The Response of Medical Doctors and Hospital Administration to Infection Prevention and Control in the Health Care of Suspected/Confirmed COVID-19 Patients

Abstract

Background The outbreak of novel coronavirus infection emerged in and spread from China to other countries. Health care workers are at significant risk of infection from this virus in medical settings. We aimed to explore and evaluate the response of medical doctors and hospital administration to infection prevention and control of suspected or confirmed COVID-19 patients. Methods This cross-sectional study included 108 doctors who had exposure to suspected/confirmed COVID-19 patients in public hospitals. Results The doctors were aged 24 to 53 years, working in general hospitals (72.2%), primary health centers (23.1%), and a special coronavirus hospital (4.6%). One third (33.3%) reported that their hospitals had established a clinical triage station at the entrance to the facility. Suspected COVID-19 cases were immediately placed in an area separate from other patients (63.9%). The doctors ensured that patients covered their nose and mouth with a tissue to cough or sneeze (53.7%), and they performed hand hygiene after patient contact (98.1%). A medical team designated to care exclusively for suspected or confirmed COVID-19 cases was reported by 50.9%. The screening equipment was shared among patients (56.5%). The doctors avoided moving and transporting patients out of their room or designated area (83.3%). Many hospitals (76.9%) limited the number of medical staff and visitors who come in contact with suspected or confirmed patients. Most hospitals (72.2%) did not have a surveillance process for acute respiratory infections. Only 51.9% reported that staff collecting specimens used appropriate personal protective equipment. Conclusions The doctors reported that we adhere to infection prevention in providing health care, in contrast with hospital administration.