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新型冠状病毒肺炎疫情期间口腔科门诊管理策略 被引量:12

Administrative strategy of dental clinic during the epidemic of Corona Virus Disease 2019
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摘要 2019年12月新型冠状病毒肺炎(Corona Virus Disease 2019,COVID-19)疫情发生以来,各级各类口腔医疗机构的诊疗服务受到比较严重影响。口腔专科医院具有“小病房、大门诊”的特点,其门诊医疗管理是口腔医院管理的重点,与综合医院比较也有不同之处。如何在严格防控疫情的前提下恢复正常诊疗服务,避免医院感染暴发,成为口腔门诊管理亟待解决的问题。南方医科大学口腔医院按照国家、省、市各级疫情防控政策文件要求,结合医院门诊实际情况,针对新冠肺炎感染链各环节,不断调整完善防控措施,提高门诊应急管理能力,特别通过预检分诊控制感染源,强化标准预防及针对呼吸道飞沫传播、密切接触传播和机会性气溶胶传播的附加预防措施,组建感控督导员队伍、建立常态性督导机制等管理措施,保障了患者及医务人员健康安全,有序恢复正常医疗服务,尽最大努力为患者提供帮助。 Since an epidemic occur of Corona Virus Disease 2019(COVID-19)in December,2019,all the dental healthcare service providers in our country have been greatly impacted.The strategy of managing the dental clinics is quite different from that of the medical healthcare clinics,and the key point of the administration of those dental health-care providers is to focus on the management of outpatient care because they only supply just a little bit of inpatient care service but quite an large amount of outpatient care service.So we think the next step is to make plausible and ef-fective scenarios to protect our dental healthcare staff and patients against corona virus infection during the treatments procedures after the reopening all of our dental clinics.To overcome this harsh condition,the infection prevention and control strategies adopted by the Stomatological Hospital,Southern Medical University were designed to be flexible and could be adjusted promptly according to the national and local governmental orders and latest guidelines released by the Centers for Disease Control and Prevention.All these prevention procedures and protocols were customized to fit our own situation and have been updated for several times based on the latest global pandemic reports.After going through the hard-est time in the past four months,it’s considered that our COVID-19 prevention rules have been proved to be efficient and work well.Further more,it has made massive progress for the hospital in improving the capability of dealing with this state of emergency,especially by previewing and triaging patients strictly to cut off the possible coronavirus spread-ing from the original step,enhancing the standard precautions and those specific protocols made for minimizing the droplets,aerosol and contact transmission of COVID-19 indoors.Besides,a daily supervision system was set up as a routine job and a team of qualified infection prevention specialists were assigned to check and report every incorrect details during the whole procedure of dental practice.Meanwhile,the safety and well-being of the public and our medi-cal workers could be also guaranteed through following those detailed prevention scenarios.
作者 李梅 陈奕帆 成凡平 侯雅蓉 尹雯娟 赵建江 黄少宏 LI Mei;CHEN Yifan;CHENG Fanping;HOU Yarong;YIN Wenjuan;ZHAO Jianjiang;HUANG Shaohong(Stomatological Hospital,Southern Medical University,Guangzhou 510280,China)
出处 《口腔疾病防治》 2020年第7期409-415,共7页 Journal of Prevention and Treatment for Stomatological Diseases
关键词 2019新型冠状病毒 新型冠状病毒肺炎 感染防控 口腔门诊 气溶胶 医院感染 预检分诊 标准预防 医院管理 管理策略 2019 novel coronavirus Corona Virus Disease 2019 infection prevention and control dental clin-ic aerosol hospital infection pre-viewing and triage standard precaution hospital management administra-tive strategy
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