Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (2): 88-92.doi: 10.6040/j.issn.1673-3770.0.2020.078

Previous Articles     Next Articles

COVID-19 prevention and control scheme in an ENT endoscopy unit in China

LIANG Huimin1, WANG Liqin1, WAN Wenjin1, SHI Sailei2, YUAN Jing1, SHEN Yujie1, ZHANG Jiacheng1, MAO Zefan1, NI Jingzi1, PAN Yiwen1, CHEN Zhibin1, CHENG Lei1   

  1. 1. Department of Otorhinolaryngology;
    2. Out-patient Department, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China
  • Published:2020-03-13

Abstract: Due to the increasing spread of the novel coronavirus disease(COVID-19), prevention and control measures have become increasingly important. As a key location for diagnosing and treating upper airway diseases, strict precautions are required in ear nose and throat(ENT)endoscopy units. Endoscopy workers have a high risk of occupational exposure. Therefore, procedures must be strictly performed according to the prevention and control plan. The prevention and control requirements for COVID-19, as directed by the National Health Commission of China, have been universally deployed in our hospital. We have carefully analyzed the risk factors of infection during the epidemic period and subsequently formulated a prevention and control scheme for COVID-19 based on the infection control measures in the ENT endoscopy unit. These have helped to avoid cross-infection in the hospital and ensure the safety of patients and medical staff during the COVID-19 epidemic.

Key words: Coronavirus, COVID-19, Prevention, Control, Endoscopy, Otolaryngology

CLC Number: 

  • R767
[1] 国家卫生健康委办公厅. 新型冠状病毒肺炎诊疗方案(试行第六版)[EB/OL]. 2020. http://www.nhc.gov.cn/xcs/zhengcwj/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdf.
[2] Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019(COVID-19)outbreak in China: summary of a report of 72 314 cases from the Chinese center for disease control and prevention[J]. JAMA, 2020. doi:10.1001/jama.2020.2648.
[3] 姚璜, 杨盛力, 魏守蓉. 新形势下应对新型冠状病毒,防控为首[J]. 医药导报, 2020. https://kns.cnki.net/KCMS/detail/42.1293.R.20200211.2022.005.html.
[4] 中华医学会耳鼻咽喉头颈外科分会. 致全国耳鼻咽喉头颈外科医护人员——在新型冠状病毒感染控制背景下的几点防护建议[EB/OL]. 2020.https://mp.weixin.qq.com/s/VF4qR0L13rj39tZ10V4Fkg.
[5] 复旦大学眼耳鼻喉科医院耳鼻喉科,耳鼻喉科研究院. 新型冠状病毒感染防控耳鼻咽喉头颈外科鼻内镜和喉窥镜检查工作流程及防护建议[EB/OL]. 2020. https://mp.weixin.qq.com/s/d8XibhrIuPR9y467SpP35A.
[6] 国家卫生健康委办公厅. 医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)[EB/OL]. 2020. http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml.
[7] 文进, 曾锐, 徐才刚, 等. 华西医院抗击新型冠状病毒肺炎疫情的十大管理举措[J]. 中国循证医学杂志, 2020, 20(3): 1-4. doi:10.7507/1672-2531.202002014.
[8] 国家卫生健康委办公厅. 新型冠状病毒感染的肺炎防控中常见医用防护用品使用范围指引(试行)[EB/OL]. 2020. http://www.nhc.gov.cn/yzygj/s7659/202001/e71c5de925a64eafbe1ce790debab5c6.shtml.
[9] ENT联盟.倪晓光教授-疫情期间喉镜检查防护建议及操作流程(第2版)[EB/OL]. 2020. https://mp.weixin.qq.com/s/zEC-CX_gsTp7h7eScHe_hQ.
[10] 唐金海,赵俊. 新型冠状病毒肺炎临床防控实践应用方案[M]. 南京:东南大学出版社,2020: 1-4, 76-78, 142-147.
[11] 中华人民共和国国家卫生健康委员会. 医务人员手卫生规范WS/T 313-2019[J]. 中国感染控制杂志, 2020, 19(1): 93-98. doi:10.3969/j.issn.1671-9638.20205360.
[12] 中国医师协会耳鼻咽喉头颈外科医师分会. 耳鼻咽喉头颈外科医务人员应对新型冠状病毒感染职业防控建议[EB/OL]. 2020. https://mp.weixin.qq.com/s/S1vlPnou1psLUqS5-akdCA.
[13] 中华人民共和国卫生部. 医院空气净化管理规范[EB/OL]. 2012. http://www.nhc.gov.cn/wjw/s9496/2012-04/54511/files/8df30d0236d3421c87492786c55c26e7.pdf.
[14] 中华人民共和国卫生部. 医疗机构消毒技术规范[EB/OL]. 2012. http://www.nhc.gov.cn/wjw/s9496/201204/54510/files/2c7560199b9d42d7b4fce28eed1b7b-e0.PDF.
[15] 刘运喜, 邢玉斌, 巩玉秀, 等. 软式内镜清洗消毒技术规范WS 507-2016[J]. 中国感染控制杂志, 2017, 16(6): 587-592. doi: 10.3969/j.issn.1671-9638.2017.06.024. LIU Yunxi, XING Yubin, GONG Yuxiu, et al. Regulation for cleaning and disinfection technique of flexible endoscope[J]. Chinese Journal of Infection Control, 2017, 16(6): 587-592. doi:10.3969/j.issn.1671-9638.2017.06.024.
[16] 时强, 王萍, 胡皓, 等. 复旦大学附属中山医院在新型冠状病毒肺炎疫情期间急诊消化内镜的诊治经验[J]. 中华消化内镜杂志, 2020, 37. doi:10.3760/cma.j.cn321463-20200222-00114.
[17] 中华人民共和国国务院. 医疗废物管理条例[J]. 中国护理管理, 2003, 3(3): 30-33. doi:10.3969/j.issn.1672-1756.2003.03.012.
[18] 中华人民共和国卫生部.医疗卫生机构医疗废物管理办法[J].中国护理管理, 2003, 3(5): 15-18. doi:10.3969/j.issn.1672-1756.2003.05.007.
[19] 国家卫生健康委办公厅. 国家卫生健康委办公厅关于做好新型冠状病毒感染的肺炎疫情期间医疗机构医疗废物管理工作的通知[EB/OL]. 2020. http://www.nhc.gov.cn/yzygj/s7659/202001/6b7bc23a44624ab28-46b127d146be758.shtml.
[20] 杨希林, 任杰, 许珍, 等. 耳鼻咽喉头颈外科应对新型冠状病毒疫情院内感染的防控策略及方法[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55. doi:10.3760/cma.j.issn.1673-0860.2020.0002.
[21] 国家卫生健康委员会. 中国-世界卫生组织新型冠状病毒肺炎(COVID-19)联合考察报告[EB/OL].2020. http://www.nhc.gov.cn/xcs/fkdt/202002/87fd92510d-094e4b9bad597608f5cc2c/files/fa3ab9461d0540c294b9-982ac22af64d.pdf.
[1] QIN Ming, SUN Zhanwei, WANG Weiwei, LI Shichao, WU Tianyi, WANG Guangke. Efficacy of alkaline isotonic saline in laryngopharyngeal reflux symptom-positive or finding score-positive patients with chronic rhinosinusitis following endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 147-153.
[2] ZENG Xianting, WANG Guangke, SUN Zhanwei, WU Tianyi, LI Shichao, WANG Weiwei. Postoperative efficacy of proton pump inhibitor in the treatment of difficult-to-treat rhinosinusitis with laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 189-194.
[3] GONG Xiaoyang, CHENG Lei. Analysis of proportion of outpatients with allergic rhinitis during the coronavirus infectious disease 2019 pandemic [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 245-255.
[4] ZHU Zhengru, ZHANG Xiaobing. Meta-analysis of the curative effect of traditional Chinese medicine decoction combined with conventional western medicine on allergic rhinitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 281-289.
[5] ZHANG Min, LIU Yongliang, SONG Daoliang, HAN Xuefeng, FENG Xinrong, ZHAO Yunpei. A comparative study on the treatment of severe chronic hypertrophic rhinitis by modified inferior turbinate plasty under nasal endoscopy and low-temperature plasma ablation with fracture displacement of the inferior turbinate [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 83-88.
[6] LIU Yi, YU Mingkun, SUN Wei, SHAO Zhen, HU Yuanyuan, BI Hongsheng. The effectiveness and safety of orthokeratology on controlling myopia of children: a meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 92-100.
[7] WANG Di, CHENG Jinzhang,YU Dan. Application of artificial intelligence based on machine learning in clinical diagnosis and treatment in otolaryngology [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 125-131.
[8] WANG Xuechang, WANG Tao, REN Xin, ZHAO Mingjun. Analysis of the clinical efficacy of endoscopy-assisted intraoral removal of an elongated styloid process without tonsillectomy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 17-21.
[9] CHENG Liyu, XU Wen. Clinical characteristics of functional dysphonia secondary to inadequate voice rest [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 10-13.
[10] LIN Xiaoyan, LI Jing, MA Zhiqi, LI Yilin, GAO Xinyi, LI Yong. Therapeutic and anti-allergic effects of probiotics on allergic rhinitis: a meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 70-80.
[11] SUN Xiaohan, LI Na, CHEN Kaixuan, CHEN Min, YAN Shu, CHE Fei. Application of the ROE scale to the evaluation of the quality of life of patients with external nose deformity and nasal septum deviation before and after surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 87-91.
[12] WANG Yanjie, CHENG Fengli,ZHAO Changqing. Latest research progress of 3D printing technology and clinical applications in otorhinolaryngology [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 114-118.
[13] GU Tingting, LIU Yan, ZHANG Yue, YU Dan, WEN Lianji. Nasonex and montelukast sodium in the treatment of adenoidal hypertrophy: a Meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 47-55.
[14] Zhenhua JIANG,Lijun ZHANG,Ying LI,Yanqin XIAO,Chao LI,Bo SHI,Guiying ZHANG,Bin XU,Wei DENG,Gang LUO,Jifang LUO,Guoqi LIU. Epidemic control practices of an otolaryngology-head and neck surgery ward in an area with non-high incidence of COVID-19 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 93-98.
[15] XU Haixia, CUI Xiaobo, LIU Jiarong, LI Xin, LIU Jiayi, LIU Xiaoling. Study of airborne allergenic pollen in the urban district of Hohhot city [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 106-109.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 84 -87 .
[2] NIU Shanli,CHAI Maowen,LI Zhenxiu . Endoscopic rhinoplasty of inferior turbinate in 60 patients with chronic hypertrophic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 16 -18 .
[3] MENG Qing-guo,LU Yong-tian,FAN Xian-liang .

Association of killer cell immunoglobulin-like receptor gene polymorphisms with nasopharyngeal carcinoma

[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 196 -199 .
[4] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 199 -199 .
[5] WAN Li-jia,LU Hai-tao,JIANG Yi-dao,LIU Hui,LI Qin,SHE La-zhi . Effect of H-uvulopalatopharyngoplasty on obstructive sleep apnea
hypopnea syndrome
[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 204 -205 .
[6] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 222 -224 .
[7] JI Xiao-bin,DENG Jia-de,ZANG Lin-quan,WANG Lei,XIE Jun . Blood histamine in guinea pigs with allergic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 228 -230 .
[8] XIANG Deng,LU Yong-tian,SUN Huan-ji . Endoscopic repair for cerebrospinal fluid rhinorrhea in 19 cases and a literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 234 -236 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 253 -257 .
[10]
YIN Guo-hua,ZHONG Xiao . Long-term effect of laser reduction on lingua adenoids
[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 280 -282 .