Öz
Bu teknik notun amacı, sağlık çalışanlarında COVID-19 temas riskini doğru bir şekilde sınıflandıran güvenilir, hızlı uyarlanabilir ve kullanımı kolay bir matris önermektir. Araştırmacılar, üniversite hastanesi sürveyans ekibinin deneyimlerinden ve literatürlerden yararlanarak bir matris oluşturmuşlardır. Bu matris, bir üniversite hastanesinde sağlık çalışanlarının COVID-19 vakaları birçok farklı temas durumunu Yüksek / Orta / Düşük Risk olarak sınıflandırmasına olanak tanır. Sağlık çalışanı temas riski sınıflandırmasında üç ana başlık öne çıkmıştır: Ortamın havalandırılmasından kaynaklanan farklılıklar: İç mekân, iyi havalandırılan iç mekân, dış mekân; doğrudan temas veya ortak malzeme kullanımı; aerosol oluşturma prosedürü. Matris, sürveyans ekibi üyeleri tarafından hızla adapte olunmuş ve kullanımı kolaydır.
Anahtar Kelimeler
Sağlık çalışanları COVID-19 temaslı takibi temaslı değerlendirmesi matris
Kaynakça
- WHO. Prevention, identification and management of health worker infection in the context of COVID-19.
- Republic of Turkey Ministry of Health. Contact Tracking, Epidemic Management, Patient Monitoring at Home and Fillation. 2020.
- CDC. Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to COVID-19 | CDC. 2020.
- European Centre for Disease Prevention and Control. Contact tracing: public health management of persons, including healthcare workers, having had contact with COVID-19 cases in the European. Stokholm; 2020.
- CDC. Deciding to Go Out | COVID-19 (Internet). (cited 2020 Nov 5). Available from: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/deciding-to-go-out.html
- Bhagat RK, Davies Wykes MS, Dalziel SB, Linden PF. Effects of ventilation on the indoor spread of COVID-19. J Fluid Mech. 2020; 903.
- Morawska L, Tang JW, Bahnfleth W, Bluyssen PM, Boerstra A, Buonanno G, et al. How can airborne transmission of COVID-19 indoors be minimised? Vol. 142, Environment International. Elsevier Ltd; 2020. p. 105832.
- Jones NR, Qureshi ZU, Temple RJ, Larwood JPJ, Greenhalgh T, Bourouiba L. Two metres or one: what is the evidence for physical distancing in covid-19? BMJ. 2020 Aug 25; 370: m3223.
- WHO. Advice for the public (Internet). (cited 2020 Nov 5). Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
- Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020 Jun 27; 395 (10242): 1973–87.
- Pringle JC, Leikauskas J, Ransom-Kelley S, Webster B, Santos S, Fox H, et al. COVID-19 in a Correctional Facility Employee Following Multiple Brief Exposures to Persons with COVID-19 — Vermont, July–August 2020. MMWR Morb Mortal Wkly Rep. 2020 Oct 30; 69 (43): 1569–70.
- BC Ministry of Health. Coronavirus COVID-19 BC Heath Care Worker Exposures Risk Assessment Tool (Internet). 20AD (cited 2020 Nov 5). Available from: http://www.bccdc.ca/Health-Professionals-Site/Documents/COVID19_HCW_ExposuresRiskAssessmentTool.pdf.
- Clinical Questions about COVID-19: Questions and Answers | CDC (Internet). (cited 2020 Nov 6). Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html.
- WHO. Transmission of SARS-CoV-2: implications for infection prevention precautions (Internet). 2020 (cited 2020 Oct 6). Available from: https://www.who.int/news-room/commentaries/detail/transmission-of-sars-cov-2-implications-for-infection-prevention-precautions
Öz
The aim of this technical note is to propose a reliable, fast-adaptable and easy-to-use matrix that accurately classifies risk for contact tracing of healthcare workers with COVID-19 patients. The researchers have created a matrix with the support of the literature and their experience within the university hospital surveillance team. This matrix enables a detailed High / Medium / Low Risk classification of contacts of healthcare workers with COVID-19 cases, covering many different contact situations encountered in a university hospital. Three main headings have come to the fore in health worker contact risk classification: Differences caused by the ventilation of the environment: Indoors, well ventilated indoors, outdoors; direct contact or material sharing; aerosol generating procedure. The matrix is quickly adapted by surveillance team members and is easy to use.
Anahtar Kelimeler
Healthcare workers COVID-19 contact tracing contact assessment matrix
Kaynakça
- WHO. Prevention, identification and management of health worker infection in the context of COVID-19.
- Republic of Turkey Ministry of Health. Contact Tracking, Epidemic Management, Patient Monitoring at Home and Fillation. 2020.
- CDC. Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to COVID-19 | CDC. 2020.
- European Centre for Disease Prevention and Control. Contact tracing: public health management of persons, including healthcare workers, having had contact with COVID-19 cases in the European. Stokholm; 2020.
- CDC. Deciding to Go Out | COVID-19 (Internet). (cited 2020 Nov 5). Available from: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/deciding-to-go-out.html
- Bhagat RK, Davies Wykes MS, Dalziel SB, Linden PF. Effects of ventilation on the indoor spread of COVID-19. J Fluid Mech. 2020; 903.
- Morawska L, Tang JW, Bahnfleth W, Bluyssen PM, Boerstra A, Buonanno G, et al. How can airborne transmission of COVID-19 indoors be minimised? Vol. 142, Environment International. Elsevier Ltd; 2020. p. 105832.
- Jones NR, Qureshi ZU, Temple RJ, Larwood JPJ, Greenhalgh T, Bourouiba L. Two metres or one: what is the evidence for physical distancing in covid-19? BMJ. 2020 Aug 25; 370: m3223.
- WHO. Advice for the public (Internet). (cited 2020 Nov 5). Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
- Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020 Jun 27; 395 (10242): 1973–87.
- Pringle JC, Leikauskas J, Ransom-Kelley S, Webster B, Santos S, Fox H, et al. COVID-19 in a Correctional Facility Employee Following Multiple Brief Exposures to Persons with COVID-19 — Vermont, July–August 2020. MMWR Morb Mortal Wkly Rep. 2020 Oct 30; 69 (43): 1569–70.
- BC Ministry of Health. Coronavirus COVID-19 BC Heath Care Worker Exposures Risk Assessment Tool (Internet). 20AD (cited 2020 Nov 5). Available from: http://www.bccdc.ca/Health-Professionals-Site/Documents/COVID19_HCW_ExposuresRiskAssessmentTool.pdf.
- Clinical Questions about COVID-19: Questions and Answers | CDC (Internet). (cited 2020 Nov 6). Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html.
- WHO. Transmission of SARS-CoV-2: implications for infection prevention precautions (Internet). 2020 (cited 2020 Oct 6). Available from: https://www.who.int/news-room/commentaries/detail/transmission-of-sars-cov-2-implications-for-infection-prevention-precautions
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Teknik Not |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2021 |
| Gönderilme Tarihi | 8 Mart 2021 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 60 Sayı: 2 |
