关键词 新冠肺炎;新冠病毒;眼科;感染控制
中图分类号:R473.77 文献标志码:A 文章编号:1006-1533(2020)14-0003-03
Infection control of ophthalmology in the outbreak of corona virus disease 2019
ZHANG Zhihua, ZHENG Kairong, SHEN Yinchen, LYU Yanyun, XU Xun
(1. Department of Ophthalmology of the First People’s Hospital, Shanghai 200080, China; 2. National Clinical Research Center for Eye Diseases, Shanghai 200080, China; 3. Key Laboratory of Ocular Fundus Diseases, Shanghai 200080, China; 4. Engineering Center for Visual Science and Photomedicine, Shanghai 200080, China; 5. Engineering Center for Precise Diagnosis and Treatment of Eye Diseases, Shanghai 200080, China)
ABSTRACT The outbreak of corona virus disease 2019(COVID-19) has brought great influence to the people and the country. Because COVID-19 still has not enough evidence to completely exclude the possibility of eye transmission, this poses challenges to eye protection and diagnosis and treatment of ophthalmic diseases. In order to carry out outpatient and emergency work safely and reasonably under the premise of epidemic prevention, the Ophthalmology Department of Shanghai First People’s Hospital has made a series of improvements from the aspects of patient management, medical staff protection and so on, and has received good results. From January 23 to March 23, 2020, Department of Ophthalmology received 15 921 outpatients and 543 emergency patients, without infection of medical staffs. Proper medical services were provided under the premise of infection control. Two thousand four hundred and eighty-six conjunctivitis cases were seen, and no confirmed COVID-19 cases were found. The results may be related to the fact that the epidemic situation is not serious in Shanghai and the total number of local COVID-19 patients is less. In addition, whether SARS-CoV-2 could be found in tear or whether conjunctivitis could be the initial symptom is still unknown. Therefore, the risk of seeing conjunctivitis patients with adequate protection is controllable.
KEY WORDS corona virus disease 2019; corona virus; ophthalmology; infection control 冠状病毒是一大类单链RNA病毒,可感染动物和人类,并引起呼吸道、胃肠道、肝脏和神经系统症状[1],已导致多次全球流行病。2002—2003年爆发的重症急性呼吸窘迫综合征(severe acute respiratory syndrome,SARS)感染人数超过8 000例,并导致全球至少26个国家的774例患者死亡[2]。2012年,中东呼吸综合征导致2 400余人感染,800余人死亡[3]。2019年12月下旬,武汉市突发肺炎疫情,并迅速向周边地区和国家蔓延。2020年1月7日,该肺炎病原体被鉴定为一种新型冠状病毒,随后,国际病毒分类委员会冠状病毒研究组将此病毒命名为SARS-CoV-2。