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在新冠疫情期间管理癌症患者:一家北非肿瘤中心的经验

Managing cancer patients during COVID-19 pandemic: a North African oncological center experience.

作者信息

Ammor Youssouf Mohamed, Kaïitouni Zinah Idrissi, Darfaoui Mouna, Lalya Issam, Elomrani Abdelhamid, Khouchani Mouna

机构信息

University Teaching Hospital Mohamed VI, Hematology and Oncology Center, Radiation Oncology Department, Marrakesh, Morocco.

出版信息

Pan Afr Med J. 2020 Aug 13;35(Suppl 2):144. doi: 10.11604/pamj.supp.2020.35.144.24582. eCollection 2020.

Abstract

INTRODUCTION

since the first spread of the novel coronavirus (COVID-19) in Morocco in March 2020, the Moroccan Health System underwent an important pressure and remarkable efforts were spent to provide efficient reactions to this emergency. Public hospitals have set adapted strategies dedicated to overcoming the overload of COVID-19 patients, and our Oncology and Hematology Center (OHC) has implemented a flexible adapted strategy aiming to reduce the burden of COVID-19. We report our single-center experience on the detailed infection control measures undertaken to minimize virus transmission.

METHODS

we reviewed all patients treated at the OHC from March 2 to April 20, 2020 as measures were taken since the detection of the first COVID-19 case to ensure the protection of patients and healthcare providers, especially a screening zone for any patient entering the center. The patient's data were retrospectively collected and anonymized.

RESULTS

we notified a significant decrease in patients' admissions during the lockdown period at the different units of our center. The screening area received a total of 5267 patients during our study period, with an average of 105 patients per day. Interestingly, no healthcare professional was infected and only 8 patients showed symptoms of fever and cough, and all of them had a negative test for COVID-19 (RT-PCR). Thus, the OHC is considered as a COVID-19 free center with zero cases among patients and healthcare providers.

CONCLUSION

by having a 0% rate of infection, the efficiency of our measures is proven, but efforts are still needed as we have to measure the impact of this pandemic in our cancer management.

摘要

引言

自2020年3月新型冠状病毒(COVID-19)在摩洛哥首次传播以来,摩洛哥卫生系统承受了巨大压力,并为应对这一紧急情况付出了巨大努力。公立医院制定了专门的应对策略以克服COVID-19患者的超负荷问题,我们的肿瘤与血液学中心(OHC)实施了一项灵活的应对策略,旨在减轻COVID-19的负担。我们报告我们单中心在采取详细感染控制措施以尽量减少病毒传播方面的经验。

方法

我们回顾了2020年3月2日至4月20日在OHC接受治疗的所有患者,自首例COVID-19病例被发现后便采取了措施,以确保患者和医护人员的安全,特别是为进入中心的任何患者设立了筛查区域。患者数据进行了回顾性收集并匿名化处理。

结果

我们注意到在我们中心不同科室的封锁期间患者入院人数显著减少。在我们的研究期间,筛查区域共接待了5267名患者,平均每天105名患者。有趣的是,没有医护人员被感染,只有8名患者出现发热和咳嗽症状,且他们所有的COVID-19(逆转录聚合酶链反应)检测均为阴性。因此,OHC被视为一个无COVID-19的中心,患者和医护人员中均无病例。

结论

通过0%的感染率,我们措施的有效性得到了证明,但仍需努力,因为我们必须衡量这场大流行对我们癌症管理的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed45/7608771/e87ed463b433/PAMJ-SUPP-35-2-144-g001.jpg

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