新型冠状病毒肺炎流行期间围术期感染的防控策略

田毅; 龚亚红; 柳培雨; 王晟; 徐宵寒; 王晓月; 黄宇光

doi:10.24920/003739

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新型冠状病毒肺炎流行期间围术期感染的防控策略

中国医学科学杂志（英文版） 2020年35卷第2期页码：114-120

综述 | Updated：2024-04-10

- 新型冠状病毒肺炎流行期间围术期感染的防控策略
- Affiliations：
  
  1. Department of Anesthesiolog, Haikou People’s Hospital, Affiliated Haikou Hospital of Xiangya School of Medicine, Central South University, Haikou 570208, China;
  2. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
  3. Department of Anesthesiology, Hainan Provincial Corps Hospital of Chinese People’s Armed Police Force, Haikou 570203, China;
  4. Department of Anesthesiology, Guangdong Provincial People‘s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China;
- Author bio：
  
  *, E-mail: garybeijing@163.com.
- Funds：
- DOI：10.24920/003739
  中图分类号：
- 收稿日期：2020-03-13，
  
  录用日期：2020-4-1，
  
  网络出版日期：2020-06-08，
  
  纸质出版日期：2020-06-08
- Accepted：
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田毅, 龚亚红, 柳培雨, 等. 新型冠状病毒肺炎流行期间围术期感染的防控策略[J]. 中国医学科学杂志（英文版）, 2020,35(2):114-120.

Tian Yi, Gong Yahong, Liu Peiyu, et al. Infection Prevention Strategy in Operating Room during Coronavirus Disease 2019 (COVID-19) Outbreak[J]. Chinese medical sciences journal, 2020, 35(2): 114-120.
田毅, 龚亚红, 柳培雨, 等. 新型冠状病毒肺炎流行期间围术期感染的防控策略[J]. 中国医学科学杂志（英文版）, 2020,35(2):114-120. DOI： 10.24920/003739.

Tian Yi, Gong Yahong, Liu Peiyu, et al. Infection Prevention Strategy in Operating Room during Coronavirus Disease 2019 (COVID-19) Outbreak[J]. Chinese medical sciences journal, 2020, 35(2): 114-120. DOI： 10.24920/003739.

摘要

新型冠状病毒肺炎（COVID-19）疫情已经在世界范围形成大流行

重症患者往往需要行气管插管和机械通气

且部分非重症患者也可能因急诊手术需行全身麻醉。医务人员可能接触病毒载量很高的呼吸道飞沫和气溶胶

所以具有极高的职业暴露风险。加强围术期医护人员和手术室的感染防控对预防院内聚集性感染以及减少医务人员的职业暴露非常重要。本文借鉴了国内外相关文献

对COVID-19流行期间围术期手术室新冠病毒感染防控提出了详细的可操作性的建议

供广大麻醉工作者参考。

Abstract

A novel coronavirus that emerged in late 2019 rapidly spread around the world. Most severe cases need endotracheal intubation and mechanical ventilation

and some mild cases may need emergent surgery under general anesthesia. The novel coronavirus was reported to transmit via droplets

contact and natural aerosols from human to human. Therefore

aerosol-producing procedures such as endotracheal intubation and airway suction may put the healthcare providers at high risk of nosocomial infection. Based on recently published articles

this review provides detailed feasible recommendations for primary anesthesiologists on infection prevention in operating room during COVID-19 outbreak.

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references

World Health Organization . Coronavirus disease (COVID-19) pandemic . https://www.who.int/emergencies/diseases/novel-coronavirus-2019 . Accessed May 22, 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019 https://www.who.int/emergencies/diseases/novel-coronavirus-2019

Chen N , Zhou M , Dong X , et al . Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study . Lancet 2020 ; 395 ( 10223 ): 507 - 13 . doi: 10.1016/s0140-6736(20)30211-7 https://dx.doi.org//s0140-6736(20)30211-7 . DOI: 10.1016/S0140-6736(20)30211-7 http://doi.org/10.1016/S0140-6736(20)30211-7 https://www.ncbi.nlm.nih.gov/pubmed/32007143 https://www.ncbi.nlm.nih.gov/pubmed/32007143

Chan JF , Yuan S , Kok KH , et al . A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster . Lancet 2020 ; 395 ( 10223 ), 514 - 23 . doi: 10.1016/s0140-6736(20)30154-9 https://dx.doi.org//s0140-6736(20)30154-9 . DOI: 10.1016/S0140-6736(20)30154-9 http://doi.org/10.1016/S0140-6736(20)30154-9 https://www.ncbi.nlm.nih.gov/pubmed/31986261 https://www.ncbi.nlm.nih.gov/pubmed/31986261

Chinese Society of Anesthesiology . Recommendations on general surgical anesthesia management and infective prevention and control during the coronavirus disease 2019 (COVID-19) outbreaks . http://www.csahq.cn/guide/detail_1045.html . Published February 23, 2020 ; accessed February 26, 2020. http://www.csahq.cn/guide/detail_1045.html http://www.csahq.cn/guide/detail_1045.html

National Health Commission of China . Diagnosis and treatment methods of coronavirus disease 2019 (COVID-19). (Seventh trial edition) . http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml . Published March 4, 2020 ; accessed March 5, 2020. http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml

Gong YH , Shen L , Huang YG . Explanation of perioperative precautions related recommendations for novel coronavirus patients . J Clin Anesthesiol 2020 ; 36 ( 2 ): 109 - 14 . Chinese. doi: 10.12089/jca.2020.02.001 https://dx.doi.org//jca.2020.02.001 .

National Health Commission of China . Measures of prevention and control for coronavirus disease 2019 (COVID-19). (Sixth trial edition) . http://www.nhc.gov.cn/jkj/s3577/202003/4856d5b0458141fa9f376853224d41d7.shtml . Published March 7, 2020 ; accessed March 8, 2020. http://www.nhc.gov.cn/jkj/s3577/202003/4856d5b0458141fa9f376853224d41d7.shtml http://www.nhc.gov.cn/jkj/s3577/202003/4856d5b0458141fa9f376853224d41d7.shtml

Standardization Administration of People’s Republic of China.(2011) . Hygienic requirements for surface disinfectants. (GB 27952-2011) . Retrieved from: , 2012 . http://wjw.nmg.gov.cn/doc/2015/12/04/48121.shtml http://wjw.nmg.gov.cn/doc/2015/12/04/48121.shtml

Park J , Yoo SY , Ko JH , et al . Infection prevention measures for surgical procedures during a middle east respiratory syndrome outbreak in a tertiary care hospital in south Korea . Sci Rep . 2020 ; 10 ( 1 ): 325 . doi: 10.1038/s41598-019-57216-x https://dx.doi.org/s41598-019-57216-x . DOI: 10.1038/s41598-019-57216-x http://doi.org/10.1038/s41598-019-57216-x https://www.ncbi.nlm.nih.gov/pubmed/31941957 https://www.ncbi.nlm.nih.gov/pubmed/31941957

National Health Commission of People’s Republic of China . Regulation of disinfection technique in the healthcare settings. (WS/T 367-2012) . Retrieved from: http://www.nhc.gov.cn/wjw/s9496/201204/54510.shtml . http://www.nhc.gov.cn/wjw/s9496/201204/54510.shtml http://www.nhc.gov.cn/wjw/s9496/201204/54510.shtml

Infection Control Society, Chinese Society of Cardiothoracic and Vascular Anesthesiology . Recommendations for disinfection and sterilization of breathing circuit in anesthesia machine . Chin J Anesthesiol 2018 ; 38 ( 12 ): 1417 - 20 . Chinese. doi: 10.3760/cma.j.issn.0254-1416.2018.12.003 https://dx.doi.org/cma.j.issn.0254-1416.2018.12.003 .

Leung TF , Ng PC , Cheng FW , et al . Infection control for SARS in a tertiary paediatric centre in Hong Kong . J Hosp Infect 2004 ; 56 ( 3 ): 215 - 22 . doi: 10.1016/j.jhin.2003.11.004 https://dx.doi.org/j.jhin.2003.11.004 . DOI: 10.1016/j.jhin.2003.11.004 http://doi.org/10.1016/j.jhin.2003.11.004 https://www.ncbi.nlm.nih.gov/pubmed/15003670 https://www.ncbi.nlm.nih.gov/pubmed/15003670

Wei QH , Ren Z . Disinfection mesures of epidemic focus for 2019 novel coronavirus pneumonia . Chin J Disinfect 2020 ; 37 ( 1 ): 59 - 62 . Chinese. doi: 10.11726/j.issn.1001-7658.2020.01.019 https://dx.doi.org/j.issn.1001-7658.2020.01.019 .

Chen YL , Zhang SL , Zhang ZM , et al . Management strategies and suggestions for operating room for emergency operations on coronavirus disease . J Xi’an Jiaotong Uni (Med Sci) 2020 ; 41 ( 3 ): 1 - 8 . Chinese. doi: 10.7652/jdyxb202003024 https://dx.doi.org/jdyxb202003024 .

Li J , Chen Y . et al . Guidelines and recommendations for perioperative infection control in patients with COVID-19 . Perioperat Safety Quality Assur 2020 ; 4 ( 1 ): 5 - 8 . Chinese. doi: 10.3969/j.issn.2096-2681.2020.01.002 https://dx.doi.org/j.issn.2096-2681.2020.01.002 .

Yang HM . et al . Recommendations for disinfection of SARS virus contamination . Chin J Disinfect 2003 ; 20 ( 2 ): 113 - 5 . Chinese. doi: 10.3969/j.issn.1001-7658.2003.02.010 https://dx.doi.org/j.issn.2096-2681.2020.01.002 .

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