COVID-19流行期间新生儿遗传代谢病筛查的防控应急管理

Emergency management plan for newborn screening during epidemic of coronavirus disease 2019

摘要:

目的：探讨在新型冠状病毒肺炎（coronavirus disease 2019，COVID-19）疫情期间，安全、有效开展新生儿遗传代谢病筛查，防止新型冠状病毒在筛查过程中传染扩散，保护患儿及筛查工作人员的应急管理办法。方法：根据国家卫生健康委员会的有关法规、防控指南、研究报道等，提出COVID-19流行期间新生儿遗传代谢病筛查的应急管理预案。结果：对疑诊/确诊的COVID-19新生儿先予隔离治疗，延迟采血、延迟召回管理，提供远程诊疗服务，实施采血、样本递送、实验检测和阳性诊疗等环节的防疫措施。结论：制定新生儿遗传代谢病筛查防控应急管理预案是安全、有效地开展筛查工作的前提和保障。

Abstract:

Objective：To investigate the emergency response plan during epidemic of coronavirus disease 2019（COVID-19） to carry out newborn screening for inherited metabolic diseases（IMD） safely and efficiently，so as to prevent 2019 novel coronavirus（2019-nCoV） spread and protect patients and staff. Methods：Based on the relevant regulations of National Health Commission of People’s Republic of China，guidelines and other research reports，an emergency response plan for newborn screening was proposed. Results：Newborns with suspect or confirmed COVID-19 were isolated，blood collection and recalling management were delayed until recover－ing，and telemedicine was provided. Preventive measures were taken against epidemics in the course of blood collection，transporta－tion，laboratory testing，diagnosis and treatment. Conclusion：Making an emergency response plan is a premise and guarantee to car－ry out newborn screening for IMD safely and efficiently.