新型冠状病毒肺炎防控期间眼专科机构开展病毒核酸检测的必要性和可行性评估

Necessity and feasibility of viral RNA detection in specialist ophthalmic institute during the COVID-19 epidemic

当前我国新型冠状病毒肺炎(COVID-19)疫情防控正处在最紧张的关键阶段,医院的任务是一手抓抗击新冠病毒疫情,一手抓有序开展医疗工作。近日各地眼科正在陆续全面开诊手术,这就要求必须精准阻断疫情传播,避免在眼科出现二次病毒传播和医护人员在院交叉感染。我们进行了多方位的疫情防控管理探索,尤其是高度重视对患者和医护等人员个人的防护,取得了初步效果。主要做法包括一方面通过增加C反应蛋白(CRP)和血清淀粉样蛋白A(SAA)等血液学指标和新型冠状病毒(2019-nCoV)标准化核酸检测作为眼科手术患者术前筛查常规检测项目,以尽可能避免隐性无症状感染者传播,降低院内交叉感染的风险;另一方面采用病毒核酸检测方法为返岗员工进行疫情筛查,有利于医院确保眼科诊疗活动的安全及质量,减轻医务人员疫情防控期间的心理和精神压力,并为其他相关疫情防控提供参考。

The prevention and treatment of COVID-19 in China is now at a key stage.The tasks faced by the medical organs are fighting against the COVID-19 while providing the medical services orderly.As a Specialist medical institution nationwide,ophthalmic hospitals are resuming receiving patients and performing operations gradually,including precision interruption of the epidemic,prevention of the secondary virus transmission,and avoidance of nosocomial cross infection among health care providers are required.We explored a multifaceted management for the prevention and control of epidemic,with a special focus on the individual protection for patients and medical staffs.A preliminary positive effect can be observed as a result.The main measures taken cover two aspects.On the one hand,2019-nCoV ribonucleic acid(RNA)detection and hematological indices inspection including C-reactive protein(CRP)and serum amyloid A(SAA)are listed as routine tests of preoperative screening for ocular surgical patients.These tests are required to be completed upon the admission to avoid the possibility of accepting any asymptomatic infected individual and to reduce the risk of nosocomial cross infection.On the other hand,the 2019-nCoV RNA detection is also provided to high-risk employees who visited affected area recently.This assists in obtaining guarantee in both safety and quality of medical services provided,but also helps in lessening the mental and spiritual stress for medical staffs.It is expected that these measures can contribute to the work of our peers of ophthalmology in the prevention and control of COVID-19 and to the safe environment where the medical services are provided,and provide a reference for other outbreak of virus-causing disease.