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1.
EuropePMC; 2021.
Preprint in English | EuropePMC | ID: ppcovidwho-324110

ABSTRACT

In the context of the COVID-19 pandemic, thousands of healthcare workers (HCWs) infected with COVID-19 have lost their lives worldwide. At the early stage of the epidemic, when COVID-19 was still not considered as a pandemic, a large number of Chinese HCWs were infected. Officials reported that more than 3,000 HCWs in Hubei contracted the virus at the early stage of the outbreak due to limited knowledge of the virus. Following reports of overloaded local hospitals, more than 42,000 medical staff, including those from the military, were dispatched to Hubei from across the country. At the peak of the fight, one in 10 intensive care medics in China were working in Wuhan. During fighting against COVID-19 in China, although a large number of HCWs were infected by SARS-CoV-2 in the early stages of the epidemic, the timely adoption of measures indicated that, a faster rate of diagnosis could be achieved, patients were isolated in-time, HCWs’safety was prioritized, training on basic protective knowledge and unified management of HCWs was strengthened, and effective protective measures were implemented. This resulted in the accomplishment of zero SARS-CoV-2 infection among the 42,632 members of the national medical teams sent to Hubei, and the number of COVID-19 cases among HCWs in local hospitals also significantly decreased, thereby indicating that hospital-acquired infections of SARS-CoV-2 among HCWs are fully preventable.

2.
Chinese Journal of Nosocomiology ; 31(21):3691-3694, 2021.
Article in Chinese | CAB Abstracts | ID: covidwho-1628307

ABSTRACT

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.

3.
Chinese Journal of Nosocomiology ; 31(21):3687-3690, 2021.
Article in Chinese | GIM | ID: covidwho-1628038

ABSTRACT

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.

4.
Chinese Journal of Nosocomiology ; 30(21):3224-3228, 2020.
Article in Chinese | GIM | ID: covidwho-995613

ABSTRACT

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.

5.
Dermatol Ther ; 33(4): e13310, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-767240

ABSTRACT

Health professions preventing and controlling Coronavirus Disease 2019 are prone to skin and mucous membrane injury, which may cause acute and chronic dermatitis, secondary infection and aggravation of underlying skin diseases. This is a consensus of Chinese experts on protective measures and advice on hand-cleaning- and medical-glove-related hand protection, mask- and goggles-related face protection, UV-related protection, eye protection, nasal and oral mucosa protection, outer ear, and hair protection. It is necessary to strictly follow standards of wearing protective equipment and specification of sterilizing and cleaning. Insufficient and excessive protection will have adverse effects on the skin and mucous membrane barrier. At the same time, using moisturizing products is highly recommended to achieve better protection.


Subject(s)
Coronavirus Infections/therapy , Health Personnel , Mucous Membrane/pathology , Occupational Diseases/prevention & control , Pneumonia, Viral/therapy , Skin/pathology , COVID-19 , China , Consensus , Emollients/administration & dosage , Gloves, Protective , Hand Disinfection/methods , Humans , Masks , Pandemics , Personal Protective Equipment
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