Bir Pediatri Kliniğinde COVID-19 Pandemi Yönetimi

Year 2021, Volume: 9 Issue: 1, 30 - 36, 30.04.2021

Sevliya Öcal Demir Gülser Esen Besli Sertaç Arslanoğlu Fahri Ovalı

https://doi.org/10.21765/pprjournal.883297

Abstract

Dünya Sağlık Örgütü (DSÖ) 12 Mart 2020'de Koronavirüs Hastalığı 2019 (COVID -19) salgınını pandemi ilan etti. Bu durum tüm ülkeleri enfeksiyonu tespit etme ve yayılmasını kontrol altına alma stratejilerini belirlemeleri konusunda harekete geçirdi. Toplum için enfeksiyon kontrol önlemleri alınırken, sağlık merkezlerinde hem hastaların hem de sağlık çalışanlarının (SHÇ) hayatını güvence altına almada bu önlemlerin hayati rolü fark edildi, her hastane ihtiyaçları ve kapasitelerine göre enfeksiyon kontrol önlemleri uygulamaya başladı. Bu yazıda COVID-19 salgınını kontrol altına almak için bir pediatri kliniğinde yürütülen SHÇ'nin eğitimi, departmanların hazırlığı, personel istihdamının yeniden düzenlenmesi, gözetim ve değişen ihtiyaçları karşılamak için hastane idaresi ile günlük toplantılar ve kararlar alınması dahil enfeksiyon kontrol önlemleri anlatıldı. COVID-19 pandemisinin dinamik süreci sırasında salgının kontrolü için ihtiyaçların zamanında belirlenip ve karşılanmasının önemli olduğu görüldü.

Keywords

COVID-19, pandemi, pediyatri, kontrol, önlemleri

Supporting Institution

Destek alınmadı

COVID-19 Pandemic Management in a Pediatric Clinic

Abstract

Coronavirus Disease 2019 (COVID -19) outbreak was announced as a pandemic by World Health Organization (WHO) on March 12, 2020. This caution alerted all countries to determine their strategies to detect infection and control its spread. While infection control measures were taken in community, their crucial role in health care centers to safe both patients’ and health care workers (HCW)’s life was noticed. During this pandemic each hospital begin to implement infection control measures according to their need and capacity. Here we presented infection control measures that were conducted in a pediatric clinic to control COVID-19 outbreak; including education of HCW, preparedness of departments, rearrangement of staff employment, surveillance, and daily meeting with hospital administration to meet the changing needs. Timely identification and meeting of needs is crucial for the control of the outbreak during dynamic process of COVID-19 pandemic.

Keywords

COVID-19, pandemic, pediatric, control, measures

References

• 1. World Health Organization (2020). Coronavirus disease (COVID-19) Situation Reports-193 [online]. Website: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200731-covid-19-sitrep-193.pdf?sfvrsn=42a0221d_4.
• 2. YT Chang, CY Lin, MJ Tsai, et al. Infection Control Measures of a Taiwanese Hospital to Confront the COVID-19 Pandemic. Kaohsiung J Med Sci. 2020; 36: 296-304. doi: 10.1002/kjm2.12228. Epub 2020 May 6.
• 3. Republic of Turkey Ministry of Health. Public health general directorate. COVID-19 (SARS-CoV-2) infection guideline. COVID-19 medical advisory committee study. Ankara, Turkey: Republic of Turkey Ministry of Health; 2020.
• 4. Mcintosh K. Coronavirus Disease 2019 (COVID-19): Clinical features. Hirsch MS (ed), Bloom A (ed). UpToDate: uptodatedJul29, 2020.www.uptodate.com/contents/Coronavirus-Disease-2019-(COVID-19):-Clinical features. (Accessed on August 2,2020)
• 5. Williamson EJ, Walker AJ, Bhaskaran K, et al. Factors associated with COVID-19 related death using OpenSAFELY. Nature. 2020; 584(7821): 430-6. doi: 10.1038/s41586-020-2521-4.
• 6. Seto WH, Tsang D, Yung RWH, et al. Advisors of Expert SARS group of Hospital Authority. Effectiveness of precautions against droplets and contact in prevention of nosocomial transmission of severe acute respiratory syndrome (SARS). Lancet. 2003; 361(9368):1519–20. doi: 10.1016/s0140-6736(03)13168-6.
• 7. Lau JTF, Fung KS, Wong TW, et al. SARS transmission among hospital workers in Hong Kong. Emerging Infect Dis, 2014; 10(2):280–6.doi: 10.3201/eid1002.030534.
• 8. Alhazzani W, Møller MH, Arabi YM, et al. Surviving Sepsis campaign: guidelines on the management of critically ill Adults with coronavirus disease 2019 (COVID-19). Crit Care Med. 2020; 48(6): e440-e469. doi: 10.1097/CCM.0000000000004363.
• 9.CDC. Coronavirus disease 2019 (COVID-19) [internet]. Centers for Disease Control and Prevention. [cited 2020 August 2]. Available from https://www.cdc.gov/coronavirus/2019-ncov/hcp/index.html; 2020.
• 10. Jernigan JA, Low DE, Hefland RF. Combining clinical and epidemiologic features for early recognition of SARS. Emerg Infect Dis 2004;10(2):327–33. doi: 10.3201/eid1002.030741.
• 11.Whiteside T, Kane E, Aljohani B, Alsamman M, Pourmand A. Redesigning emergency department operations amidst a viral pandemic. Am J Emerg Med. 2020; 38(7):1448-1453.doi: 10.1016/j.ajem.2020.04.032.Epub 2020 Apr 15.
• 12. Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. Video laryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev. 2016;11(11):CD011136.doi:10.1002/14651858.CD011136.pub2.
• 13. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: A systematic review. PLoS One. 2012;7(4):e35797.doi: 10.1371/journal.pone.0035797.