The use of personal protective equipment in clinical ophthalmology during corona virus disease-2019: a review of international guidelines and literature

2020 ◽  
Vol 31 (5) ◽  
pp. 435-446 ◽  
Author(s):  
Samuela W.K. Tang ◽  
Mario Rosario Romano ◽  
Daniel H.T. Wong ◽  
Alessio Montericcio ◽  
Nelson K.F. Yip ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Virus Disease ◽  
Protective Equipment ◽  
International Guidelines ◽  
Corona Virus

scholarly journals Penanganan Stroke Iskemik Akut di Masa Pandemi COVID-19

e-CliniC ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Erlika Lengkong ◽  
Finny Warouw ◽  
Mieke A. H. N. Kembuan
Keyword(s):  
Ischemic Stroke ◽  
Literature Review ◽  
Acute Ischemic Stroke ◽  
Personal Protective Equipment ◽  
Virus Disease ◽  
Google Scholar ◽  
Protective Equipment ◽  
Team Approach ◽  
Long Distance ◽  
Corona Virus

Abstract: When the pandemic corona virus disease (COVID-19) occurs, emergency services and hospitals are finally disrupted. One of the medical emergencies which can cause death and disability as well as other problems if being ignored, especially in productive age patients is stroke. This study was aimed to obtain the management of ischemic stroke during COVID-19 pandemic. This was a literature review study using three databases, namely Clinical Key, PubMed and Google Scholar. The keywords used in data search were acute AND stroke AND pandemic. The results showed that the treatment of acute ischemic stroke during COVID-19 pandemic consisted of three stages, namely pre-hospitalization (public education, contacting medical assistance, use of personal protective equipment, pre-notification), hospitalization (emergency room, imaging room, neuroradiology unit, ICU and IMCU), and post hospitalali-zation (integrated team approach). In conclusion, the management of acute ischemic stroke during COVID-19 pandemic begins before the medical personnel take action until the action is carried out. The main things in the management of acute ischemic stroke during COVID-19 pandemic are handling fast and precisely, using adequate personal protective equipment (PPE), and using communication tools or long-distance medical care (telemedicine).Keywords: acute ischemic stroke, COVID-19, pandemic Abstrak: Saat terjadi pandemi corona virus disease (COVID-19), layanan kegawatdaruratan dan rumah sakit megalami perubahan. Salah satu kasus kegawatdaruratan medik yang menjadi penyebab kematian dan kecacatan serta dapat menimbulkan masalah lainnya jika diabaikan terutama pada pasien usia produktif ialah stroke. Penelitian ini bertujuan untuk mengetahui penanganan stroke pada masa pandemic COVID-19. Jenis penelitian ialah literature review yang menggunakan tiga database yaitu Clinikal key, PubMed dan Google Scholar. Kata kunci yang digunakan dalam pencarian data ialah acute AND stroke AND pandemic. Hasil penelitian mendapatkan penanganan stroke iskemik akut di masa pandemi COVID-19 terdiri dari 3 tahapan yakni prahospitalisasi (edukasi masyarakat, menghubungi bantuan medis, penggunaan alat pelindung diri, pranotifikasi rumah sakit), hospitalisasi (ruang gawat darurat, ruang pencitraan, unit neuroradiologi, ICU dan IMCU), dan pasca hospitalisasi (pendekatan tim terpadu). Simpulan penelitian ini ialah penanganan stroke iskemik akut di masa pandemi COVID-19 dimulai dari sebelum tenaga medis melakukan tindakan sampai setelah tindakan dilaksanakan. Hal utama dalam penanganan stroke iskemik akut di masa pandemi COVID-19 ialah penanganan yang cepat dan tepat, penggunaan alat pelindung diri (APD) yang memadai, dan pemanfaatan alat komunikasi atau perawatan medis jarak jauh.Kata kunci: stroke iskemik akut, pandemi, COVID-19

scholarly journals Contamination Risk in Indonesian Youtube Videos on Personal Protective Equipment for Corona Virus Disease

2021 ◽  
Vol 9 (2) ◽  
pp. 83-90
Author(s):  
Laksita Barbara ◽  
Mareta Dea Rosaline ◽  
Akhiyan Hadi Susanto
Keyword(s):  
World Health Organization ◽  
Personal Protective Equipment ◽  
Virus Disease ◽  
World Health ◽  
Average Score ◽  
Protective Equipment ◽  
Corona Virus ◽  
Significant Difference ◽  
Youtube Videos ◽  
Health Organization

AbstractThere are numbers of Indonesian Youtube Videos that show steps to wear and remove Personal Protective Equipment (PPE) for Corona Virus Disease (COVID19). However, the conformity with the current guidelines remains unknown. This paper aims to determine the validity of these videos based on the World Health Organization (WHO) guidelines. We searched on the Youtube website for videos in donning and doffing PPE for droplet precaution and selected the videos using inclusion and exclusion criteria. Included videos were then evaluated with a checklist derived from WHO course on donning and doffing PPE for COVID-19 and WHO recommendation on PPE for Covid-19. The search that was undertaken resulted in 66 videos, and 40 videos were included for evaluation. There is no significant difference in the donning and doffing score between account types (personal, organizational/institutional, news). The average number of viewers of all videos is more than 2700 viewers. The average score of donning is less than 70% of the total score, and the average doffing score is under 65%. The vast majority of the videos do not follow the WHO recommendation on the PPE type and use more equipment than recommended. There are several contamination risks shown by the videos. Indonesian Youtube videos on PPE procedures for COVID-19 must be selected carefully to be used as an instructional or educational media since most of it presents a high risk of cross-contamination.Keyword: personal protective equipment, audiovisual, cross-contamination, trainingAbstrakTerdapat video dalam Bahasa Indonesia yang terkait cara memakai dan melepaskan Alat Pelindung Diri (APD) untuk Corona Virus Disease (COVID19). Namun, kesesuaian video terhadap pedoman terkini belum diketahui. Penelitian ini bertujuan untuk menentukan validitas video berdasarkan pedoman World Health Organization. Kami menelusuri Youtube untuk memperoleh video instruksi mengenakan dan melepas APD pencegahan kontaminasi droplet dan menyeleksi video tersebut berdasarkan kriteria inklusi dan eksklusi. Video yang telah diseleksi kemudian dievaluasi menggunakan checklist yang diturunkan dari langkah-langkah yang ditunjukan dalam kursus APD COVID-19 yang disediakan oleh WHO, serta rekomendasi APD dari WHO. Penelusuran Youtube menampilkan 66 video, dan dipilih 40 video yang sesuai dengan kriteria kelayakan. Tidak terdapat perbedaan signifikan dalam skor mengenakan dan melepaskan APD antara akun personal, organisasi/institusi, dan berita. Rata-rata jumlah penonton video adalah lebih dari 2700. Skor rata-rata pemakaian APD kurang dari 70% dari skor total, dan skor pelepasan APD kurang dari 65%. Sebagian besar video tidak mengikuti rekomendasi WHO dalam pemilihan tipe PPE dan menggunakan alat yang lebih banyak dari yang direkomendasikan. Terdapat sejumlah risiko kontaminasi yang dapat diobservasi dari langkah-langkah yang ditunjukan dalam video. Video Youtube prosedur APD untuk COVID-19 perlu diseleksi dengan cermat untuk digunakan sebagai media instruksi maupun pendidikan karena sebagian besar menunjukan risiko tinggi kontaminasi silang.Kata Kunci: alat pelindung diri, audiovisual, kontaminasi silang, pelatihan

Challenges in Implementing Ebola Protection Procedures and Personal Protective Equipment Training in a French Maternity Unit

2016 ◽  
Vol 6 (2) ◽  
pp. 93-103
Author(s):  
Ali Ghanchi
Keyword(s):  
Personal Protective Equipment ◽  
Ebola Virus ◽  
Virus Disease ◽  
Practical Experience ◽  
Emergency Planning ◽  
Ebola Virus Disease ◽  
Protective Equipment ◽  
Maternity Unit

The current Ebola crisis has been described as the “worst outbreak in history” and even though there is an unlikely chance that the epidemic will spread to France, emergency planners have taken this eventuality into consideration. In our maternity unit in Paris, midwife managers were allocated the task of implementing emergency planning into reality and as a result were faced with several challenges that came from various sources. This article discusses problems faced in adapting procedures, training personnel, and testing whether our procedures were effective in preventing Ebola virus disease in our maternity unit. From practical experience, it can be concluded that procedures functioned well and that staff were prepared and well equipped to face this challenging scenario.

Personal protective equipment for the Ebola virus disease: A comparison of 2 training programs

2015 ◽  
Vol 43 (12) ◽  
pp. 1281-1287 ◽  
Author(s):  
Enrique Casalino ◽  
Eugenio Astocondor ◽  
Juan Carlos Sanchez ◽  
David Enrique Díaz-Santana ◽  
Carlos del Aguila ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Ebola Virus ◽  
Training Programs ◽  
Virus Disease ◽  
Ebola Virus Disease ◽  
Protective Equipment

scholarly journals Assessment of Healthcare Worker Protocol Deviations and Self-Contamination During Personal Protective Equipment Donning and Doffing

2017 ◽  
Vol 38 (9) ◽  
pp. 1077-1083 ◽  
Author(s):  
Jennie H. Kwon ◽  
Carey-Ann D. Burnham ◽  
Kimberly A. Reske ◽  
Stephen Y. Liang ◽  
Tiffany Hink ◽  
...  
Keyword(s):  
Healthcare Worker ◽  
Personal Protective Equipment ◽  
Ebola Virus ◽  
Virus Disease ◽  
Tertiary Care ◽  
Protective Equipment ◽  
Contact Precaution ◽  
Care Hospital ◽  
Ms2 Bacteriophage ◽  
Protocol Deviation

OBJECTIVETo evaluate healthcare worker (HCW) risk of self-contamination when donning and doffing personal protective equipment (PPE) using fluorescence and MS2 bacteriophage.DESIGNProspective pilot study.SETTINGTertiary-care hospital.PARTICIPANTSA total of 36 HCWs were included in this study: 18 donned/doffed contact precaution (CP) PPE and 18 donned/doffed Ebola virus disease (EVD) PPE.INTERVENTIONSHCWs donned PPE according to standard protocols. Fluorescent liquid and MS2 bacteriophage were applied to HCWs. HCWs then doffed their PPE. After doffing, HCWs were scanned for fluorescence and swabbed for MS2. MS2 detection was performed using reverse transcriptase PCR. The donning and doffing processes were videotaped, and protocol deviations were recorded.RESULTSOverall, 27% of EVD PPE HCWs and 50% of CP PPE HCWs made ≥1 protocol deviation while donning, and 100% of EVD PPE HCWs and 67% of CP PPE HCWs made ≥1 protocol deviation while doffing (P=.02). The median number of doffing protocol deviations among EVD PPE HCWs was 4, versus 1 among CP PPE HCWs. Also, 15 EVD PPE protocol deviations were committed by doffing assistants and/or trained observers. Fluorescence was detected on 8 EVD PPE HCWs (44%) and 5 CP PPE HCWs (28%), most commonly on hands. MS2 was recovered from 2 EVD PPE HCWs (11%) and 3 CP PPE HCWs (17%).CONCLUSIONSProtocol deviations were common during both EVD and CP PPE doffing, and some deviations during EVD PPE doffing were committed by the HCW doffing assistant and/or the trained observer. Self-contamination was common. PPE donning/doffing are complex and deserve additional study.Infect Control Hosp Epidemiol 2017;38:1077–1083

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