Clinical Presentation and course of SARS-CoV-2 infection in health care personnel working in dedicated Covid hospital during two pandemic waves in India

2021 ◽  
pp. 1-16
Author(s):  
Ashish Bindra ◽  
Neha Sharma ◽  
Sheeba Joseph ◽  
Purva Mathur ◽  
Rajesh Malhotra ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Presentation ◽  
Health Care Personnel ◽  
Care Hospital ◽  
Residual Symptoms ◽  
Runny Nose ◽  
Persistent Symptoms ◽  
Home Based ◽  
Second Wave ◽  
Back To Work

Abstract Introduction: Health care personnel (HCPs) are predisposed to infection during direct or indirect patient care as well as due to the community spread of the disease. Methods: We observed the clinical presentation and course of SARS-CoV-2 infection in HCPs working in a dedicated Covid care hospital during the first and the second wave. Results: A total of 100 and 223 HCPs were enrolled for the first wave and the second wave respectively. Cough, shortness of breath, sore throat, runny nose, and headache was seen in 40(40%) and 152 (68%) (p <0.01), 15(15%) and 64 (29%) (p = .006), 40 (40%) and 119 (53.3%) (p=0.03), 9 (9%) and 66 (30%) (p<0.01), 20 (20%) and 125 (56%) (p<0.01) respectively. Persistent symptoms at the time of joining back to work were seen in 31(31%) HCPs and 152(68%) HCPs respectively (p= <0.01). Reinfection was reported in 10 HCPs. Conclusions: Most of the HCPs had mild to moderate infections. Symptoms persist after joining back to work. Upgradation of home based care and tele consultation facilities for active disease and redressal of residual symptoms will be helpful.

scholarly journals Effect of Pre-Anaesthetic Evaluation on Complication Free Outcome among Day-Care ENT Surgeries in a Tertiary Care Hospital

2020 ◽  
Vol 7 (50) ◽  
pp. 3016-3021
Author(s):  
Jayachandran C.G ◽  
Naiji S. James ◽  
Ushakumari P.R
Keyword(s):  
Health Care ◽  
Postoperative Pain ◽  
Day Care ◽  
Health Care Personnel ◽  
Pain Intensity Score ◽  
Care Hospital ◽  
Day Care Surgery ◽  
Duration Of Surgery ◽  
Associated Symptoms ◽  
Care Surgery

BACKGROUND Day-care surgery in all the surgical specialities has become an accepted and popular method among the health care personnel and patients. Lesser demand for in-patient beds and lower cost of hospital stay are making this therapeutic modality more acceptable. Current concepts in anaesthesia, availability of newer anaesthetic drugs and surgical methods have helped in achieving progress of daycare surgeries. Pre-anaesthetic evaluation of patients determine their fitness for day-care anaesthesia and surgery, and at times guide the anaesthesiologist in formulating appropriate plans and strategies. We wanted to observe the demography of patients undergoing day-care surgery and estimate the proportion of complication free outcome among day-care ENT procedures following preanaesthetic evaluation. METHODS 96 patients aged between 18 and 60 years undergoing day-care ENT surgeries for which pre-anaesthetic evaluation was done were included. Demographic data was obtained, thorough pre-anaesthetic evaluation and detailed clinical ENT examination were done. Nature of anaesthesia given, duration of the surgery and severity of the postoperative pain were recorded. Analgesic protocol undertaken during recovery period and associated symptoms were recorded. RESULTS Out of 96 patients 55 (57.29) were males and 41 (42.70 %) were females with a male to female ratio of 1.4:1. The mean age was 31.50 ± 4.15 years. 32 / 96 (33.33 %) ear surgeries, 26 / 96 (27.08 %) nose surgeries, 22 / 96 (22.91 %) throat surgeries and 16 / 96 (16.66 %) head and neck surgeries were performed. The smallest mean duration of surgery was 13.30 ± 02.5 minutes for removal of foreign body in the ear and the largest mean duration of surgery was for cortical mastoidectomy, 91.65 ± 6.20 minutes. Postoperative pain was present in 93 / 96 (96.87 %) of the patients varying from class I to class V of Verbal Pain Intensity Score (VPIS). CONCLUSIONS To manage patients undergoing day-care surgeries, efficient pre-anaesthetic evaluation is essential. It should include proper selection of patients, assessing the nature of surgery, analysis of comorbid conditions, counselling patients regarding type of anaesthesia and postoperative pain management. The postoperative pain and associated symptoms should be assessed and monitored periodically and should be managed by trained health care personnel to avoid unplanned overnight stays. KEYWORDS ENT, Anaesthesia, Day-Care Surgery, Complications, Pre-Anaesthetic Medication and Post-Operative Outcome

scholarly journals An epidemiological study on knowledge, attitude and practice of injection safety among health care personnel in a tertiary care hospital of Tripura

2018 ◽  
Vol 5 (9) ◽  
pp. 4128
Author(s):  
Anjan Datta ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Tamal Chakraborty
Keyword(s):  
Health Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Health Care Personnel ◽  
Care Hospital ◽  
Attitude And Practice ◽  
Unsafe Injection ◽  
Knowledge Attitude And Practice ◽  
Injection Safety ◽  
Injection Practices

Background: Injection is considered as one of the key procedures of drug delivery all over the world. Unsafe injection practices are very common in countries like India. This study was aimed to assess knowledge, attitude and practice of injection safety in a tertiary care hospital of Tripura.Methods: A cross-sectional study was conducted among 300 participants including staff nurses, operation theater (OT) assistants and laboratory technicians of Tripura Medical College and Dr. BRAM Teaching Hospital, Hapania; who were primarily involved in routine injection practices related to patient care from January 15th to February 14th 2018. Data was collected using a self-administered questionnaire and analyzed using SPSS version 16.0.Results: Majority (77%) of the participants in this study belonged to 18 to 25 years age group and were females (71.3%); mostly were nurses (88%), followed by OT assistants (6.3%) and laboratory technicians (5.7%) respectively. Good injection safety practices were reported by majority of the participants (67.3%). Higher mean age with knowledge of injection safety, nurses as compared to others and probational work experience than permanent were found to have significant association with safe injection practices of the participants.Conclusions: Even though study findings showed good practice related to injection safety among the health care personnel like similar other studies in this country, still improvement is required to fulfil the gap in knowledge and attitude of the health care providers to keep unsafe injection to the minimum level.

scholarly journals Knowledge, Attitude and Practice of Biomedical Waste Management among Health Care Personnel in a Secondary Care Hospital of Al Buraimi Governorate, Sultanate of Oman

2018 ◽  
Vol 10 (3) ◽  
pp. 70 ◽  
Author(s):  
Ahmed Yar Mohammed Dawood Al Balushi ◽  
Muhammad Muqeet Ullah ◽  
Amal Ali Al Makhamri ◽  
Fatma Sulieman Al Alawi ◽  
Mansoor Khalid ◽  
...  
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Care Personnel ◽  
Care Hospital ◽  
Research Committee ◽  
Cross Sectional ◽  
Significance Level ◽  
Biomedical Waste ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

BACKGROUND: Due to existence of highly infectious materials, the biomedical waste can be a probable source for transmission of diseases as well as occupational hazards among health care workers if not adequately managed. Objective: To assess the knowledge, attitude and practices of biomedical waste management among health care personnel in a secondary hospital of Al Buraimi Governorate, Sultanate Oman.METHODOLOGY: A Cross sectional descriptive self-administered questionnaire based study was conducted among 207 subjects from 30th September 2015 to 30th March 2016 in Al-Buraimi hospital, Oman. Stratified random sampling comprised of four strata (100 nurses, 65 doctors, 22 housekeeping staff and 20 laboratory technicians).Chi-Square test was applied using SPSS version 21 with significance level ≤ 0.05. Confidentiality was maintained with ethical approval from research committee and informed formal consent was taken from the participants. RESULT: Overall response rate was 125 (60.3%) from total 207, mean age 36.14±8.9 and age ranges from 20 to 58 years with mean age (doctors 42.5, nurses 29.8, laboratory technician 29.2 and housekeeping staff 36). Female proportion of 82 (65.6%) was higher as compare to males 43 (34.4%). The study was analyzed on the basis of “satisfactory” and “unsatisfactory” scores using “cut-off point” tools. Nurses had better satisfactory knowledge (90.9%), attitude (94.5%) and practice (80%) scores as compare to other participants. The overall “satisfactory” knowledge, attitude and practice scores were found to be statistically insignificant (P=0.100, P=0.346, P=0.364 respectively). No significant relationship established between dichotomized variables of knowledge and practice (P = 0.264) as well as attitude and practice (P = 0.147).CONCLUSION: The “satisfactory” scores of knowledge, attitude and practice were found to be higher among nurses as compared to other participants, which may be due to intensive patient care and more involvement in biomedical waste management as well as greater responsibility allocated by hospital administration.

scholarly journals Effect of in-house training of health care personnel on biomedical waste management in a tertiary care hospital, Warangal, Telangana, India

2020 ◽  
Vol 7 (3) ◽  
pp. 1110
Author(s):  
Priyanka Sriramula ◽  
Rajashekar Neelakanti ◽  
P. S. Supriya
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Tertiary Care ◽  
Specific Treatment ◽  
Health Care Facilities ◽  
Health Care Personnel ◽  
Healthcare Personnel ◽  
Care Hospital ◽  
Biomedical Waste ◽  
Post Test

Background: Every day, relatively large amount of potentially infectious and hazardous wastes is generated in the health-care hospitals and facilities around the world. Indiscriminate disposal and improper management of waste generated in health care facilities causes serious threat to environment and to human health that requires specific treatment and management prior to its final disposal.Methods: Cross-sectional study was conducted among 241 health care personnel working at Mahatma Gandhi Memorial hospital, Warangal. Data was collected and pre and post analysis was done using a pre-validated self-administered questionnaire. Data was entered in MS Excel and analysed using SPSS 17 software.Results: Among 241 respondents, 33.2% were sanitary staff, 35.3% are nursing staff and 31.5% are nursing students. Only 35.7% of participants has knowledge regarding the colour of the bag into which expired antibiotics are discarded and 45.2% of participants were aware of the colour of the bag in which IV bottles, gloves were discarded. Scoring for 10 was done in both pre and post-test and post test scores were found to be higher and there is significant increase in level of knowledge of biomedical waste management rules in study population in post-test analysis (p<0.001).Conclusions: Training program on the waste management in the health sector has significant effect in increasing knowledge of the healthcare personnel. 

scholarly journals Prospective Longitudinal Serosurvey of Health Care Workers in the First Wave of the SARS-CoV-2 Pandemic in a Quaternary Care Hospital in Munich, Germany

2021 ◽  
Author(s):  
Tobias Weinberger ◽  
Julius Steffen ◽  
Andreas Osterman ◽  
Tonina T Mueller ◽  
Maximilian Muenchhoff ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Workers ◽  
University Hospital ◽  
Health Care Personnel ◽  
Care Hospital ◽  
Prospective Longitudinal Study ◽  
Care Workers ◽  
Antibody Assays ◽  
Prospective Longitudinal

Abstract Background High infection rates among health care personnel in an uncontained pandemic can paralyze health systems due to staff shortages. Risk constellations and rates of seroconversion for health care workers during the first wave of the SARS-CoV-2 pandemic are still largely unclear. Methods Health care personnel (n=300) on different organizational units in the LMU Munich University Hospital were included and followed in this prospective longitudinal study in the period of March 24 until July 7, 2020. Participants were monitored in intervals of two to six weeks using different antibody assays for serological testing and questionnaires to evaluate risk contacts. In a subgroup of infected participants, we obtained nasopharyngeal swabs to perform whole genome sequencing for outbreak characterization. Results Health care workers involved in patient care on dedicated COVID-19 wards or on regular non-COVID-19 wards showed a higher rate of SARS-CoV-2 seroconversion compared to staff in the emergency department and non-frontline personnel. The landscape of risk contacts in these units was dynamic, with a decrease of unprotected risk contacts in the emergency department and an increase on non-COVID-19 wards. Both, the intensity and number of risk contacts, were associated with higher rates of seroconversion. On regular wards, staff infections tended to occur in clusters, while infections on COVID-19 wards were less frequent and apparently independent of each other. Conclusion The risk of SARS-CoV-2 infection for front-line health care workers was increased during the first pandemic wave in Southern Germany. Stringent measures for infection control are essential to protect all patient-facing staff during the ongoing pandemic.

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