Responding to COVID-19: how an academic infectious diseases division mobilized in Singapore

被引：7

作者：

Archuleta, Sophia ^{[1
,2
]}

Cross, Gail ^{[1
,2
]}

Somani, Jyoti ^{[1
,2
]}

Lum, Lionel ^{[1
,2
]}

Santosa, Amelia ^{[2
,3
]}

Alagha, Rawan A. ^{[1
]}

Allen, David M. ^{[1
,2
]}

Ang, Alicia ^{[1
]}

Beh, Darius ^{[1
]}

Chai, Louis ^{[1
,2
]}

Chan, Si Min ^{[4
]}

Lim, See Ming ^{[1
]}

Olszyna, Dariusz P. ^{[1
,2
]}

Ong, Catherine ^{[1
,2
]}

Oon, Jolene ^{[1
,2
]}

Salada, Brenda M. A. ^{[1
]}

Smitasin, Nares ^{[1
,2
]}

Sun, Louisa ^{[1
]}

Tambyah, Paul A. ^{[1
,2
]}

Tham, Sai Meng ^{[1
]}

Yan, Gabriel ^{[1
]}

Yee, Chen Hui ^{[1
]}

Dan, Yock Young ^{[2
,5
]}

Jureen, Roland ^{[6
]}

Tee, Nancy ^{[6
,7
,8
]}

Mahadevan, Malcolm ^{[9
]}

Yau, Ying Wei ^{[9
]}

Quek, Swee Chye ^{[2
,4
]}

Liu, Eugene H. ^{[2
,10
]}

Sin, Clara ^{[11
]}

Bagdasarian, Natasha ^{[1
,2
]}

Fisher, Dale A. ^{[1
,2
]}

机构：

[1] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Med, Div Infect Dis, 1E Kent Ridge Rd,NUHS Tower Block,Level 10, Singapore 119228, Singapore

[2] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore

[3] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Med, Div Rheumatol, Singapore, Singapore

[4] Natl Univ Hlth Syst, Natl Univ Hosp, Khoo Teck Puat Natl Univ Childrens Med Inst, Dept Pediat, Singapore, Singapore

[5] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Med, Div Gastroenterol & Hepatol, Singapore, Singapore

[6] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Lab Med, Singapore, Singapore

[7] Natl Univ Singapore, Dept Pathol, Singapore, Singapore

[8] Natl Ctr Infect Dis, Natl Publ Hlth Lab, Singapore, Singapore

[9] Natl Univ Hlth Syst, Natl Univ Hosp, Emergency Med Dept, Singapore, Singapore

[10] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Anesthesia, Singapore, Singapore

[11] Natl Univ Hlth Syst, Natl Univ Hosp, Grp Operat, Singapore, Singapore

来源：

BMC MEDICINE | 2020年 / 18卷 / 01期

关键词：

COVID-19; Pandemic response; Academic infectious diseases; LESSONS;

D O I：

10.1186/s12916-020-01641-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: On January 30, COVID-19 was declared a Public Health Emergency of International Concern-a week after Singapore's first imported case and 5 days before local transmission. The National University Hospital (NUH) is Singapore's third largest hospital with 1200 beds, heavy clinical workloads, and major roles in research and teaching. Main body: With memories of SARS still vivid, there was an urgent requirement for the NUH Division of Infectious Diseases to adapt-undergoing major reorganization to face rapidly changing priorities while ensuring usual essential services and standards. Leveraging on individual strengths, our division mobilized to meet the demands of COVID-19 while engaging in high-level coordination, strategy, and advocacy. We present our experience of the 60 days since the nation's first case. During this time, our hospital has managed 3030 suspect cases, including 1300 inpatients, 37 confirmed cases, and overseen 4384 samples tested for COVID-19. Conclusion: Complex hospital adaptations were supported by an unprecedented number of workflows and coordination channels essential to safe and effective operations. The actions we describe, aligned with international recommendations and emerging evidence-based best practices, may serve as a framework for other divisions and institutions facing the spread of COVID-19 globally.

引用

页数：9

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