疫作為與經驗分享高雄護理雜誌37(),1-10。https://doi.org/10.6692/KJN.202005/SP_37.0001

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