高级隔离单位在应对高后果和新出现的传染病中的作用:德国STAKOB网络的经验
Michaela Niebank1, Stefan O Brockmann1, Torsten Feldt1
1Michaela Niebank, MD, is Head, Clinical Management and Infection Control, and Head, STAKOB office; and Agata Mikolajewska, MD, is a Staff Member and Coordinator, STAKOB office; both at the Center for Biological Threats and Special Pathogens, Robert Koch Institute, Berlin, Germany. Stefan O. Brockmann, MD, is Head, Landesgesundheitsamt Referat 73, Ministerium für Soziales, Gesundheit und Integration Baden-Württemberg, Stuttgart, Germany. Torsten Feldt, MD, DTM, is an Infectious Disease Physician, Professor, and Head, Tropical Medicine Unit, Department of Gastroenterology, Hepatology and Infectious Diseases, Düsseldorf University Hospital, and Medical Faculty, Heinrich Heine University, Düsseldorf, Germany. Björn-Erik Ole Jensen, MD, PD, DTM, is Coordinator, High-Level Isolation Unit, Department of Gastroenterology, Hepatology and Infectious Diseases, Düsseldorf University Hospital, and Medical Faculty, Heinrich Heine University, Düsseldorf, Germany. Annette Jurke, PD, MSc, is Speaker, STAKOB, and Head; and Jennifer Schauer, PhD, is a Staff Member; both in the Infectious Disease Epidemiology Section, NRW Centre for Health, Bochum, Germany. Katja Rothfuss, MD, is Coordinator High-Level Isolation Unit, Department of Gastroenterology, Hepatology and Endocrinology, Robert-Bosch-Hospital, Stuttgart, Germany. Stefan Schmiedel, MD, PhD, DTMPH, is a Consultant, Infectious Disease and Tropical Medicine, and Coordinator, High Level Isolation Unit, University Medical Center Hamburg Eppendorf (UKE), Hamburg, Germany. Miriam Stegemann, MD, DTMH, is Head, Infectiology, Campus Virchow-Klinikum, Head of Antibiotic Stewardship, Department of Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany. Peter Tinnemann, MD, PD, MPH, is Head, Gesundheitsamt Frankfurt, Frankfurt am Main, Germany. Alexander Uhrig, MD, is Medical Director, Medical Intensive Care Unit/High-level Isolation Unit, Department of Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany. Timo Wolf, MD, PD, DTM, is Speaker, STAKOB, and Head, High-level Isolation Unit, Internal Medicine, Infectious Diseases, University Hospital, Goethe University Frankfurt, Frankfurt, Germany.
德国STAKOB网络加强了高后果传染病 (HCID) 的临床和公共卫生管理. 维持这一至关重要的准备网络需要大量的资源,尽管罕见疾病事件.
科学领域:
- 公共卫生和传染病.
- 流行病学和生物安全
背景情况:
- 高危传染病 (HCID) 和新出现的传染病对全球健康构成重大威胁.
- 有效的管理需要公共卫生当局和专业治疗中心之间的协调努力.
- 德国建立了STAKOB网络,以应对这些挑战.
研究的目的:
- 描述德国STAKOB网络的经验和运营框架.
- 突出STAKOB在加强HCID和德国新兴传染病准备方面的作用.
- 讨论维持专门隔离单位的挑战和重要性.
主要方法:
- 案例研究方法详细介绍了STAKOB网络的结构和功能.
- 公共卫生能力中心与高级隔离治疗中心之间的合作.
- 由罗伯特·科赫研究所协调.
主要成果:
- 斯塔科布 (STAKOB) 促进知识交流,指导方针制定,以及为疫情应对提供国际支持.
- 该网络已被证明对重症监护和加强新兴传染病的国家能力至关重要.
- 保持准备就需要大量的财务,物质和人力资源投入.
结论:
- 斯塔科布网络对于德国对抗HCID和新出现的传染病的准备工作至关重要.
- 维持专门的基础设施和专业知识是一个持续的挑战,因为事件的稀有性.
- 在充满活力的生物安全和传染病环境中,持续投资至关重要.
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