Work organization of outpatient computed diagnostics center under novel coronavirus infection outbreak in a large urban area

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This study presents joint work experience of the structural divisions of the Federal Siberian Scientific and Clinical Center (FSSCC) as a unified outpatient computed tomography diagnostics center (OCTDC) created to carry out comprehensive medical examination of the population under FSSCC during coronavirus-disease 2019 outbreak as well as patients of medical organizations of the Krasnoyarsk urban area. A patient routing scheme was designed and implemented in OCTDC, and its further interaction with territorial polyclinics and hospitals redesigned into temporary infectious disease hospitals was presented. When planning the work of OCTDC, special emphasis is placed on anti-epidemic measures as well as elements of cost-effectiveness in an outpatient setting. FSSCC was opened for the first time in Krasnoyarsk and became the basis for replicating such computed tomography centers in other medical institutions of the region.

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作者简介

Boris Barankin

Federal Siberian Research Clinical Centre

Email: skc@fmbamail.ru
俄罗斯联邦, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai

Aleksandr Fetisov

Federal Siberian Research Clinical Centre

编辑信件的主要联系方式.
Email: fetisov_ao@skc-fmba.ru
ORCID iD: 0000-0001-6532-440X
SPIN 代码: 2933-1025
俄罗斯联邦, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai

Aleksandr Evsyukov

Federal Siberian Research Clinical Centre; V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: evsyukov_aa@skc-fmba.ru
ORCID iD: 0000-0003-1575-633X
SPIN 代码: 2705-9662

MD, Cand. Sci. (Med.)

俄罗斯联邦, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai; Krasnoyarsk

Nataliya Perevertaylova

Federal Siberian Research Clinical Centre

Email: perevertajlova_nyu@skc-fmba.ru
俄罗斯联邦, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai

Ekaterina Kravchenko

Federal Siberian Research Clinical Centre

Email: kravchenko_ei@skc-fmba.ru
俄罗斯联邦, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai

参考

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  3. rospotrebnadzor.ru [интернет]. On registration of cases of COVID–19 [cited 2020 Feb 10]. Available from:http://24.rospotrebnadzor.ru/press/release/.
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  5. Speranskaya AA. Radiation manifestations of a new coronavirus infection COVID–19 // Radiation Diagnostics and Therapy. 2020;11(1):18–25.DOI: http://dx.doi.org/10.22328/2079-5343-2020-11-1-18-25.
  6. Voytenkov VB, Marchenko NV, Skripchenko NV, et al. The importance of instrumental methods in the diagnosis of pneumonia in coronavirus infection. Pediatrics. Consilium Medicum. 2020;(1):20–25. doi: 10.26442/26586630.2020.1.200120
  7. “On a temporary procedure of the medical institution work organizing with the purpose of implementation of measures aimed at prevention and reduction the risks of the spreading of the novel coronavirus infection COVID–19.” Order of the Ministry of Health of Russia dated 03.19.2020No. 198n. Available from: http://publication.pravo.gov.ru/Document/View/0001202003190038. (In Russ).
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  9. https://www.who.int/ru. Cleaning and disinfection of rooms and surfaces in the context of COVID–19. Temporary recommendations dated May 15, 2020.
  10. Lokotkova AI, Mamkeev EK, Bulycheva IA, et al. Key aspects of disinfection in an epidemiologically adverse period of coronavirus infection. In: Proceedings of the 2nd All-Russian scientific-practical conference. Kazan: Praktika; 2020. P. 32–34.

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1. JATS XML
2. Fig. 1. Structure of patients according to the results of computed tomography and analysis of throat and nasal swab for severe acute respiratory syndrome coronavirus 2.

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3. Fig. 2. Distribution of pneumonia cases (April–July 2020) by severity according to computed tomography scan with positive (+) and negative (−) results of severe acute respiratory syndrome coronavirus 2 test.

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4. Fig. 3. Distribution of patients evacuated from the field infectious disease hospital in Eruda according to the volume of lung damage based on computed tomography data.

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