放下你的长袍-换接触预防措施的COVID-19
Alexander S Rabin1,2, Linsey C Marr3, Henry M Blumberg4,5
1Pulmonary Section, Veterans Affairs Ann Arbor Medical Center, Ann Arbor, Michigan, USA.
概括
SARS-CoV-2 (严重急性呼吸系统综合征冠状病毒2) 主要通过空气传播传播. 目前推COVID-19患者护理服和手套的指导方针是浪费的,应该更新以反映科学证据.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生政策 公共卫生政策
- 流行病学 流行病学
背景情况:
- 严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 主要通过气溶传播,这表明空气传播是主要的传播途径.
- 美国疾病控制和预防中心 (CDC) 目前的感染预防指南包括COVID-19患者的接触预防措施 (长袍和手套).
- 关于SARS-CoV-2传播的既定科学与现有的临床实践建议之间存在差异.
研究的目的:
- 评估当前针对COVID-19患者护理的感染预防指南的科学基础.
- 倡导修订指导方针,使其与SARS-CoV-2的主要空气传播途径保持一致.
- 识别和消除与COVID-19感染控制有关的医疗保健机构的浪费性做法.
主要方法:
- 关于SARS-CoV-2传播动态的当前科学文献的审查.
- 对现有的CDC COVID-19感染预防指南的分析.
- 对基于证据的传播途径推的预防措施的比较评估.
主要成果:
- SARS-CoV-2的主要传播方式是通过气溶 (空气传播).
- 接触预防措施 (连衣和手套) 没有得到当前科学证据的支持,作为预防SARS-CoV-2感染的主要方法.
- 继续推连衣和手套是医疗保健中浪费的做法.
结论:
- 必须更新COVID-19的感染预防指南,以准确反映SARS-CoV-2的主要空气传播.
- 消除不必要的接触预防措施将减少浪费,提高医疗机构的效率.
- 坚持科学证据对于有效和高效的公共卫生战略至关重要.
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