Prevention and treatment of cross infection of novel coronavirus pneumonia in thoracic surgery ward
- VernacularTitle:胸外科病区内交叉感染新型冠状病毒肺炎防治的临床实践
- Author:
WANG Qi
1
;
KUANG Wan
2
;
PING Wei
1
;
GAO Yi
1
;
HAO Zhipeng
1
;
CAI Yixin
1
;
LI Yangkai
1
;
ZHANG Ni
1
;
FU Xiangning
1
Author Information
1. Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P.R.China
2. Department of Operating Room, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P.R.China
- Publication Type:Journal Article
- Keywords:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2);
cross infection;
epidemic prevention and control
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(04):371-375
- CountryChina
- Language:Chinese
-
Abstract:
Objective By summarizing the clinical characteristics of perioperative patients with cross infection of novel coronavirus in thoracic surgery ward, to guide the prevention and treatment of nosocomial infection during the anti-epidemic period. Methods The clinical data of 451 patients with chest diseases in the Department of Thoracic Surgery of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from January 1st to 24th, 2020 were analyzed and followed up. There were 245 surgical patients and 206 non-surgical patients. Results In the department, 7 patients (7/451, 1.55%) were infected with the novel coronavirus and all of them were surgical patients, whose preoperative imaging data did not reveal the imaging changes of novel coronavirus. There were 5 males and 2 females, aged 56 to 68 years. The patients with old age, smoking, surgery, coronary heart disease, chronic liver disease and tumor history were more susceptible to infection. From the spatial distribution of patient beds, it was found that the distance among infected patients was greater than 1 m, and no cross infection was found in the other patients of the same ward. During follow-up, two family members of noninfected patients were found to be infected one week after discharge. However, there was no overlap of spatiotemporal distribution between the family members and the infected patients during the hospitalization period. Conclusion The novel coronavirus pneumonia rate in the department of thoracic surgery is low, which may be opportunistic infection. At the same time, a good control and prevention of epidemic disease can reduce the occurrence of cross infection in the department of thoracic surgery.
