Coronavirus: hospitals must learn from past pandemics (2020/02/11)+中文摘要轉譯

醫院應該從先前的病毒感染大流行學到什麼?

波士頓大學醫學院感染科副教授Nahid Bhadella在《自然》期刊撰文,從先前的SARS、伊波拉病毒、H1N1流感的經驗中,對於這次武漢肺炎,醫院應該注意三個重點:

1.檢疫的重點是旅遊史與接觸史:這是2013和2016年伊波拉告訴全世界最重要的經驗—旅遊史與接觸史在檢疫的重要性

2.隔離病房:對於這次的武漢肺炎,有足夠的隔離病房是很重要的,特別是對於不同嚴重程度的病患所需要的急重症資源

3.醫護人員的安全:紐約市在2013年H1N1大流行時,有60%的醫護人員也被感染,他們可能會傳染給患者與醫療院所的同事。而在SARS的經驗中,即使配有隔離防護裝備的醫療人員,也是被感染的高風險族群。

《自然》論文原文:Bhadelia N. Coronavirus: hospitals must learn from past pandemics. Nature. 2020 Feb;578(7794):193.

(國衛院林煜軒醫師整理)

The world that is grappling with 2019 novel coronavirus (2019-nCoV) is different from how it was during the SARS and H1N1 pandemics. The disease itself, and information and disinformation, now travel faster than ever.

I worked as a clinician in West Africa during the Ebola outbreak, and in New York City hospitals during the H1N1 one. Now, I’m working in Boston, Massachusetts, to prepare for potential cases of 2019-nCoV acute respiratory disease. And many of the challenges are the same as those faced in previous outbreaks.

The specifics of each virus are important, but so is an overarching question: what do you do when large numbers of people arrive wanting care for suspected infections of an unfamiliar disease? This comes down to three decisions: how to quickly identify infected people, how to isolate and care for them and how to keep health-care workers safe.

Author: Nahid Bhadelia

Link: https://www.nature.com/articles/d41586-020-00354-4