Early detection and primary prevention system in COVID-19 transmission to staff and residents in the department of obstetrics and gynecology

https://doi.org/10.22146/jcoemph.61165

Muhammad Nurhadi Rahman(1*), Detty Siti Nurdiati(2), Nuring Pangastuti(3), Anis Widyasari(4), Fauzan Achmad Maliki(5), Sarah Ayu Andari(6), Khairina Hashifah(7)

(1) Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Department of Obstetric and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Department of Obstetric and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(6) Department of Obstetric and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(7) Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


COVID-19 is currently a global pandemic because of its fast transmission in humans. The disease can be symptomatic or asymptomatic. Patients with the disease can transmit the infection to the medical team who are exposed without proper protection. Prevention of transmission is our main focus of attention as well as early recognition of exposed medical teams among obstetrics and gynecology residents and consultants in our hospital. This article aimed to describe the COVID-19 early detection and primary prevention system among staff and residents in the Obstetrics and Gynecology (OBSGYN) Department, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada and Dr. Sardjito General Hospital from April to June 2020. The data were acquired from the reports of the COVID-19 taskforce from the OBSGYN Department. In order to prevent the transmission of COVID-19 infection, actions taken by the OBSGYN Department are as follows: a) arrangement of staff and residents watch schedules, b) usage of PPE (Personal Protective Equipment) according to protocol, c) contact tracing, and d) early detection. Resident watch schedule arrangement is done by withdrawing residents from affiliated hospitals so that the division of daily duty schedules at Dr. Sardjito General Hospital is divided into 2 shifts of 12 hours each. The PPE usage policy is adjusted according to the risk of COVID-19 exposure in different environments and in accordance with established standards. A total of 65 out of 74 residents (88%) had been exposed to suspected COVID-19 cases, and among the exposed residents, 12 residents (18%) were self-isolated because of the occurrence of symptoms, exposure to patients with positive COVID-19 rapid antibody test, or exposure to patients with positive COVID-19 Polymerase Chain Reaction (PCR) test. The department also conducted early detection of COVID-19 infection among all staff members and residents. As many as 13 out of 27 staff (48%) underwent COVID-19 rapid antibody test with 100% negative results, 66 of the 74 residents (89%) also underwent COVID-19 rapid antibody test with 100% negative results. In conclusion, the OBSGYN Department has implemented several measures to prevent transmission of COVID-19 among its staff and residents with adequate satisfactory results.


Keywords


contact tracing; early detection; personal protective equipment; schedule arrangement

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References

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style='mso-spacerun:yes'> ADDIN EN.REFLIST

field-separator'>1.  World Health Organization. Coronavirus 2020 [cited 2020, August 27]. Available from: https://www.who.int/health-topics/coronavirus#tab=tab_1.

2.  World Health Organization. COVID-19 Situation update for the WHO African Region: External Situation Report 4. 2020;1–7 2020 [cited 2020, September 18]. Available from: https://apps.who.int/iris/bitstream/handle/10665/331587/SITREP_COVID-19_WHOAFRO_20200325-eng.pdf.

3.  Karyono DR, Wicaksana AL. Current prevalence, characteristics, and comorbidities of patients with COVID-19 in Indonesia. J Community Empowerment Health. 2020;3(2):8.

4.  Centers for Disease Control and Prevention. How to Protect Yourself & Others 2020 [cited 2020, November 4]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html.

5.  World Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus (‎‎‎‎‎2019-nCoV)‎‎‎‎‎ infection is suspected: interim guidance, 28 January 2020. Geneva: World Health Organization, 2020 2020. Report No.:  Contract No.: WHO/nCoV/Clinical/2020.3.

6.  World Health Organization. WHO Director- General’s Remarks at the Media Briefing on 2019-nCoV on 11 February 2020 2020. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020.

7.  Wee LE, Sim XYJ, Conceicao EP, Aung MK, Goh JQ, Yeo DWT, et al. Containment of COVID-19 cases among healthcare workers: the role of surveillance, early detection, and outbreak management. Infection Control and Hospital Epidemiology. 2020;41(7):765-71.

8.  Perhimpunan Dokter Spesialis Patologi Klinik dan Kedokteran Laboratorium Indonesia. Panduan Tatalaksana Pemeriksaan Rapid Tes Antibody Sars-Cov-2 Metode Imunokromatografi. 2020.

9.  Kementerian Kesehatan Republik Indonesia. Pedoman Kesiapsiagaan Menghadapi Coronavirus Disease (COVID-19) Revisi ke-3. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020.

10. Setiati S, Azwar M. COVID-19 and Indonesia. Acta Medica Indonesiana. 2020;52:84-9.

11. Djasri H. Corona virus dan manajemen mutu pelayanan klinis di rumah sakit. Journal of Hospital Accreditation. 2020;2(1):2.

12. Gan WH, Lim JW, Koh D. Preventing intra-hospital infection and transmission of Coronavirus Disease 2019 (COVID-19) in health-care workers. Safety and Health at Work. 2020;11(2):241-3.

13. Yang P, Wang X. COVID-19: a new challenge for human beings. Cellular & Molecular Immunology. 2020;17(5):555-7.

14. Black JRM, Bailey C, Przewrocka J, Dijkstra KK, Swanton C. COVID-19: the case for health-care worker screening to prevent hospital transmission. Lancet. 2020;395(10234):1418-20.

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DOI: https://doi.org/10.22146/jcoemph.61165

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