为了支持在重大社区传播期间对SARS-CoV-2进行普遍入院检测
Chanu Rhee1,2, Michael Klompas1,2, Theodore R Pak1,3
1Department of Population Medicine, Harvard Medical School/Harvard Pilgrim Healthcare Institute, Boston, Massachusetts, USA.
概括
针对严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 的通用入院检测对于预防医院获得的感染至关重要. 持续测试可以保护易受伤害的患者,并减少传播,特别是在社区传播高的情况下.
科学领域:
- 传染性疾病 传染性疾病
- 医院流行病学 医院流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 医院正在重新评估针对SARS-CoV-2的普遍入院测试.
- 担忧包括成本,劳动力和不便.
- 这篇摘要论证了这种测试的持续必要性.
研究的目的:
- 讨论维持通用SARS-CoV-2入院检测的理由.
- 突出其在多层次感染预防战略中的作用.
- 倡导以患者为中心和数据驱动的政策决策.
主要方法:
- 对医院中SARS-CoV-2传播动态现有数据的审查.
- 讨论伦理考虑和患者的弱点.
- 呼吁进一步研究医院感染发病率和最佳检测策略.
主要成果:
- 症状前/无症状的个体对SARS-CoV-2的传播有显著的贡献.
- 医院共享病房有助于高传播率.
- 监测测试与减少医院感染有关.
结论:
- 普遍入院检测对于预防医院获得的SARS-CoV-2至关重要,特别是在脆弱人群中.
- 患者的偏好和道德责任应该指导预防措施.
- 需要更多的研究来优化在不同社区传播水平期间的测试协议.
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