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有效控制新冠病毒的非药物策略与干预措施:一项叙述性综述

Non-Pharmacological Strategies and Interventions for Effective COVID-19 Control: A Narrative Review.

作者信息

Aho Glele Ludwig Serge, de Rougemont Alexis

机构信息

Epidemiology and Infection Control Department, University Hospital of Dijon, 21000 Dijon, France.

National Reference Centre for Gastroenteritis Viruses, Laboratory of Virology, University Hospital of Dijon, 21000 Dijon, France.

出版信息

J Clin Med. 2023 Oct 11;12(20):6465. doi: 10.3390/jcm12206465.

Abstract

The COVID-19 pandemic had a devastating impact on the world, causing widespread illness and death. Focusing on prevention strategies to limit the spread of the disease remains essential. Despite the advent of vaccines, maintaining a vigilant approach to prevention remains paramount. We reviewed effective strategies to prevent COVID-19 transmission, including various prevention measures and interventions and both established practices and unresolved issues that have been addressed in meta-analyses, literature reviews, or in the health care context. Standard precautions are the cornerstone of infection control, with hand hygiene and mask use as key components. The use of surgical masks is recommended to prevent droplet transmission, while eye protection is recommended in combination with masks. In terms of room occupancy, ventilation is critical in reducing the risk of transmission in poorly ventilated environments. Chemical disinfection of indoor air with Triethylene glycol-based products can provide safe additional protection. Since viral RNA detection on surfaces does not necessarily indicate infectivity, the risk of transmission by surface contact remains low if surfaces are properly maintained and hand hygiene is practiced regularly. Thus, prevention of SARS-CoV-2 transmission requires a multifaceted approach, including reducing particle emissions from infected persons by wearing masks, eliminating aerosols by ventilation and air treatment, ensuring physical separation, and protecting exposed persons with masks and eye protection.

摘要

新冠疫情对世界造成了毁灭性影响,导致疾病广泛传播和大量死亡。专注于限制疾病传播的预防策略仍然至关重要。尽管疫苗已经问世,但保持警惕的预防方法仍然至关重要。我们回顾了预防新冠病毒传播的有效策略,包括各种预防措施和干预措施,以及荟萃分析、文献综述或医疗保健背景中已探讨的既定做法和未解决问题。标准预防措施是感染控制的基石,手部卫生和口罩使用是关键组成部分。建议使用外科口罩以防止飞沫传播,同时建议在佩戴口罩的同时使用眼部防护。就房间占用情况而言,通风对于降低通风不良环境中的传播风险至关重要。使用基于三甘醇的产品对室内空气进行化学消毒可提供额外的安全防护。由于表面病毒RNA检测不一定表明具有传染性,如果表面得到妥善维护且定期进行手部卫生,通过表面接触传播的风险仍然较低。因此,预防新冠病毒传播需要多方面的方法,包括通过佩戴口罩减少感染者的颗粒物排放、通过通风和空气处理消除气溶胶、确保物理隔离,以及用口罩和眼部防护保护暴露人群。

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