scholarly journals When cancer encounters COVID-19 in China: what have we suffered, experienced and learned

2020 ◽  
Vol 50 (6) ◽  
pp. 712-717 ◽  
Author(s):  
Haiyang Chen ◽  
Xuan Wu ◽  
Wei Wang ◽  
Qiming Wang

Abstract The outbreak of the coronavirus disease (COVID-19) occurred in Wuhan, China, in December 2019. As of 21 March 2020, this epidemic has spread to 179 countries with more than 200 000 confirmed cases and 8578 deaths. The outbreak has put enormous pressure on the medical establishment and even led to exhaustion of medical resources in the most affected areas. Other medical work has been significantly affected in the context of COVID-19 epidemic. In order to reduce or avoid cross-infection with COVID-19, many hospitals have taken measures to limit the number of outpatient visits and inpatients. For example, emergency surgery can only be guaranteed, and most other surgeries can be postponed. Patients with cancer are one of the groups most affected by the epidemic because of their systematic immunosuppressive state and requirement of frequent admission to hospital. Consequently, specific adjustments for their treatment need to be made to cope with this situation. Therefore, it is of significance to summarize the relevant experience of China in the prevention and control of COVID-19 infection and treatment of patients with cancer during the epidemic.

2020 ◽  
Vol 3 (1) ◽  
pp. 53
Author(s):  
Zhe Wang

The disinfection supply room is a very important department of the hospital. Its main job is to provide sterile equipment and dressings for various activities in the hospital. It is an important department in the hospital infection management process. Doing a good job in the control and management of the disinfection supply room is the main link to ensure the prevention and control of hospital infections. The quality of management directly affects modern clinical medical work. Therefore, the hospital supply room should be strengthened and improved to ensure that all items can be safely used in the work process, which can effectively avoid the occurrence of cross-infection incidents in the hospital.


Author(s):  
Hui Ding ◽  
Zhaoling Shi ◽  
Zhen Ruan ◽  
Xiaoning Cheng ◽  
Ruying Li ◽  
...  

ABSTRACT Since the outbreak of 2019 novel coronavirus (2019-nCoV) infection in Wuhan City, China, pediatric cases have gradually increased. It is very important to prevent cross-infection in pediatric fever clinics, to identify children with fever in pediatric fever clinics, and to strengthen the management of pediatric fever clinics. According to prevention and control programs, we propose the guidance on the management of pediatric fever clinics during the nCoV pneumonia epidemic period, which outlines in detail how to optimize processes, prevent cross-infection, provide health protection, and prevent disinfection of medical staff. The present consideration statement summarizes current strategies on the pre-diagnosis, triage, diagnosis, treatment, and prevention of 2019-nCoV infection, which provides practical suggestions on strengthening the management of pediatric fever clinics during the nCoV pneumonia epidemic period.


Author(s):  
Nizam Damani

The Manual of Infection Prevention and Control provides practical guidance on all aspects of healthcare-associated infections (HAIs). It outlines the basic concepts of infection prevention and control (IPC), modes of transmission, surveillance, control of outbreaks, epidemiology, and biostatistics. The book provides up-to-date advice on the triage and isolation of patients and on new and emerging infectious diseases, and with the use of illustrations, it provides a step-by-step approach on how to perform hand hygiene and how to don and take off personal protective equipment correctly. In addition, this section also outlines how to minimize cross-infection by healthcare building design and prevent the transmission of various infectious diseases from infected patients after death. The disinfection and sterilization section reviews how to risk assess, disinfect and/or sterilize medical items and equipment, antimicrobial activities, and the use of various chemical disinfectants and antiseptics, and how to decontaminate endoscopes. The section on the prevention of HAIs reviews and updates IPC guidance on the prevention of the most common HAIs, i.e. surgical site infections, infections associated with intravascular and urinary catheters, and hospital- and ventilator-acquired pneumonias. In view of the global emergence of antimicrobial resistance to the various pathogens, the book examines and provides practical advice on how to implement an antibiotic stewardship programme and prevent cross-infection against various multi-drug resistant pathogens. Amongst other pathogens, the book also reviews IPC precautions against various haemorrhagic and bloodborne viral infections. The section on support services discusses the protection of healthcare workers, kitchen, environmental cleaning, catering, laundry services, and clinical waste disposal services.


Author(s):  
Violeta Lopez ◽  
Piyanee Klainin-Yobas

AbstractThere are growing interests in promoting health of patients with cancer targeting on prevention and control as there are several modifiable risk factors that can be controlled to prevent cancer such as smoking, sedentary lifestyle, and unhealthy behaviors. Once diagnosis of cancer has been determined, health promotion interventions can be targeted on helping patients overcome the physiological and psychological effects of the diagnosis. Health promotion interventions should continue during treatment, survivorship, and for those receiving palliative care. More specifically is the promotion of psychological health of patients with cancer. Introduction of the incidence of cancer, cancer risk protection interventions and innovative health promotion interventions along these different periods in the life of patients with cancer are presented. Some theoretical frameworks used in health promotion research with examples of studies are discussed.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xia Wang ◽  
Qian Li ◽  
Xiaodan Sun ◽  
Sha He ◽  
Fan Xia ◽  
...  

Abstract Background The COVID-19 pandemic is complex and is developing in different ways according to the country involved. Methods To identify the key parameters or processes that have the greatest effects on the pandemic and reveal the different progressions of epidemics in different countries, we quantified enhanced control measures and the dynamics of the production and provision of medical resources. We then nested these within a COVID-19 epidemic transmission model, which is parameterized by multi-source data. We obtained rate functions related to the intensity of mitigation measures, the effective reproduction numbers and the timings and durations of runs on medical resources, given differing control measures implemented in various countries. Results Increased detection rates may induce runs on medical resources and prolong their durations, depending on resource availability. Nevertheless, improving the detection rate can effectively and rapidly reduce the mortality rate, even after runs on medical resources. Combinations of multiple prevention and control strategies and timely improvement of abilities to supplement medical resources are key to effective control of the COVID-19 epidemic. A 50% reduction in comprehensive control measures would have led to the cumulative numbers of confirmed cases and deaths exceeding 590,000 and 60,000, respectively, by 27 March 2020 in mainland China. Conclusions Multiple data sources and cross validation of a COVID-19 epidemic model, coupled with a medical resource logistic model, revealed the key factors that affect epidemic progressions and their outbreak patterns in different countries. These key factors are the type of emergency medical response to avoid runs on medical resources, especially improved detection rates, the ability to promote public health measures, and the synergistic effects of combinations of multiple prevention and control strategies. The proposed model can assist health authorities to predict when they will be most in need of hospital beds and equipment such as ventilators, personal protection equipment, drugs, and staff.


e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Rachel Gabriele ◽  
Vonny N. S. Wowor ◽  
Aurelia Supit

Abstract: Prevention and control of cross infection is very important for dental health workers, especially in dental extraction because this action is directly related to blood and saliva. The risk of infection requires thorough attention of dental health workers. This study was aimed to determine the level of prevention and control of cross infection in dental extraction at Dental Clinic of Siloam Hospital Manado. This wass an observational descriptive study, with a total samples of 30 operators. The results showed that the prevention and control of cross infection before dental extraction performed was 61.71%; during dental extraction was 73.34%; and after dental extraction was 92.08%. Generally, the prevention and control of cross infection in dental extraction only achieved 75.71%. In conclusion, the prevention and control of cross infection in dental extraction at Siloam Hospital, Manado was still below maximum level.Keywords: prevention control of cross infection, dental extraction Abstrak: Pencegahan dan pengendalian infeksi silang merupakan hal yang sangat penting bagi tenaga kesehatan gigi, terlebih lagi pada ekstraksi gigi, karena tindakan ini berhubungan langsung dengan darah dan saliva. Risiko infeksi mengharuskan tenaga kesehatan gigi memerhatikan tindakan pencegahan dan pengendalian infeksi. Penelitian ini bertujuan untuk mengetahui tingkat pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di poliklinik gigi Rumah Sakit Siloam Manado. Jenis penelitian ialah deskriptif observasional, dengan jumlah subyek sebanyak 30 operator. Hasil penelitian mendapatkan pencegahan dan pengendalian infeksi silang sebelum tindakan ekstraksi gigi dilakukan sebesar 61,71%; selama tindakan ekstraksi gigi sebesar 73,34%; dan setelah tindakan ekstraksi gigi sebesar 92,08%. Secara umum, pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi hanya dilakukan sebesar 75,71%. Simpulan penelitian ini ialah pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di poliklinik gigi Rumah Sakit Siloam Manado belum maksimal.Kata kunci: pencegahan dan pengendalian infeksi silang, ekstraksi gigi


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Meilan M. Suleh ◽  
Vonny N. S. Wowor ◽  
Christy N. Mintjelungan

Abstract: Tooth extraction is one of the high risk actions that can cause cross-infection. Prevention and control of a cross-infection is needed in tooth extraction because the field of dentistry work contacts directly with blood and saliva. This was a descriptive observational study with a cross sectional design. There were 44 samples obtained by using purposive sampling method. This study aimed to determine the prevention and control of cross infection in dental extractions at the Dental Hospital PSPDG FK Unsrat. The results showed that the prevention and control of cross-infection pre-action tooth extraction was 37.4%. The prevention of cross infection control during dental extractions was 60.26%. The prevention of cross infection control after tooth extraction was 47.16%. In general, prevention and cross-infection control in dental extractions at the Dental Hospital PSDDG FK Unsrat was only done by 48.23%.Keywords: prevention and control of cross-infection, tooth extraction actionAbstrak: Ekstraksi gigi merupakan salah satu tindakan berisiko tinggi menyebabkan terjadinya infeksi silang. Pencegahan dan pengendalian infeksi silang sangat dibutuhkan pada tindakan ekstraksi gigi, karena bidang kerja kedokteran gigi berhubungan langsung dengan darah dan saliva. Jenis penelitian ini deskritif observasional dengan desain potong lintang. Pengambilan sampel menggunakan metode purposive sampling dengan jumlah 44 sampel. Penelitian ini bertujuan untuk mengetahui pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di Rumah Sakit Gigi dan Mulut PSPDG FK Unsrat. Hasil penelitian menunjukkan bahwa pencegahan dan pengendalian infeksi silang pra tindakan ekstraksi gigi dilakukan sebesar 37,4%. Pencegahan dan pengendalian infeksi silang selama tindakan ekstraksi gigi dilakukan sebesar 60,26%. Pencegahan dan pengendalian infeksi silang paska tindakan ekstraksi gigi dilakukan sebesar 47,16%. Secara umum, pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di RSGM PSDDG FK Unsrat hanya dilakukan sebesar 48,23%.Kata kunci: pencegahan dan pengendalian infeksi silang, tindakan ekstraksi gigi.


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