Examining Causes for Local Infections 醫護人員執勤配戴口罩 為何仍會染疫?
加入公視會員，
按讚收藏你關注的報導
發布時間：
更新時間：
Totally five confirmed cases are reported from a hospital in Taoyuan on January 18. Medical experts suggested establishing specialized medical hospitals for taking in only COVID-19 patients, keeping them isolated to lower chances of cross-infection.
Another doctor, case No. 856 from the same hospital in Taoyuan was confirmed with COVID-19 on the 17th. Case no. 856 had treated a non-COVID patient together with case No. 838. Case No. 838 was the first case in the hospital cluster, not only did he infected his girlfriend who works as a nurse, he also infected two other medical workers in the same hospital. People questioned how this infection could have occurred if they all had worn masks. Some doctors feel that the hospital might have been contaminated by the virus already so there is a high possibility of transmission through indirect contact.
The hospital environment can be contaminated with pathogens easily. It is important to note any indirect contact transmission.
Another doctor, case No. 856 from the same hospital in Taoyuan was confirmed with COVID-19 on the 17th. Case no. 856 had treated a non-COVID patient together with case No. 838. Case No. 838 was the first case in the hospital cluster, not only did he infected his girlfriend who works as a nurse, he also infected two other medical workers in the same hospital. People questioned how this infection could have occurred if they all had worn masks. Some doctors feel that the hospital might have been contaminated by the virus already so there is a high possibility of transmission through indirect contact.
The hospital environment can be contaminated with pathogens easily. It is important to note any indirect contact transmission.
The doctor labeled case No. 838 had to take care of both COVID and non-COVID patients and unfortunately during the process infected doctor case No. 856.
This hospital in Taoyuan is under the criticism of not implementing the isolation and triage measures when treating COVID-19, causing local infections to happen and spread.
In reality there are not enough doctors specializing in infectious disease. They cannot take care of one side and leaving the rest untreated. This is a practical problem we have to resolve.
Maybe they can use video conference for discussion? Is there another way to work around the problem?
Medical experts suggested establishing specialized medical hospitals for taking in only COVID-19 patients, keeping them isolated to lower chances of cross-infection. The Central Epidemic Command Center (CECC) is not considering locking down the hospital and has requested the hospital to implement zone control. As for the uneven numbers of infectious disease doctors in each hospital, CECC said that they will work on this issue in the near future.
桃園某醫院爆發新冠肺炎、院內群聚感染，指標個案838、除了傳染給護理師女友，還有兩名醫護，包括一同在護理站1小時的護理師，以及曾討論患者病情的主治醫師也都確診，外界質疑，醫護人員執勤時都有戴口罩，為何還會染疫?對此，有醫師認為，醫院環境可能已遭新冠病毒汙染，研判醫護人員接觸傳染可能性較高。
疫情指揮中心專家小組諮詢委員 李秉穎表示：「在醫院的環境裡面，可能到處都有被病毒汙染的危險性。這個環境裡面，造成的間接接觸傳染，也是非常重要的。」
另外，指標個案染疫的醫師，除了照顧確診患者，也會到一般病房協助照顧其他病人，造成第856例主治醫師染疫。醫界質疑，該醫院根本沒有落實「分艙分流」管制，也就是不同科別醫護人員，可能跨區域支援，造成疫情擴散。
台灣感染症醫學會理事長 黃立民表示：「比如說，感染科醫師就沒幾個啊！他全部都是顧一邊，另外一邊就沒有感染科醫師啦！這也不行啊！所以這個是有實際上的困難啦！」
醫改會執行長 林雅惠表示：「是不是用視訊的方式，來共同會診，或是有沒有其他的變通方式？」
專家建議成立一個專責機構，專門收治新冠肺炎患者，集中檢疫隔離才能避免跨區染疫的疑慮。至於每家醫院感染科醫師人力不均的問題，指揮中心表示，未來會做檢討，目前要求該醫院實施分區管控，但一般民眾仍可前往看診。
