東京女子医科大学病院におけるCOVID-19に対する取り組み

抄録

Tokyo Women's Medical University Hospital (main hospital) has been working on COVID-19 since the end of January 2020. Initially, triage was initiated at the entrance of the general outpatient center, where many patients with immunosuppressive conditions, such as post-transplant patients and those with blood disorders and collagen disease, also enter the hospital. However, at the end of February 2020, the hospital authorities detected an increasing trend in the number of patients and decided to address it as a pressing concern for the entire hospital. Thus, "Team Corona" was established as a multidisciplinary working unit composed of members from many clinical divisions and departments, under the initiative of the Department of General Medicine and the Department of Infection Prevention and Control, and various issues related to COVID-19 were discussed and further steps were taken.

With the rapid increase in the number of patients since March, full-scale COVID-19 patient care commenced in our hospital, and the Diabetes Center building was renovated to create a COVID-19 ward. On April 20, the COVID-19 Task Force (COVID team) was formed. Thereafter, the outpatient center for COVID-19 was established at the former Rheumatoid Arthritis Center. From April 20 to November 14, the COVID team provided inpatient treatment to 150 COVID-19 patients.

Since November, the number of COVID-19 patients has been increasing rapidly (called the third wave) in Japan, and the numbers of both COVID-19 positive cases and suspected cases have been increasing in our hospital. For this reason, the COVID team was expanded to a new medical care team, a general internal medicine (GIM) team, was formed. Currently, in cooperation with the team at the Critical Care Center, this GIM team is in charge of COVID-19 medical care in the hospital.

This paper outlines the hospital's efforts against COVID-19 from the end of January to November in chronological order.