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首页> 外文期刊>Best practice & research:Clinical obstetrics & gynaecology >Reducing the risk of infection to patients and staff during gynaecological outpatient and ambulatory appointments
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Reducing the risk of infection to patients and staff during gynaecological outpatient and ambulatory appointments

机译：在妇科门诊和外部门诊期间降低对患者和工作人员的风险

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This chapter explores ways to reduce the risk of severe acute respiratory syndrome coronavirus-2 transmission to women and staff within gynaecology outpatient clinics. The likely routes of transmission are discussed, namely through droplets, aerosols and fomites. Using the 'hierarchy of control' categories, elimination, substitution, engineering, administration and personal protective equipment, practical strategies for modifying virus exposure are presented. The management of specific clinical conditions are reviewed based on advice prepared by the specialist societies in conjunction with each other and the Royal College of Obstetricians and Gynaecologists. The need to maintain at least a minimal level of gynaecological services is recognised and that this should pro-vide safe, equitable and effective care. Ways to reduce clinic attendance are discussed with the substitution of face-to-face with remote consultations and when this is relevant. Current recom-mendations for ambulatory procedures, which include colposcopy and hysteroscopy, are considered so that best use is made of reduced resources. (c) 2021 Published by Elsevier Ltd.
机译：本章探讨如何降低妇女和妇科门诊工作人员感染严重急性呼吸综合征冠状病毒-2的风险。讨论了可能的传播途径，即通过飞沫、气溶胶和尘螨传播。使用“控制层次”类别、消除、替代、工程、管理和个人防护设备，提出了修改病毒暴露的实用策略。具体临床条件的管理是根据专家协会和皇家妇产科学院共同制定的建议进行审查的。人们认识到需要至少维持最低水平的妇科服务，这应该提供安全、公平和有效的护理。讨论了减少诊所出勤率的方法，即用远程会诊代替面对面会诊，以及在相关情况下。目前推荐的非卧床手术包括阴道镜和宫腔镜检查，以充分利用减少的资源。（c）2021由爱思唯尔有限公司出版。

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