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The Director Otomo = Municipal General Hospital of Oume looking back on the occurrence of the cluster, saying: “The delay in the initial action is a point of reflection.”
Kenichiro Otomo (59), director of the Oume Municipal General Hospital, where there were two conglomerates of people infected by the new corona virus from August to September, responded to an interview with this newspaper. Regarding the cause of more than 60 infected people as of November when the in-hospital infection resolved, it was analyzed that the initial response to the first patient was delayed and the infection spread through the hospital staff. He talked about how he managed to converge by thoroughly educating staff and patients. (Interviewer, Tomomi Hayashi)
-In the ward where a hospitalized patient tested positive in late August, nine patients and fourteen staff members were eventually infected.
“The first positive inpatient was stuck in the bed at the time, so I can only think it was spread by the hands of the staff. The staff were fighting back against the infection, but I thought it was done. It was not done. The initial action it was delayed. First, the staff was examined by PCR and the patient later. “
-Is the protection of personnel against infections insufficient?
“It is speculated, for example, that when a nurse moves a patient to wake him up before a meal, she could touch the patient with the ungloved part and touch the next patient without proper disinfection. After closing the ward, nurses came from other wards to support us, but we couldn’t educate them thoroughly about infection prevention. Most of the infected nurses supported us. “
-A conglomerate occurred in another room in mid-September.
“Probably a medical worker brought the virus from the first ward. Around that time, anxiety arose throughout the hospital. Some of the staff were clearly over-equipped, such as wearing face shields and N95 masks when not necessary. The infection spread. propagated not because it was not equipped, but because it was suspected that Corona could not respond to changes in the patient’s physical condition. It is wrong to over-equip all patients. I told you so
-In October, two more rooms were infected, but they did not spread.
“When a patient had a fever, he was immediately isolated and responded. Hospitalized patients had a fever for various reasons. In addition to the treating physician, an infection physician was assigned to each ward to check the response to the fever. No matter how much is done. PCR test at the time of admission, there is a latency period, so it is not possible to prevent some patients from developing the disease after admission. We also strengthened patient education by opening the curtain around the bed and wearing a mask “.
-The infection is spreading in Tokyo. What is the current medical system?
“In our hospital, 20 beds can be used, including 2 beds in the intensive treatment room (ICU) for corona patients. By the end of November, more than a dozen people have been hospitalized, one is moderately ill and the other. “It is mild. It is not as tight as in the city center, but when a seriously ill person comes out, it quickly gets worse. Only a few people can accept the seriously ill person. Only an ECMO artificial cardiopulmonary device can be rotated.
