1严重急性呼吸系统综合症.pdf

Photographs on the cover provided courtesy of Mr Leong Ka Tai for “In the Eye of the Storm” Photo Exhibition. For comments on this draft guideline, please write to the Hong Kong Medical Association. 5th Floor, Duke of Windsor Social Service Building, 15 Hennessy Road, Hong Kong Home Page: E-mail: hkma@ Tel.: (852) 2527 8285 Fax: (852) 2865 0943 Introduction 1. The Severe Acute Respiratory Syndrome (SARS) virus disseminates largely by droplet spread. Aerosolized respiratory secretions, patients secretion, excreta and fomites are potentially infectious. It can therefore be contracted through close contacts with or unprotected exposure to someone infected with the virus, such as in the health care setting or household. 2. The risk to SARS in private clinic setting is generally lower than that in hospitals where (a) more serious patients are managed, and (b) the duration of contacts with suspected patients is much longer. Nevertheless it is important to uphold infection control standards to prevent SARS or other droplet infections in the health care setting. The Clinic Setting 3. A clinic can generally be divided into three areas, the public area (i.e. the waiting area), the clinic area (i.e. the consultation room and minor operating theatre/ treatment room if applicable) and the non-clinic area (the general office). Principles 4. The measures stipulated in this guideline are introduced to reduce the chance and extent of unprotected exposure to SARS in staff as well as patients or clients, based on the following principles: (a) Enhancement of droplet and contact precaution in clinic setting. (b) Introduction of patient triage and self-exclusion of staff. (c) Standardization of disinfection procedures following potential exposure. Enhanceme