scholarly journals A Specialized Clinical Laboratory Center for the Coronavirus Disease 2019 (COVID-19) in Wuhan Leishenshan Hospital During the COVID-19 Outbreak

Author(s):  
Yaofei Xie ◽  
Wenwen Wu ◽  
Wen Xie ◽  
Yi Jin ◽  
Xiaodong Tan

ABSTRACT Responding to the extreme scarcity of medical resources during the early outbreak of the coronavirus disease (COVID-19) in Wuhan, China, an emergency specialist hospital of Leishenshan started to construct on January 26, 2020, and accommodate patients on February 6, 2020. The clinical laboratory center of Leishenshan Hospital (CLCLH) was constructed at the same time within 11 days to support the treatment of inpatients in Leishenshan Hospital and the testing of suspected patients from different fever clinics in Wuhan. The CLCLH could perform a total of 320 clinic, 299 biochemistry, 31 microorganism, and 47 infection and immunity examinations per day. It could also complete an average of 239 nucleic acid tests and 118 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody examinations per day. No suspected cases were documented among the health care workers during the operation of the CLCLH. The construction and operation experiences of the CLCLH is provided in this study and might be used by other countries as reference. The content of this study is divided into 4 parts: (1) the establishment of the CLCLH, including its layout and medical resource allocation; (2) the major testing items; (3) the specific procedure of COVID-19 indicator examination; and (4) the standardized personal protection measures.

Author(s):  
Gizem ALKURT ◽  
Ahmet MURT ◽  
Zeki AYDIN ◽  
Ozge TATLI ◽  
Nihat Bugra AGAOGLU ◽  
...  

COVID-19 is a global threat with an increasing number of infections. Research on IgG seroprevalence among health care workers (HCWs) is needed to re-evaluate health policies. This study was performed in three pandemic hospitals in Istanbul and Kocaeli. Different clusters of HCWs were screened for SARS-CoV-2 infection. Seropositivity rate among participants was evaluated by chemiluminescent microparticle immunoassay. We recruited 813 non-infected and 119 PCR-confirmed infected HCWs. Of the previously undiagnosed HCWs, 22 (2.7%) were seropositive. Seropositivity rates were highest for cleaning staff (6%), physicians (4%), nurses (2.2%) and radiology technicians (1%). Non-pandemic clinic (6.4%) and ICU (4.3%) had the highest prevalence. HCWs in high risk group had similar seropositivity rate with no risk group (2.9 vs 3.6 p=0.7), indicating the efficient implementation of protection measures in the hospitals in Turkey. These findings might lead to the re-evaluation of infection control and transmission dynamics in hospitals.


2020 ◽  
pp. 155335062096724
Author(s):  
Gul R. Sachwani-Daswani ◽  
Patrick Atkinson ◽  
Robert S. Haake ◽  
Leo Mercer

Since the SARS-CoV-2 (COVID-19) outbreak, health-care workers (HCWs) have had to create personal protective equipment (PPE) due to the worldwide demand and thus ensuing shortage. To address the dearth of available PPE, HCWs have quickly explored options to repurpose in-hospital equipment to provide alternative PPE to caregivers. We report the modification of a Stryker T5TM and Stryker Flyte® personal protection surgical helmets as a powered air-purifying respirator.


2019 ◽  
Vol 13 (2) ◽  
pp. 1223-1226
Author(s):  
Parimala Subramani ◽  
Anitha Deva ◽  
Beena Madappa

Author(s):  
Pravin Hector John ◽  
John A. C. Thanakumar ◽  
Arcot Mohan Rao ◽  
Neelamekam Thoppa Kapali ◽  
Mandalam S. Seshadri

Background: Covid-19 is currently wide-spread in urban and rural India. Health care workers (HCW) contract disease when exposed to inoculum in enclosed spaces namely operation theatre (OR) or Intensive care unit (ICU). 1.8-5 % of health care workers (HCW) tested positive in Delhi and Dutch experience is similar. 8% of HCW who contract COVID-19 die. Commercial filters have been advocated by various surgical societies and despite routine use of these filters, HCWs continue to get infected. Ultraviolet C (UVC) irradiation has been in use for bacterial and viral decontamination of surfaces, liquid and gaseous media.Methods: In this study, we describe a closed UVC chamber with built-in HEPA filters to decontaminate and sterilize effluent gases from patients undergoing laparoscopic or open surgical procedures to make it free of SARS-COV-2 virus and minimize risk of infection for the OR crew. We also report an adaptation of this device for anesthesia. We compare SARS-CoV-2 infections in HCW in our hospital, where this device is routinely used, with outcomes from another hospital with identical personal protection measures, performing similar surgical procedures but without the device.Results: COVID-19 incidence is significantly reduced with the use of this device compared to a similar hospital with similar surgical protocols but without the deviceConclusions: In the current pandemic situation where a number of HCWs get infected or succumb to SARS CoV2 infection, measures such as UVC chamber described in this paper provide additional protection to HCWs in the OR. They are of considerable public health importance and serve to boost the sagging morale of HCWs.


2020 ◽  
pp. 106286062095672
Author(s):  
Sonia Mehta ◽  
F. Cole Dooley ◽  
Stephanie Gore ◽  
Bruce Spiess ◽  
Nik Gravenstein ◽  
...  

The authors developed a process to produce a reliably fitting face mask from materials that were immediately available to health care workers, to reduce the risk of infection. Multiple materials and designs were developed to produce face masks that focused on ease of production, the ability to generate a reliable facial seal, and the ability to tailor the mask for those who did not fit commercially available N95 masks. Two final designs were selected. Mask components were assembled into kits and distributed to community sewists. Plan-Do-Study-Act cycles were developed for quality improvement. A process was successfully developed to produce 5000 face masks in a period of 3 weeks that fit almost all (95%) health care workers who did not fit in a commercially available mask. The process was able to produce quality face masks with specific attention paid to developing masks that would pass qualitative fit testing.


2013 ◽  
Author(s):  
Jane Lipscomb ◽  
Jeanne Geiger-Brown ◽  
Katherine McPhaul ◽  
Karen Calabro

Sign in / Sign up

Export Citation Format

Share Document