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[Treatment of pancreatic diseases and prevention of infection during outbreak of 2019 coronavirus disease].
Zhonghua Wai Ke Za Zhi. 2020 May 01; 58(5):326-330.ZW

Abstract

Objective:

To explore the proper protective measures for pancreatic diseases treatment during the outbreak of 2019 coronavirus disease(COVID-19).

Methods:

Clinical data of four cases of patients that suffered COVID-19 from February 2(nd) to February 9(th), 2020 at Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology were reviewed induding 4 males and 1 female, aging of 50, 51, 46, 87 years old, respectively. After the first patients cuffed nosocomial infection of COVID-19, the general protective measures were updated.Only one patient was admitted to each room alone, with no more than one caregiver. The body temperature of care givers was measured twice a day.Primary protections were applied to all staff.The floor was sterilized using disinfectant with an effective chlorine concentration of 1 000 mg/L. The protective measures for interventional procedures were as follow. Primary protection was applied to the operators of central venipuncture catheter, percutaneous abdominal/pleural drainage, percutaneous retroperitoneal drainage, percutaneous transhepatic cholangial drainage and other surgical procedures with local anesthesia and epidural anesthesia. Secondary protection was applied to the operators of endoscopic retrograde cholangiopancreatography and surgical procedures with general anesthesia.

Results:

There were four patients who were diagnosed as COVID-19, of which one died of COVID-19, two were cured, and one was still in hospital for COVID-19. After the update of protective measures, no more nosocomial infection of COVID-19 occurred. Two central venipuncture catheter, three percutaneous abdominal or pleural drainage, one percutaneous retroperitoneal drainage, one percuteneous transhepatic cholecyst drainage and one open surgery with general anesthesia were performed with no infection of operators.

Conclusions:

The caregivers of patients are potential infection source of COVID-19. Enhanced protective measures including the management measures of caregivers can decrease the risk of nosocomial infection of COVID-19.

Authors+Show Affiliations

Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Pub Type(s)

Case Reports
Journal Article

Language

chi

PubMed ID

32107909

Citation

Gou, S M., et al. "[Treatment of Pancreatic Diseases and Prevention of Infection During Outbreak of 2019 Coronavirus Disease]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 58, no. 5, 2020, pp. 326-330.
Gou SM, Yin T, Xiong JX, et al. [Treatment of pancreatic diseases and prevention of infection during outbreak of 2019 coronavirus disease]. Zhonghua Wai Ke Za Zhi. 2020;58(5):326-330.
Gou, S. M., Yin, T., Xiong, J. X., Peng, T., Li, Y., & Wu, H. S. (2020). [Treatment of pancreatic diseases and prevention of infection during outbreak of 2019 coronavirus disease]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 58(5), 326-330. https://doi.org/10.3760/cma.j.cn112139-20200224-00123
Gou SM, et al. [Treatment of Pancreatic Diseases and Prevention of Infection During Outbreak of 2019 Coronavirus Disease]. Zhonghua Wai Ke Za Zhi. 2020 May 1;58(5):326-330. PubMed PMID: 32107909.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of pancreatic diseases and prevention of infection during outbreak of 2019 coronavirus disease]. AU - Gou,S M, AU - Yin,T, AU - Xiong,J X, AU - Peng,T, AU - Li,Y, AU - Wu,H S, PY - 2020/2/29/pubmed PY - 2020/5/20/medline PY - 2020/2/29/entrez KW - 2019 coronavirus disease KW - Coronavirus infections KW - Nosocomial infection KW - Novel coronavirus pneumonia KW - Pancreatic disease KW - Prevention of infection SP - 326 EP - 330 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 58 IS - 5 N2 - Objective: To explore the proper protective measures for pancreatic diseases treatment during the outbreak of 2019 coronavirus disease(COVID-19). Methods: Clinical data of four cases of patients that suffered COVID-19 from February 2(nd) to February 9(th), 2020 at Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology were reviewed induding 4 males and 1 female, aging of 50, 51, 46, 87 years old, respectively. After the first patients cuffed nosocomial infection of COVID-19, the general protective measures were updated.Only one patient was admitted to each room alone, with no more than one caregiver. The body temperature of care givers was measured twice a day.Primary protections were applied to all staff.The floor was sterilized using disinfectant with an effective chlorine concentration of 1 000 mg/L. The protective measures for interventional procedures were as follow. Primary protection was applied to the operators of central venipuncture catheter, percutaneous abdominal/pleural drainage, percutaneous retroperitoneal drainage, percutaneous transhepatic cholangial drainage and other surgical procedures with local anesthesia and epidural anesthesia. Secondary protection was applied to the operators of endoscopic retrograde cholangiopancreatography and surgical procedures with general anesthesia. Results: There were four patients who were diagnosed as COVID-19, of which one died of COVID-19, two were cured, and one was still in hospital for COVID-19. After the update of protective measures, no more nosocomial infection of COVID-19 occurred. Two central venipuncture catheter, three percutaneous abdominal or pleural drainage, one percutaneous retroperitoneal drainage, one percuteneous transhepatic cholecyst drainage and one open surgery with general anesthesia were performed with no infection of operators. Conclusions: The caregivers of patients are potential infection source of COVID-19. Enhanced protective measures including the management measures of caregivers can decrease the risk of nosocomial infection of COVID-19. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/32107909/[Treatment_of_pancreatic_diseases_and_prevention_of_infection_during_outbreak_of_2019_coronavirus_disease]_ L2 - https://medlineplus.gov/pancreaticdiseases.html DB - PRIME DP - Unbound Medicine ER -