{"id":399,"date":"2020-03-08T18:58:33","date_gmt":"2020-03-08T16:58:33","guid":{"rendered":"https:\/\/cnsmf.ro\/cercurilecalitatii\/?p=399"},"modified":"2020-03-30T22:39:34","modified_gmt":"2020-03-30T20:39:34","slug":"covid-19-punct-de-informare-informatii-pentru-medici","status":"publish","type":"post","link":"https:\/\/cnsmf.ro\/cercurilecalitatii\/2020\/03\/08\/covid-19-punct-de-informare-informatii-pentru-medici\/","title":{"rendered":"COVID 19: Punct de informare &#8211; informa\u021bii pentru medici"},"content":{"rendered":"<h3><strong>Epidemiologie<\/strong><\/h3>\n<p>Pe 31.12.2019, Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (O.M.S.) a informat cu privire la mai multe cazuri de pneumonie ap\u0103rute \u00een ora\u0219ul Wuhan din China, prin \u00eemboln\u0103vire cu un virus p\u00e2n\u0103 acum necunoscut, din familia coronaviridelor. Acesta fost denumit COVID 19.<\/p>\n<p>Pe pagina de internet a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 poate fi urm\u0103rit\u0103 situa\u021bia \u00eemboln\u0103virilor la nivel na\u021bional \u0219i mondial, actualizat\u0103 zilnic: <a href=\"https:\/\/www.cnscbt.ro\/index.php\/situatia-la-nivel-global-actualizata-zilnic\">https:\/\/www.cnscbt.ro\/index.php\/situatia-la-nivel-global-actualizata-zilnic<\/a><\/p>\n<h3><strong>Metodologii:<\/strong><\/h3>\n<p>Metodologia de prevenire \u0219i control ale infec\u021biilor suspecte cu COVID 19 \u00een unit\u0103\u021bile sanitare conform recomand\u0103rilor Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103:<\/p>\n<h5><a class=\"btn btn-primary btn-lg\" href=\"https:\/\/www.cnscbt.ro\/index.php\/metodologii\/infectia-2019-cu-ncov\">Vezi metodologia<\/a><\/h5>\n<h3><strong>Sfaturi pentru medicii de familie:<\/strong><\/h3>\n<ul>\n<li>Afi\u0219a\u021bi \u00een sala de a\u0219teptare materiale informative privind prevenirea infec\u021biei cu COVID 19.<\/li>\n<li>Asigura\u021bi-v\u0103 c\u0103 pacien\u021bii cu simptome de infec\u021bie respiratorie din sala de a\u0219teptare au la dispozi\u021bie m\u0103\u0219ti chirurgicale \u0219i c\u0103 exist\u0103, pentru toat\u0103 lumea, solu\u021bie dezinfectant\u0103 hidro-alcoolic\u0103 pentru m\u00e2ini.<\/li>\n<li>La telefon: daca pacientul \u00eendepline\u0219te criteriile epidemiologice \u0219i clinice cuprinse \u00een defini\u021bia de caz, asigura\u021bi-v\u0103 c\u0103 are loc preluarea acestuia de c\u0103tre serviciul special de ambulan\u021b\u0103, conform reglementarilor \u00een vigoare.<\/li>\n<\/ul>\n<h3><strong>La cabinet:<\/strong><\/h3>\n<ul>\n<li>asigura\u021bi-v\u0103 c\u0103 pacientul poart\u0103 masca chirurgical\u0103 \u0219i cere\u021bi-i s\u0103 \u00ee\u0219i dezinfecteze m\u00e2inile cu substan\u021b\u0103 dezinfectant\u0103 alcoolizat\u0103;<\/li>\n<li>limita\u021bi timpul petrecut \u00een prezen\u021ba celorlal\u021bi pacien\u021bi \u0219i a personalului; dac\u0103 nu ave\u021bi izolator, amplasa\u021bi-l la c\u00e2t mai mare distan\u021b\u0103 de ace\u0219tia;<\/li>\n<li>men\u021bine\u021bi u\u0219a cabinetului \u00eenchis\u0103 c\u00e2t timp pacientul este \u00een\u0103untru;<\/li>\n<li>purta\u021bi echipament de protec\u021bie, evita\u021bi contactul fizic \u0219i r\u0103m\u00e2ne\u021bi la cel pu\u021bin 1 m distan\u021b\u0103 fa\u021b\u0103 de acesta;<\/li>\n<li>dac\u0103 suspiciunea a ap\u0103rut \u00een timpul consulta\u021biei, ie\u0219i\u021bi din camer\u0103, \u00eenchide\u021bi u\u0219a \u0219i decontamina\u021bi-v\u0103 m\u00e2inile; pune\u021bi-v\u0103 apoi echipamentul de protectie pentru a continua evaluarea;<\/li>\n<li>dac\u0103 pacientul \u00eendepline\u0219te at\u00e2t criteriile epidemiologice, c\u00e2t \u0219i cele clinice, atunci se recomand\u0103 transferul la spital, indiferent de gravitatea simptomelor, apel\u00e2nd la serviciul special de ambulan\u021ba, conform reglementarilor \u00een vigoare;<\/li>\n<li>dup\u0103 preluarea pacientului de c\u0103tre serviciul special de ambulan\u021b\u0103, cabinetul trebuie s\u0103 r\u0103m\u00e2n\u0103 \u00eenchis timp de o or\u0103 \u00eenainte de \u00eenceperea dezinfect\u0103rii. Personalul responsabil va purta echipament de protec\u021bie, iar decontaminarea se va face folosind substan\u021bele recomandate de c\u0103tre Direc\u021bia de S\u0103n\u0103tate Public\u0103 (DSP). Recomanda\u021bi s\u0103 se acorde aten\u021bie suprafe\u021belor frecvent atinse cu m\u00e2inile: m\u00e2nere de u\u0219i \u0219i suprafe\u021be orizontale. Materialele de cur\u0103\u021benie vor fi la r\u00e2ndul lor dezinfectate, iar de\u0219eurile vor fi tratate c\u0103 de\u0219euri biologice;<\/li>\n<li>face\u021bi o lista cu to\u021bi pacien\u021bii din sala de a\u0219teptare posibil expu\u0219i, precum \u0219i a membrilor echipei medicale \u0219i de cur\u0103\u021benie. Daca cazul este confirmat, urma\u021bi protocolul DSP\/INSP.<\/li>\n<\/ul>\n<p>Sursa: Health Protection Surveillance Center, Dublin, Irlanda<\/p>\n<h4>\u00a0<\/h4>\n<a class=\"btn btn-primary btn-lg\" href=\"https:\/\/www.hpsc.ie\/a-z\/respiratory\/coronavirus\/novelcoronavirus\/guidance\/primarycareguidance\/\">Resurse video<\/a>\n\n\n<h3 class=\"wp-block-heading\">Resurse externe<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/www.ahrmm.org\/covid-19\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">AHRMM Novel Coronavirus (COVID-19) Update<\/a><\/li><li><a href=\"https:\/\/www.aha.org\/2020-01-22-updates-and-resources-novel-coronavirus-2019-cov\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">American Hospital Association<\/a><\/li><li><a href=\"https:\/\/apic.org\/covid19\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">Association for Professionals in Infection Control and Epidemiology (APIC) COVID-19 Resources<\/a><\/li><li><a href=\"https:\/\/www.bmj.com\/coronavirus\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">The BMJ<\/a><\/li><li><a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-nCoV\/hcp\/index.html\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">Centers for Disease Control and Prevention<\/a><\/li><li><a href=\"http:\/\/www.cidrap.umn.edu\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">CIDRAP<\/a><\/li><li><a href=\"https:\/\/www.cochranelibrary.com\/collections\/doi\/SC000039\/full\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">Cochrane Library<\/a><\/li><li><a href=\"void(0)\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">Johns Hopkins Medicine<\/a><\/li><li><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/pages\/coronavirus-alert\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">Journal of the American Medical Association (JAMA)<\/a><\/li><li><a href=\"https:\/\/www.thelancet.com\/coronavirus\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">The Lancet<\/a><\/li><li><a href=\"https:\/\/www.nejm.org\/coronavirus\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">New England Journal of Medicine (NEJM)<\/a><\/li><li><a href=\"https:\/\/www.who.int\/health-topics\/coronavirus\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"\">World Health Organization<\/a><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Epidemiologie Pe 31.12.2019, Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (O.M.S.) a informat cu privire la mai multe cazuri de pneumonie ap\u0103rute \u00een ora\u0219ul Wuhan din China, prin \u00eemboln\u0103vire cu un virus p\u00e2n\u0103 acum necunoscut, din familia coronaviridelor. Acesta fost denumit COVID 19. Pe pagina de internet a Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 poate fi urm\u0103rit\u0103 situa\u021bia \u00eemboln\u0103virilor la nivel na\u021bional \u0219i mondial, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":400,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[],"class_list":["post-399","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stiri"],"_links":{"self":[{"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/posts\/399","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/comments?post=399"}],"version-history":[{"count":14,"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/posts\/399\/revisions"}],"predecessor-version":[{"id":491,"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/posts\/399\/revisions\/491"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/media\/400"}],"wp:attachment":[{"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/media?parent=399"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/categories?post=399"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cnsmf.ro\/cercurilecalitatii\/wp-json\/wp\/v2\/tags?post=399"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}