中国感染控制杂志2023，Vol.22Issue(3)：295-303,9.DOI:10.12138/j.issn.1671-9638.20232307
新型冠状病毒感染暴发中病人的分诊管理
Triaging patients in the outbreak of COVID-2019
摘要
Abstract
In the outbreak of COVID-19,triage procedures based on epidemiology were implemented in a local hospital in Changsha to control the transmission of SARS-CoV-2 and avoid healthcare-associated infection.This re-trospective study analyzed the data collected during the triage period and found that COVID-19 patients were en-riched 7 folds into the Section A designated for patients with obvious epidemiological history.On the other side,nearly triple amounts of visits were received at the Section B for patients without obvious epidemiological history.8 COVID-19 cases were spotted out of 247 suspected patients.More than 50％of the suspected patients were submi-tted to multiple rounds of nucleic acid analysis for SARS-CoV-2 infection.Of the 239 patients who were diagnosed as negative of the virus infection,188 were successfully revisited and none was reported as COVID-19 case.Of the 8 COVID-19 patients,3 were confirmed only after multiple rounds of nucleic acid analysis.Besides comorbidities,delayed sharing of epidemiological history added complexity to the diagnosis in practice.The triaging experience and strategy will be helpful for the control of infectious diseases in the future.关键词
分诊/传染病/冠状病毒/COVID-19Key words
triage/infectious disease/coronavirus/COVID-19分类
医药卫生引用本文复制引用
黄国庆,吴静,易斌,熊曾,周露,汪凡祺,田阳婧,胡文宝,徐霞,袁凯,李湘民,曾维倩,邱新建,邱健,王爱民,王文波,宋延民,莫晓叶,李佳,伍平,王若龙,周芳意..新型冠状病毒感染暴发中病人的分诊管理[J].中国感染控制杂志,2023,22(3):295-303,9.基金项目
2018年度中国博士后科学基金第63批面上资助项目(2018M632995) （2018M632995）
2022年度湖南省自然科学基金(2022JJ70165) （2022JJ70165）
2020年度中南大学创新驱动计划团队项目(2020CX016) （2020CX016）
