부산대학교 도서관

Background: The COVID-19 pandemic spread rapidly globally, making the WHO to declare it a public health emergency of international concern. The ability of health institutions to screen and test for COVID-19 has been critical in detecting, preventing, and managing the spread of the disease. Aims: This report documents lessons from the ambulatory care nursing for COVID-19 contact tracing at a tertiary care hospital. Methods: In March 2020, a multidisciplinary team consisting of staff of the Primary Healthcare Services, Ambulatory Care Center, Infection Prevention and Control Department, and Nursing Services at the Ministry of National Guard Health Affairs in Riyadh, Saudi Arabia, worked collaboratively to establish 2 dedicated COVID-19 contact tracing clinics away from hospital premises, one clinic established for the public and another for hospital staff. Surveillance system was established to detect and contain as many cases as possible. This report highlights the process of establishing and maintaining the structure and managing workflow of the contact tracing clinics. We calculated the number of nasopharyngeal swabs and the daily average number of patient visits for both clinics between March 2020 and March 2021. Results: Over the one-year period, the clinics served 79 146 visitors with an average of 52 visits for staff, 159 visits for adults, and 16 visits for children per day. The 2 clinics conducted 73 924 polymerase chain reaction tests. There was zero transmission of COVID-19 infection to staff working at both clinics. Conclusion: Despite the challenge of setting up contact tracing clinics, the decision to use separate geographic locations contributed to reducing the risk of infection exposure among staff of the clinics. Effective implementation of contact tracing interventions relies on interdepartmental cooperation and effective communication to contain the risk of viral spread. Keyword: COVID-19, nursing, contact tracing, surveillance, public health, preparedness, infection prevention, Saudi Arabia Contexte : La pandemie de COVID-19 s'est rapidement propagee dans le monde entier et l'OMS l'a declaree urgence de sante publique de portee internationale. La capacite des etablissements de sante a depister et a tester la COVID-19 a ete essentielle pour detecter, prevenir et gerer la propagation de la maladie. Objectifs : Le present rapport documente les enseignements tires en matiere de soins infirmiers ambulatoires pour la recherche de contacts de COVID-19 dans un hopital de soins tertiaires. Methodes : En mars 2020, une equipe multidisciplinaire composee de personnels des services de soins de sante primaires, du centre de soins ambulatoires, du departement de lutte anti-infectieuse et des services infirmiers des Affaires sanitaires du ministere de la Garde nationale a Riyadh (Arabie saoudite), ont travaille en collaboration pour mettre en place deux services dedies a la recherche des contacts COVID-19 en dehors des locaux hospitaliers - un service etabli pour le public et un autre pour les personnels hospitaliers. Un systeme de surveillance a ete mis sur pied pour detecter et confiner autant de cas que possible. Le present rapport met en evidence le processus d'etablissement et de maintien de la structure et de la gestion des flux de travail des services de recherche des contacts. Nous avons calcule le nombre d'ecouvillons nasopharynges et le nombre quotidien moyen de visites de patients dans les deux services entre mars 2020 et mars 2021. Resultats : Au cours de cette periode d'un an, les services ont accueilli 79 146 visiteurs, avec une moyenne de 52 visites pour le personnel, 159 visites pour les adultes et 16 pour les enfants par jour. Les deux services ont effectue 73 924 tests de reaction en chaine par polymerase. Il n'y a eu aucune transmission d'infection COVID-19 au personnel travaillant dans les deux services. Conclusion : Malgre le defi que represente la mise en place de services de recherche de contacts, la decision d'utiliser des lieux geographiques distincts a contribue a reduire le risque d'exposition a l'infection parmi le personnel desdits services. La mise en oeuvre efficace des interventions de recherche des contacts repose sur la cooperation interservices et une communication effective pour contenir le risque de propagation du virus.
Background In December 2019, there was a report of pneumonia with unknown cause from Wuhan, China, which was later confirmed to be COVID-19 caused by SARS-CoV-2 virus. The infection spread [...]