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OBJECTIVE: To further standardize and guide the infection prevention and control(IPC) in designated hospitals so as to effectively ensure the stability, order and safety of medical treatment, ensure the safety of health care workers and patients, and reduce cross infections caused by the transmission of COVID-19. METHODS: The experts who repeatedly participated in the national COVID-19 medical treatment and IPC were invited to compile the consensus based on latest national norms, characteristics of the omicron and situation of epidemic prevention and control. RESULTS: The consensus consisted of two major parts: comprehensive coverage and control of infections in designated hospitals, with 47 recommendations involved. CONCLUSION: The expert consensus will provide guidance for the upcoming prevention and control of infection in designated hospitals.
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OBJECTIVE: To investigate the mode of prevention and control during local outbreaks of Corona virus disease 2019 (COVID-19), and to provide a basis for effective prevention of nosocomial infection. METHODS: Based on the working mode of the state council to prevent and control local outbreaks of COVID-19, the national technical guidelines on COVID-19 prevention and control, and the experience of fighting against COVID-19, working mode of nosocomial infection prevention and control team under the new mode were explored and analyzed. RESULTS: COVID-19 nosocomial infection prevention and control required scientific standards, multiple measures and precise control. Infection prevention and control teams should focus on environmental safety and personnel safety. Therefore, the effectiveness of the work should focus on improving the organizational structure, infection risk assessment in designated hospitals, establishing rules and regulations and working processes, establishing working mechanisms, standardizing information reporting and other aspects, and ensuring the implementation of prevention and control measures through supervision, monitoring, training and guidance. CONCLUSION: Nosocomial infection has a serious impact on COVID-19 response. Infection prevention and control teams need to establish a scientific and effective working mode to implement precise policies and scientific prevention and control, which can effectively prevent and control nosocomial infection incidents in COVID-19 response.
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OBJECTIVE To discuss the core control strategy for the possible COVID-19 pandemic in the metropolis. METHODS Based on the national technical guidelines for COVID-19 Prevention and Control, this study summarized the experience in the fighting against the COVID-19 epidemic in Guangdong Province and explored the core strategy for the infection prevention and control under the new dynamic and precise' model. RESULTS Five key points played a great role in the control and prevention of COVID-19 epidemic in the metropolis, including the control of imported cases, management of isolation points, designated medical institutions,non-designated metical institutions and community control. The bundle measures of seven core measures may be effective, including strengthening the strict control over goods and staff of inbound personnel, management of designated hospitals, isolation points and residence, improving the construction of the associated teams, deploying tight check at the entrance of the community, enhancing comprehensive social governance, encouraging vaccination and propagating health education. CONCLUSION The epidemic COVID-19 seriously affects the economic and social life in the metropolis.We must rapidly control the situation by taking comprehensive measures decisively in order to achieve the fastest response.We expected that the most precise strategy, the shortest time and the minimum cost of control and prevention strategy can result in the optima effect on the COVID-19 prevention and control.
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OBJECTIVE: To investigate the use of personal protective equipment (PPE) of healthcare workers (HCWs) in the room where confirmed COVID-19 patients are admitted and understand the current status of prevention. METHODS: The healthcare workers who from medical aid teams in Hubei in 30 hospitals were randomly selected by the trained staff for hospital infection prevention, the basic characteristics of the enrolled subjects and the use of PPE were recorded, and the questionnaires were filled out through questionnaire star. RESULTS: The survey found that all the healthcare workers received theoretical training and practical training on the use of PPE before entering the isolation ward, 95.56% (2 433) of them were inspected or supervised by someone when they put on or took off PPE. 86.57% (2 204) of the healthcare workers wore two layers of masks at the same time, most of whom (1621, 63.67%) wore medical surgical mask and respirator at the same time. 57.50% (1 464) of the healthcare workers used goggles or face shield, 42.50% (1 082) of whom used goggles and face shield at the same time. 95.25% (2 425) of the healthcare workers wore coverall and disposable gown at the same time. 96.62% (2 460) of the healthcare workers wore boot covers and shoe covers at the same time. The proportion of the healthcare workers who wore two-layer hats was the highest (70.54%), and the proportion of the healthcare workers who wore two-layer gloves was also the highest (57.31%). CONCLUSION The use of PPE of the HCWs who are from the medical aid teams has effectively prevented the COVID-19 infection, achieving a 'zero infection' among the 42.6 thousand HCWs. However, there are excessive use of PPE, and the rational use of PPE needs to be further standardized and explored.