Triage room principles and recommendations for 2019 novel coronavirus

Barzanji, Arvin; Abdi, Kamel; Yaghobi, Mokhtar; Roshani, Daem; Karimian, Aram

Triage room principles and recommendations for 2019 novel coronavirus

Reviewers

Authors

¹ Department of Anesthesiology, Faculty of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj, Iran

² Department of Nursing, Faculty of Medicine, Komar University of science and technology, Sulaymaniya, Iraq

³ Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran

⁴ Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences; Department of Epidemiology and Biostatistics, Medical Faculty, Kurdistan University of Medical Sciences, Sanandaj, Iran

⁵ Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran

Abstract

Triage becomes necessary when resources and time are not sufficient to provide the best possible services to all patients. This condition is more common in situations with a large number of casualties, like infectious epidemics. What is apparent is that, in the case of a widespread outbreak of infectious disease, hospitals are on the front lines of infected patient admission and treatment. Since the training of health-care workers is one of the most important pillars of preventive measures in controlling this pandemic, this study was conducted with the aim of expressing the principles of triage of infectious disease epidemic with a COVID-19 approach.

Keywords

References

1.	Zarocostas J. What next for the coronavirus response? Lancet 2020;395:401.
2.	Xu B, Kraemer MU, Open COVID-19 Data Curation Group. Open access epidemiological data from the COVID-19 outbreak. Lancet Infect Dis 2020;20:534.
3.	Wu X, Zhou H, Wu X, Huang W, Jia B. Strategies for qualified triage stations and fever clinics during the outbreak of COVID-2019 in the county hospitals of Western Chongqing. J Hosp Infect 2020;105:128-9.
4.	Fusco FM, Schilling S, De Iaco G, Brodt HR, Brouqui P, Maltezou HC, et al. Infection control management of patients with suspected highly infectious diseases in emergency departments: Data from a survey in 41 facilities in 14 European countries. BMC Infect Dis 2012;12:27.
5.	Davarpanah AH, Mahdavi A, Sabri A, Langroudi TF, Kahkouee S, Haseli S, et al. Novel screening and triage strategy in iran during deadly COVID-19 epidemic; value of humanitarian teleconsultation service. Am Coll Radiol 2020;17.6:734-738. doi: 10.1016/j.jacr. 2020.03.015
6.	Swiss Academy of Medical Sciences. COVID-19 pandemic: Triage for intensive-care treatment under resource scarcity. Swiss Med Wkly 2020;150: w20229.
7.	World Health Organization. Hospital preparedness checklist for pandemic influenza: focus on pandemic (H1N1) 2009. No. EUR/08/5085079. Copenhagen: WHO Regional Office for Europe, 2009.↰
8.	Rojek A, Dutch M, Camilleri D, Marshall C, Buising K, Walsham N, et al. Early clinical response to a high consequence infectious disease outbreak at the Royal Melbourne Hospital Emergency Department – Insights from COVID-19. Med J Aust 2020; 212:1.
9.	Standard Operating Procedure (SOP) for Triage of Suspected COVID-19 Patients in Non-US Healthcare Settings: Early Identification and Prevention of Transmission during Triage \| CDC. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/sop-triage-prevent-transmission.html. [Last accessed on 2020 Apr 16].
10.	Assessment RR. Coronavirus disease 2019 (COVID-19) in the EU/EEA and the UK– ninth update. Available: https://www.ecdc.europa.eu/sites/default/files/documents/covid-19-rapid-risk-assessment-c oronavirus-disease-2019-ninth-update-23-april-2020.
11.	Millán R, Thomas-Paulose D, Egan DJ, Nusbaum J, Gupta N. Recognizing and managing emerging infectious diseases in the emergency department [digest]. Emerg Med Pract 2018;20:1-2.
12.	Albrich WC, Rüegger K, Dusemund F, Schuetz P, Arici B, Litke A, et al. Biomarker-enhanced triage in respiratory infections: A proof-of-concept feasibility trial. Eur Respir J 2013;42:1064-75.
13.	World Health Organization. Clinical management of severe acute respiratory infection (SARI) when Covid-19 disease is suspected. Interim guidance. https://apps.who.int/iris/handle/10665/331446?show=full Date last updated: 13 March 2020; date last accessed: 30 March 2020.
14.	Ontario PH. Tools for Preparedness: Triage, Screening and Patient Management for Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Infections in Acute Care Settings; 2015. p. 1-15. Available from: https://www.publichealthontario.ca/en/eRepository/PIDAC-IPC_Preparedness_Tools_MERS_CoV_2013.pdf. Date last updated: 13 March 2016.
15.	World Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus (nCoV)infection is suspected: interim guidance, 25 January 2020. No. WHO/nCoV/Clinical/2020.2. World Health Organization, 2020.
16.	World Health Organization. Coronavirus disease (COVID-19)outbreak: rights, roles and responsibilities of health workers, including key considerations for occupational safety and health: interim guidance, 19 March 2020. No. WHO/2019-nCov/HCW_advice/2020.2. World Health Organization, 2020.
17.	Balkhy HH, Perl TM, Arabi YM. Preventing healthcare-associated transmission of the Middle East respiratory syndrome (MERS): Our achilles heel. J Infect Public Health 2016;9:208-12.
18.	Wu X, Zhou H, Wu X, Huang W, Jia B. Strategies for qualified triage stations and fever clinics during the outbreak of COVID-2019 in the county hospitals of Western Chongqing. J Hosp Infect 2020;105:128-9.

Advanced Biomedical Research