Objective: To evaluate the role of prevention and control strategies for nosocomial infection in a tertiary teaching hospital during the sudden outbreak of Corona Virus Disease 2019 (COVID-19). Methods: The hospital i...Objective: To evaluate the role of prevention and control strategies for nosocomial infection in a tertiary teaching hospital during the sudden outbreak of Corona Virus Disease 2019 (COVID-19). Methods: The hospital initiated an emergency plan involving multi-departmental defense and control. It adopted a series of nosocomial infection prevention and control measures, including strengthening pre-examination and triage, optimizing the consultation process, improving the hospital’s architectural composition, implementing graded risk management, enhancing personal protection, and implementing staff training and supervision. Descriptive research was used to evaluate the short-term effects of these in-hospital prevention and control strategies. The analysis compared changes in related evaluation indicators between January 24, 2020 and February 12, 2020 (Chinese Lunar New Year’s Eve 2020 to lunar January 19) and the corresponding lunar period of the previous year. Results: Compared to the same period last year, the outpatient fever rate increased by 1.85-fold (P P Conclusion: The nosocomial infection prevention and control strategies implemented during this specific period improved the detection and control abilities for the COVID-19 source of infection and enhanced the compliance with measures. This likely contributed significantly to avoiding the occurrence of nosocomial infection.展开更多
In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a n...In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a never been experienced respiratory disease before and with infection ability widely and quickly, it attracted the world’s attention but without treatment and control manual. For the request from frontline clinicians and public health professionals of 2019-nCoV infected pneumonia management, an evidence-based guideline urgently needs to be developed. Therefore, we drafted this guideline according to the rapid advice guidelines methodology and general rules of WHO guideline development;we also added the first-hand management data of Zhongnan Hospital of Wuhan University. This guideline includes the guideline methodology, epidemiological characteristics, disease screening and population prevention, diagnosis, treatment and control(including traditional Chinese Medicine), nosocomial infection prevention and control, and disease nursing of the 2019-nCoV. Moreover, we also provide a whole process of a successful treatment case of the severe 2019-nCoV infected pneumonia and experience and lessons of hospital rescue for 2019-nCoV infections. This rapid advice guideline is suitable for the first frontline doctors and nurses, managers of hospitals and healthcare sections, community residents, public health persons, relevant researchers, and all person who are interested in the 2019-nCoV.展开更多
In this manuscript,the mathematical analysis of corona virus model with time delay effect is studied.Mathematical modelling of infectious diseases has substantial role in the different disciplines such as biological,e...In this manuscript,the mathematical analysis of corona virus model with time delay effect is studied.Mathematical modelling of infectious diseases has substantial role in the different disciplines such as biological,engineering,physical,social,behavioural problems and many more.Most of infectious diseases are dreadful such as HIV/AIDS,Hepatitis and 2019-nCov.Unfortunately,due to the non-availability of vaccine for 2019-nCov around the world,the delay factors like,social distancing,quarantine,travel restrictions,holidays extension,hospitalization and isolation are used as key tools to control the pandemic of 2019-nCov.We have analysed the reproduction number𝐑𝐑𝐧𝐧𝐧𝐧𝐧𝐧𝐧𝐧of delayed model.Two key strategies from the reproduction number of 2019-nCov model,may be followed,according to the nature of the disease as if it is diminished or present in the community.The more delaying tactics eventually,led to the control of pandemic.Local and global stability of 2019-nCov model is presented for the strategies.We have also investigated the effect of delay factor on reproduction number𝐑R_(nCov).Finally,some very useful numerical results are presented to support the theoretical analysis of the model.展开更多
文摘Objective: To evaluate the role of prevention and control strategies for nosocomial infection in a tertiary teaching hospital during the sudden outbreak of Corona Virus Disease 2019 (COVID-19). Methods: The hospital initiated an emergency plan involving multi-departmental defense and control. It adopted a series of nosocomial infection prevention and control measures, including strengthening pre-examination and triage, optimizing the consultation process, improving the hospital’s architectural composition, implementing graded risk management, enhancing personal protection, and implementing staff training and supervision. Descriptive research was used to evaluate the short-term effects of these in-hospital prevention and control strategies. The analysis compared changes in related evaluation indicators between January 24, 2020 and February 12, 2020 (Chinese Lunar New Year’s Eve 2020 to lunar January 19) and the corresponding lunar period of the previous year. Results: Compared to the same period last year, the outpatient fever rate increased by 1.85-fold (P P Conclusion: The nosocomial infection prevention and control strategies implemented during this specific period improved the detection and control abilities for the COVID-19 source of infection and enhanced the compliance with measures. This likely contributed significantly to avoiding the occurrence of nosocomial infection.
基金supported(in part)by the Entrusted Project of National Center for Medical Service Administration,National Health and Family Planning Commission China(No.[2019]099)the First Level Funding of the Second Medical Leading Talent Project in Hubei Provincethe Special Project for Emergency of the Ministry of Science and Technology(2020YFC0841300)。
文摘In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a never been experienced respiratory disease before and with infection ability widely and quickly, it attracted the world’s attention but without treatment and control manual. For the request from frontline clinicians and public health professionals of 2019-nCoV infected pneumonia management, an evidence-based guideline urgently needs to be developed. Therefore, we drafted this guideline according to the rapid advice guidelines methodology and general rules of WHO guideline development;we also added the first-hand management data of Zhongnan Hospital of Wuhan University. This guideline includes the guideline methodology, epidemiological characteristics, disease screening and population prevention, diagnosis, treatment and control(including traditional Chinese Medicine), nosocomial infection prevention and control, and disease nursing of the 2019-nCoV. Moreover, we also provide a whole process of a successful treatment case of the severe 2019-nCoV infected pneumonia and experience and lessons of hospital rescue for 2019-nCoV infections. This rapid advice guideline is suitable for the first frontline doctors and nurses, managers of hospitals and healthcare sections, community residents, public health persons, relevant researchers, and all person who are interested in the 2019-nCoV.
文摘In this manuscript,the mathematical analysis of corona virus model with time delay effect is studied.Mathematical modelling of infectious diseases has substantial role in the different disciplines such as biological,engineering,physical,social,behavioural problems and many more.Most of infectious diseases are dreadful such as HIV/AIDS,Hepatitis and 2019-nCov.Unfortunately,due to the non-availability of vaccine for 2019-nCov around the world,the delay factors like,social distancing,quarantine,travel restrictions,holidays extension,hospitalization and isolation are used as key tools to control the pandemic of 2019-nCov.We have analysed the reproduction number𝐑𝐑𝐧𝐧𝐧𝐧𝐧𝐧𝐧𝐧of delayed model.Two key strategies from the reproduction number of 2019-nCov model,may be followed,according to the nature of the disease as if it is diminished or present in the community.The more delaying tactics eventually,led to the control of pandemic.Local and global stability of 2019-nCov model is presented for the strategies.We have also investigated the effect of delay factor on reproduction number𝐑R_(nCov).Finally,some very useful numerical results are presented to support the theoretical analysis of the model.