COVID-19流行期间新生儿遗传代谢病筛查的防控应急管理

Emergency management plan for newborn screening during epidemic of coronavirus disease 2019

目的:探讨在新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)疫情期间,安全、有效开展新生儿遗传代谢病筛查,防止新型冠状病毒在筛查过程中传染扩散,保护患儿及筛查工作人员的应急管理办法。方法:根据国家卫生健康委员会的有关法规、防控指南、研究报道等,提出COVID-19流行期间新生儿遗传代谢病筛查的应急管理预案。结果:对疑诊/确诊的COVID-19新生儿先予隔离治疗,延迟采血、延迟召回管理,提供远程诊疗服务,实施采血、样本递送、实验检测和阳性诊疗等环节的防疫措施。结论:制定新生儿遗传代谢病筛查防控应急管理预案是安全、有效地开展筛查工作的前提和保障。

Objective:To investigate the emergency response plan during epidemic of coronavirus disease 2019(COVID-19)to carry out newborn screening for inherited metabolic diseases(IMD)safely and efficiently,so as to prevent 2019 novel coronavirus(2019-nCoV)spread and protect patients and staff. Methods:Based on the relevant regulations of National Health Commission of People’s Republic of China,guidelines and other research reports,an emergency response plan for newborn screening was proposed. Results:Newborns with suspect or confirmed COVID-19 were isolated,blood collection and recalling management were delayed until recovering,and telemedicine was provided. Preventive measures were taken against epidemics in the course of blood collection,transportation,laboratory testing,diagnosis and treatment. Conclusion:Making an emergency response plan is a premise and guarantee to carry out newborn screening for IMD safely and efficiently.