Prevention and treatment of cross infection of novel coronavirus pneumonia in thoracic surgery ward_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Qi ¹ , KUANG Wan ² , PING Wei ¹ , GAO Yi ¹ , HAO Zhipeng ¹ , CAI Yixin ¹ , LI Yangkai ¹ , ZHANG Ni ¹ ,  FU Xiangning ¹

1. Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P.R.China;
2. Department of Operating Room, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P.R.China;

Corresponding author：

FU Xiangning, Email: fuxn2006@aliyun.com

Keywords：

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); cross infection; epidemic prevention and control

DOI：

10.7507/1007-4848.202002132

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective By summarizing the clinical characteristics of perioperative patients with cross infection of novel coronavirus in thoracic surgery ward, to guide the prevention and treatment of nosocomial infection during the anti-epidemic period.Methods The clinical data of 451 patients with chest diseases in the Department of Thoracic Surgery of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from January 1^st to 24^th, 2020 were analyzed and followed up. There were 245 surgical patients and 206 non-surgical patients.Results In the department, 7 patients (7/451, 1.55%) were infected with the novel coronavirus and all of them were surgical patients, whose preoperative imaging data did not reveal the imaging changes of novel coronavirus. There were 5 males and 2 females, aged 56 to 68 years. The patients with old age, smoking, surgery, coronary heart disease, chronic liver disease and tumor history were more susceptible to infection. From the spatial distribution of patient beds, it was found that the distance among infected patients was greater than 1 m, and no cross infection was found in the other patients of the same ward. During follow-up, two family members of noninfected patients were found to be infected one week after discharge. However, there was no overlap of spatiotemporal distribution between the family members and the infected patients during the hospitalization period.Conclusion The novel coronavirus pneumonia rate in the department of thoracic surgery is low, which may be opportunistic infection. At the same time, a good control and prevention of epidemic disease can reduce the occurrence of cross infection in the department of thoracic surgery.

Citation： WANG Qi, KUANG Wan, PING Wei, GAO Yi, HAO Zhipeng, CAI Yixin, LI Yangkai, ZHANG Ni, FU Xiangning. Prevention and treatment of cross infection of novel coronavirus pneumonia in thoracic surgery ward. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(4): 371-375. doi: 10.7507/1007-4848.202002132 Copy

1.	Wu F, Zhao S, Yu B, et al. A new coronavirus associated with human respiratory disease in China [published online ahead of print, 2020 Feb 3]. Nature, 2020. doi:10.1038/s41586-020-2008-3.
2.	Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 2020, 395(10223): 497-506.
3.	中华人民共和国国家卫生健康委员会. 截至 2 月 28 日 24 时新型冠状病毒肺炎疫情最新情况. [2020-02-29]. http://www.nhc.gov.cn/xcs/yqfkdt/202002/4ef8b5221b4d4740bda3145ac37e68ed.shtml.
4.	中国疾病预防控制中心新型冠状病毒肺炎应急响应机制流行病学组. 新型冠状病毒肺炎流行病学特征分析. 中华流行病学杂志, 2020, 41(2): 145-151.
5.	方文涛, 陈勇, 张翔宇, 等. 老年患者开胸术后心肺并发症发生原因分析. 中国胸心血管外科临床杂志, 2006, 13(4): 233-237.
6.	林嵘嘉, 车国卫, 徐志华, 等. 肺癌患者电视胸腔镜手术后咳嗽的影响因素分析: 单中心前瞻性研究. 中国胸心血管外科临床杂志, 2017, 24(10): 748-752.
7.	王天佑. 胸外科围手术期肺保护中国专家共识 (2019 版). 中国胸心血管外科临床杂志, 2019, 26(9): 835-842.
8.	WHO. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. [2020-02-17]. URL: https://www.who.int/publications-detail/national-capacities-review-tool-for-a-novel-coronavirus-(ncov).
9.	Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China [published online ahead of print, 2020 Feb 7]. JAMA, 2020. doi:10.1001/jama.2020.1585.
10.	中华人民共和国国家卫生健康委员会. 国家卫生健康委办公厅关于加强疫情期间医疗服务管理满足群众基本就医需求的通知. [2020-02-17]. URL: http://www.nhc.gov.cn/yzygj/s7659/202002/6d5a8556c5ce46368263711698d8237a.shtml.
11.	刘常宇, 蔡奕欣, 郝志鹏, 等. 表现为磨玻璃影的新冠状病毒肺炎和早期肺肿瘤的 CT 影像学对比研究 [2020-02-17]. 中国胸心血管外科临床杂志, 2020. doi:10.7507/1007-4848.202002069.
12.	陶凯雄, 张必翔, 张鹏, 等. 新型冠状病毒肺炎背景下普通外科诊疗防控工作建议. 中华外科杂志, 2020, 58(3): E001.

1. Wu F, Zhao S, Yu B, et al. A new coronavirus associated with human respiratory disease in China [published online ahead of print, 2020 Feb 3]. Nature, 2020. doi:10.1038/s41586-020-2008-3.
2. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 2020, 395(10223): 497-506.
3. 中华人民共和国国家卫生健康委员会. 截至 2 月 28 日 24 时新型冠状病毒肺炎疫情最新情况. [2020-02-29]. http://www.nhc.gov.cn/xcs/yqfkdt/202002/4ef8b5221b4d4740bda3145ac37e68ed.shtml.
4. 中国疾病预防控制中心新型冠状病毒肺炎应急响应机制流行病学组. 新型冠状病毒肺炎流行病学特征分析. 中华流行病学杂志, 2020, 41(2): 145-151.
5. 方文涛, 陈勇, 张翔宇, 等. 老年患者开胸术后心肺并发症发生原因分析. 中国胸心血管外科临床杂志, 2006, 13(4): 233-237.
6. 林嵘嘉, 车国卫, 徐志华, 等. 肺癌患者电视胸腔镜手术后咳嗽的影响因素分析: 单中心前瞻性研究. 中国胸心血管外科临床杂志, 2017, 24(10): 748-752.
7. 王天佑. 胸外科围手术期肺保护中国专家共识 (2019 版). 中国胸心血管外科临床杂志, 2019, 26(9): 835-842.
8. WHO. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. [2020-02-17]. URL: https://www.who.int/publications-detail/national-capacities-review-tool-for-a-novel-coronavirus-(ncov).
9. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China [published online ahead of print, 2020 Feb 7]. JAMA, 2020. doi:10.1001/jama.2020.1585.
10. 中华人民共和国国家卫生健康委员会. 国家卫生健康委办公厅关于加强疫情期间医疗服务管理满足群众基本就医需求的通知. [2020-02-17]. URL: http://www.nhc.gov.cn/yzygj/s7659/202002/6d5a8556c5ce46368263711698d8237a.shtml.
11. 刘常宇, 蔡奕欣, 郝志鹏, 等. 表现为磨玻璃影的新冠状病毒肺炎和早期肺肿瘤的 CT 影像学对比研究 [2020-02-17]. 中国胸心血管外科临床杂志, 2020. doi:10.7507/1007-4848.202002069.
12. 陶凯雄, 张必翔, 张鹏, 等. 新型冠状病毒肺炎背景下普通外科诊疗防控工作建议. 中华外科杂志, 2020, 58(3): E001.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Prevention and treatment of cross infection of novel coronavirus pneumonia in thoracic surgery ward

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content