在医疗保健中心减轻普遍戴口罩的考虑因素
Caroline Landelle1, Gabriel Birgand2,3, James R Price4
1University of Grenoble Alpes, CNRS, UMR 5525, Grenoble INP, CHU Grenoble Alpes, Infection Prevention and Control Unit, 38000 Grenoble, France.
医疗机构应该重新评估呼吸道病毒感染 (RVI) 的普遍掩护政策. 基于当地流行病学和RVI监测的分层方法可以优化掩护策略,平衡保护与其他预防措施.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 由于COVID-19流行病对呼吸道病毒感染 (RVI) 传播的知识,包括无症状病例,医疗保健机构的普遍口罩变得广泛.
- 随着SARS-CoV-2流行病学的发展和人口免疫力的增加,需要对医疗保健当前的感染控制掩护策略进行审查.
研究的目的:
- 审查影响医疗保健中心普遍口罩降级的因素.
- 根据当地RVI监测和流行病学背景,为未来的掩护策略提出精细的建议.
主要方法:
- 叙述审查考虑了合规性,当地流行病学,口罩保护,缺勤/出席,物流,成本和生态影响.
- 基于社区传播的现行指导方针的分析和对分层RVI监测和掩盖激活值的建议.
主要成果:
- 目前的指南通常依赖于社区SARS-CoV-2传播水平.
- 建议采取分层的掩护方法:标准预防措施,患者接触时的系统掩护,以及通用掩护.
- 诸如当地RVI监测,流行病学背景 (例如,冬季季节) 和废水分析等因素可以为战略激活提供信息.
结论:
- 改进掩盖建议需要建立相关的RVI列表,可靠的监测和定义的激活值.
- 建议采用逐步,取决于环境的掩护策略,与免疫和通风进行整合,以全面控制感染.
- 需要对不同掩盖策略的成本效益分析.
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