rfhealthЗдравоохранение Российской ФедерацииHealth care of the Russian Federation0044-197X2412-0723Federal Scientific Center of Hygiene named after F.F. Erisman10.46563/0044-197X-2020-64-5-230-235rfhealth-215Research ArticleОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯHEALTH CARE ORGANIZATIONОпыт организации эпидемиологической службы в условиях срочного перепрофилирования многопрофильного стационара для работы с больными, инфицированными SARS-CoV-2Organizing experience in an epidemiological service in the context of urgent conversion of a general hospital to manage patients with SARS-CoV-2 infectionhttps://orcid.org/0000-0003-3568-5065ВечоркоВ. И.VechorkoValery I.noemail@neicon.ruГорбачеваВиктория АлександровнаGorbachevaViktoriya A.

Зам. главного врача по санитарно-эпидемиологическим вопросам ГБУЗ ГКБ № 15 им. О.М. Филатова ДЗМ, 111539, Москва.

e-mail: vikgorbacheva@mail.ru

MD, Deputy Chief Doctor, Municipal Clinical Hospital № 15 named after O.M. Filatov, Moscow, 111539, Russia.

e-mail: vikgorbacheva@mail.ru

vikgorbacheva@mail.ruКостенкоО. А.KostenkoOxana A.noemail@neicon.ruГБУЗ города Москвы «Городская клиническая больница № 15 им. О.М. Филатова Департамента здравоохранения города Москвы»РоссияMunicipal Clinical Hospital № 15 named after O.M. FilatovRussian Federation202017112020645230235Copyright © Вечорко В.И., Горбачева В.А., Костенко О.А., 20202020Вечорко В.И., Горбачева В.А., Костенко О.А.Vechorko V.I., Gorbacheva V.A., Kostenko O.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rfhealth.ru/jour/article/view/215

Новая коронавирусная инфекция стала вызовом для системы здравоохранения во всем мире. Медицинское сообщество сосредоточило свои силы на борьбе с пандемией, объявленной 11.02.2020 г. Всемирной организацией здравоохранения. 20.03.2020 г. было принято решение о перепрофилировании Городской клинической больницы № 15 им. О.М. Филатова в инфекционный госпиталь. Одной из главных причин к перепрофилированию послужила многопрофильность оказываемой медицинской помощи с возможностью организации маршрутов движения и размещения дополнительных временных корпусов. Основной задачей при перепрофилировании многопрофильного стационара являлось устройство санпропускников и разделение на «красную» и «зеленую» зоны во всех корпусах, разработка детальной маршрутизации пациентов с учетом инфекционных требований, разработка навигации внутри корпусов и на территории больницы для разделения потоков работников, транспорта, реализация плана мероприятий в рамках требований, предъявляемых Роспотребнадзором к медицинским организациям, работающим с новой коронавирусной инфекцией, в части санитарных норм: дезинфекция площадей, поверхностей и транспорта, создание запаса лечебно-диагностического (в том числе реанимационного) оборудования, достаточного количества лекарственных препаратов, средств дезинфекции и средств индивидуальной защиты. Одной из самых масштабных задач было обеспечение безопасности здоровья медицинского персонала. Изменения работы касались различных аспектов: правового регулирования, этических проблем, особенностей практической работы и образования, взаимодействия со всеми структурными подразделениями больницы. В течение недели задача, которую поставил Департамент здравоохранения города Москвы перед руководством больницы, была решена, и 27.03.2020 г. больница приняла первых пациентов в качестве инфекционного госпиталя.

February 11, 2020, World Health Organization (WHO) declared a pandemic of the new coronavirus and assigned the official name of the infection caused by the new coronavirus - COVID-19 («Coronavirus disease 2019»). On February 11, 2020, the International Committee on Virus Taxonomy gave the official name to the infectious agent as SARS-CoV-2. A new coronavirus infection caused by SARS-CoV-2 has become a challenge for the healthcare system as in Russia as over the world. The medical community has focused its efforts on fighting the pandemic. On March 20, 2020, there the O. M. Filatov Municipal clinical hospital was decided to be redesigned, and this general hospital, including maternity wards, became an infection hospital. One of the main reasons for redesigning was multidisciplinary medical care, including working with patients with a new coronavirus infection, the presence of a maternity home with boxes and own reanimation, the presence of a transition connecting for all three buildings, a large area, with ability to organize routes and placements additional temporary buildings. In the first place there were solved problems as a device of sanitary systems with the gateway, division to the «red» and «green» zones in all buildings of the clinics, development of detailed routing the patients including infectious requirements, navigation inside buildings and on hospital territories for the separation of medical personal, transport, the realization of a plan with the requirements, submitted by Federal Service for Oversight of Consumer Protection and Welfare to medical institutions, working with a new coronavirus infection, in terms of sanitary standards: disinfection of areas and surfaces and transport, creation inventory curative diagnostic (including reanimation) equipment, sufficient number of oxygen points, medicines, disinfection products and personal protective equipment. One of the scale tasks were about care for the health safety of medical personal. Changes to the work concerned various aspects: legal regulation, ethical problems, features practical work and education, interaction with all of them structural departments of the hospital. Within a week task, which put the Department of health of the city of Moscow, was resolved by management of hospital, and on March 27, 2020, the hospital accepted the first patients as an infectious disease hospital.

коронавирусная инфекциядезинфекцияинфекционный госпитальперепрофилированиепандемияcoronavirus infectiondesinfectioninfectious diseases hospitalreprofilingpandemicReferencesЗуев В.А. Многоликий вирус. Тайны скрытых инфекций. М.; 2012: 11-3.Zuev V.A. The Many Faces of the Virus. Secrets of Hidden Infections [Mnogolikiy virus. Tayny skrytykh infektsiy]. Moscow; 2012: 11–3. (in Russian)Baltimore D. Expression of animal virus genomes. Bacteriol. Rev. 1971; 35(3): 235-41.Baltimore D. Expression of animal virus genomes. Bacteriol. Rev. 1971; 35(3): 235–41.Львов Д.К., ред. Руководство по вирусологии. Вирусы и вирусные инфекции человека и животных. М.; 2013.L’vov D.K., ed. Virology Guide. Viruses and Viral Infections of Humans and Animals [Rukovodstvo po virusologii. Virusy i virusnye infektsii cheloveka i zhivotnykh]. Moscow; 2013. (in Russian)Tyrrell D.A.J., Bynoe M.L. Cultivation of a novel type of common-cold virus in organ cultures. Br. Med. J. 1965; 1(5448): 1467-70. https://doi.org/10.1136/bmj.1.5448.1467Tyrrell D.A.J., Bynoe M.L. Cultivation of a novel type of common-cold virus in organ cultures. Br. Med. J. 1965; 1(5448): 1467–70. https://doi.org/10.1136/bmj.1.5448.1467Almeida J.D., Berry D.M., Cunningham C.H., Tyrrell D.A.J. Virology: coronaviruses. Nature. 1968; 220(650-650): 213.Almeida J.D., Berry D.M., Cunningham C.H., Tyrrell D.A.J. Virology: coronaviruses. Nature. 1968; 220(650-650): 213.Gu J., Han B., Wang J. COVID-19: Gastrointestinal manifestations and potential fecal-oral transmission. Gastroenterology. 2020; 158(6): 1518-9. https://doi.org/10.1053/j.gastro.2020.02.054Gu J., Han B., Wang J. COVID-19: Gastrointestinal manifestations and potential fecal-oral transmission. Gastroentero­logy. 2020; 158(6): 1518–9. https://doi.org/10.1053/j.gastro.2020.02.054Kampf G., Todt D., Pfaender S., Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J. Hosp. Infect. 2020; 104(3): 246-51. https://doi.org/10.1016/j.jhin.2020.01.022Kampf G., Todt D., Pfaender S., Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J. Hosp. Infect. 2020; 104(3): 246–51. https://doi.org/10.1016/j.jhin.2020.01.022WHO. Novel Coronavirus - China. Disease outbreak news; 2020. Available at: https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/WHO. Novel Coronavirus – China. Disease outbreak news; 2020. Available at: https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/WHO. Infection prevention and control during health care for probable or confirmed cases of coronavirus (COVID-19) infection: interim guidance. Available at: https://www.who.int/publications/i/item/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125WHO. Infection prevention and control during health care for probable or confirmed cases of coronavirus (COVID-19) infection: interim guidance. Available at: https://www.who.int/publications/i/item/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125WHO. Director-General’s opening remarks at the media briefing on COVID-19 - 3 March 2020. Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19-3-march-2020WHO. Director-General’s opening remarks at the media briefing on COVID-19 – 3 March 2020. Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---3-march-2020Bassetti M., Vena A., Giacobbe D.R. The novel Chinese coronavirus (2019-nCoV) infections: Challenges for fighting the storm. Eur. J. Clin. Invest. 2020; 50(3): e13209. https://doi.org/10.1111/eci.13209Bassetti M., Vena A., Giacobbe D.R. The novel Chinese coronavirus (2019-nCoV) infections: Challenges for fighting the storm. Eur. J. Clin. Invest. 2020; 50(3): e13209. https://doi.org/10.1111/eci.13209

The authors declare that there are no conflicts of interest present.