Management of Varicella-Vaccinated Patients and Employees Exposed to Varicella in the Healthcare Setting

2003 ◽  
Vol 24 (7) ◽  
pp. 538-543 ◽  
Author(s):  
Donna J. Haiduven ◽  
Carmen P. Hench ◽  
Sandy M. Simpkins ◽  
Kathleen E. Scott ◽  
David A. Stevens

Varicella exposures from patients, visitors, and staff continue to occur in healthcare facilities. In a recent report from the National Surveillance System for Health Care Workers, 9 participating hospitals reported 72 varicella exposures from 1996 to 1999, involving 1,111 health-care workers. Depending on the patient and employee demographics for any particular healthcare institution, the number of these exposures can vary. Many healthcare facilities follow the guidelines of the Hospital Infection Control Practices Advisory Committee for non-immune employees exposed to varicella. These guidelines recommend that such employees be excluded from duty from 8 to 21 days after exposure to varicella. There is no standard definition of what constitutes exposure to varicella, which can result in employees' being excluded from duty on one or more occasions without having contracted chickenpox. We previously reported our experience of allowing non-immune employees exposed to varicella to work while wearing masks, checking daily for prodromal symptoms, and excluding these employees from duty only if such symptoms occurred. Since our original report from 1994, we have continued this practice without adverse consequences.

Author(s):  
Nicola Magnavita ◽  
Giovanni Tripepi ◽  
Reparata Rosa Di Prinzio

In March–April 2020, the Corona Virus Disease 19 (COVID-19) pandemic suddenly hit Italian healthcare facilities and in some of them many staff members became infected. In this work 595 health care workers from a public company were tested for Severe acute respiratory syndrome coronavirus 2 (82 positive) and asked to complete a questionnaire on early COVID-19 symptoms. Respiratory symptoms were present in 56.1% of cases. Anosmia and dysgeusia in COVID-19 cases were found to have an odds ratio (OR) = 100.7 (95% Confidence Interval [CI] = 26.5–382.6) and an OR = 51.8 (95%CI 16.6–161.9), respectively. About one in three of the cases (29.3%) never manifested symptoms. Anxiety was reported by 16.6% of COVID-19 cases and depression by 20.3%, with a significant increase in the estimated risk (OR = 4.3; 95%CI = 2.4–7.4 for anxiety, OR = 3.5; 95%CI = 2.0–6.0 for depression). In cases, sleep was a significant moderating factor in the relationship between occupational stress, or organizational justice, and anxiety. The early diagnosis of COVID-19 in health care workers, must consider, in addition to respiratory disorders and fever, anosmia, dysgeusia, exhaustion, myalgias and enteric disorders. The frequency of anxiety and depression disorders in the population examined was not higher than that commonly recorded in the same company during periodic checks in the years preceding the epidemic. In COVID-19 cases there was a significant risk of anxiety, especially in those who had low sleep quality. Mental health support and improvement interventions must mainly concern workers with positive tests and should also tend to improve sleep quality.


2021 ◽  
pp. 66-70
Author(s):  
Suchismita Koley ◽  
Indraneel Dasgupta

Introduction: The recent corona virus infection is known as sars-cov-2 or covid-19. The infection rst started in the Wuhan province of China and gradually spread to other countries. On March 12th 2020 it was declared as pandemic by WHO. Extraordinary measures are being adopted to combat the formidable spread of the ongoing outbreak. Under such conditions, people's adherence to preventive measures is greatly affected by their awareness of the disease. Aim:To assess the knowledge of preventive measures of Covid-19 disease and its related infection control practices among healthcare workers to minimise the risk of transmission. Material and methods: This is an questionnaire based observational prospective survey on the awareness, knowledge and infection control practices related to Covid 19 infection in the healthcare setting and conducted from May 2020 to September 2020- to collect the data and October 2020 to January 2021 for thesis writing, statistical analysis, discussion and conclusion. This survey involves the doctors, nursing staffs, paramedical staffs, lab technicians and other people who helps in transporting the patients and the people who handles the biomedical wastes. Total 430 participants were taken. Result: Majority of the health care workers were answered that it is caused by virus (89.1%), the virus can spread from one person to another (89.4%), the virus can be prevented (90.4%), symptoms of the virus was not common cold (94.2%), it is not occurred at certain period of the year (84.7%) and the COVID-19 symptoms are worse with any Co morbidity (83.2%). Health care workers were answered that common symptom of this disease is headache (94.7%), Sore throat (91.6%), Vomiting (92.6%), Persistent cough (96.7%), Running nose(92.6%), Sneezing (95.1%), Muscle aches(93.0%), abdominal pain (93.0%), Fever (96.7%), Diarrhea (92.6%) and Feels tired (93.5%). Conclusion: This research was help common men to understand the intensity of infection and its symptoms and precaution. It will help out common people to be aware of the threatens level of virus in society and counsel him that it's with everyone, rather than only with him. We suggested that the knowledge of preventive measures of Covid-19 disease and its related infection control practices among healthcare workers to minimise the risk of transmission.


2016 ◽  
Vol 22 (3) ◽  
pp. 204-209 ◽  
Author(s):  
Susan Hester ◽  
Christina Harrelson ◽  
Tameki Mongo

This article explores the topic of workplace violence in the health care setting. A definition of workplace violence and those who are most vulnerable is provided. National and state legislation that addresses the topic of workplace violence will be discussed. Other organizations such as the American Nurses Association and The Joint Commission and their position statements will be explored. Lastly, strategies targeting workplace violence prevention and the barriers to implementing identified strategies will be discussed. Workplace violence is a rapidly growing concern for those working in health care. This article provides recommendations for legislative and workplace actions to protect health care workers.


2020 ◽  
Vol 17 (1) ◽  
pp. 66-71
Author(s):  
Amit Thapa ◽  
Krishna Sharma ◽  
Prabin Shrestha

Due to lack of scientific evidence, guidelines cannot be formulated. Hence this protocol would serve as STANDARD OPERATING PROCEDURE (SOP) for performing neurosurgical procedures on COVID-19 suspect, probable or positive cases. This SOP is based on recommendations from various societies and experiences of the hospitals involved in care of patients with COVID-19. As the status of COVID-19 in Nepal change along with refinement in knowledge of the disease and its management, SOP would be updated. Objective is to “Serve with caution”. Nepal is presently in phase 2 of Global COVID-19 p The doubling time for active infections is shortening over the last two weeks (Figure 1). The healthcare facilities have to gear up and prepare to face the worst with the most efficient use of available resources. Neurosurgical emergencies may arise in COVID-19 patients (suspect or probable or positive) who are being managed in isolated wards or ICU. Such patients cannot be operated in routine operating rooms nor kept in routine ICU, as they pose threat of transmission of infection to other patients and health care workers (HCW). COVID-19 patients undergoing aerosol generating procedures (AGPs) pose higher risk of transmission of the SARS-CoV-2 virus. Special isolation precautions should be adopted by all health care workers (HCW) with specific protocols to stay safe as well as manage the case efficiently.


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Yogesh Kumar Sarin

Since the COVID-19 pandemic, healthcare facilities have entered into a “crisis mode”. One of the measures used to allow hospitals to surge their capacity and serve the patient population with COVID-19 infection was the suspension of elective activity, most importantly elective surgery and other procedures. Now as the infection is fading, efforts are being made to resume elective surgical services keeping in mind the safety of the patient and health care workers. Resuming surgical services in developing countries is an uphill task. 


2015 ◽  
Vol 57 (1) ◽  
pp. 69-80 ◽  
Author(s):  
Basilua Andre Muzembo ◽  
Lukuke Hendrick Mbutshu ◽  
Nlandu Roger Ngatu ◽  
Kaj Francoise Malonga ◽  
Masamitsu Eitoku ◽  
...  

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