scholarly journals Saliva is less sensitive than nasopharyngeal swabs for COVID-19 detection in the community setting

2020 ◽  
Author(s):  
David Becker ◽  
Efren Sandoval ◽  
Aakash Amin ◽  
Peter De Hoff ◽  
Amberly Diets ◽  
...  
Keyword(s):  
Return To Work ◽  
Personal Protective Equipment ◽  
Large Scale ◽  
Community Setting ◽  
Ambulatory Setting ◽  
Protective Equipment ◽  
Test Matrix ◽  
Saliva Collection ◽  
Large Scale Screening

The use of saliva collection for SARS-CoV-2 diagnostics in the ambulatory setting provides several advantages when compared to nasopharyngeal swabs (NPS), including ease of self-collection and reduced use of personal protective equipment (PPE). In addition saliva collection could be advantageous in advising if a convalescent patient is able to return to work after a period of self-quarantine. We investigated the utility of saliva collection in the community setting at Renown Health in a prospective Diagnostic Cohort of 88 patients and in a Convalescent Cohort of 24 patients. In the Diagnostic Cohort, we find that saliva collection has reduced sensitivity (~30% less) relative than NPS. And in our convalescent cohort of patients greater than 8 days and less than 21 days from first symptom, we find that saliva has ~ 50% sensitivity relative to NPS. Our results suggest that rigorous studies in the intended populations should be performed before large-scale screening using saliva as the test matrix is initiated.

Impact of COVID-19 on Nuclear Medicine in Germany, Austria and Switzerland: An International Survey in April 2020

2020 ◽  
Vol 59 (04) ◽  
pp. 294-299 ◽  
Author(s):  
Lutz S. Freudenberg ◽  
Ulf Dittmer ◽  
Ken Herrmann
Keyword(s):  
Nuclear Medicine ◽  
Health Systems ◽  
Personal Protective Equipment ◽  
Large Scale ◽  
Diagnostic Procedures ◽  
Protective Equipment ◽  
Current Crisis ◽  
Web Based ◽  
Public Versus Private ◽  
The Impact

Abstract Introduction Preparations of health systems to accommodate large number of severely ill COVID-19 patients in March/April 2020 has a significant impact on nuclear medicine departments. Materials and Methods A web-based questionnaire was designed to differentiate the impact of the pandemic on inpatient and outpatient nuclear medicine operations and on public versus private health systems, respectively. Questions were addressing the following issues: impact on nuclear medicine diagnostics and therapy, use of recommendations, personal protective equipment, and organizational adaptations. The survey was available for 6 days and closed on April 20, 2020. Results 113 complete responses were recorded. Nearly all participants (97 %) report a decline of nuclear medicine diagnostic procedures. The mean reduction in the last three weeks for PET/CT, scintigraphies of bone, myocardium, lung thyroid, sentinel lymph-node are –14.4 %, –47.2 %, –47.5 %, –40.7 %, –58.4 %, and –25.2 % respectively. Furthermore, 76 % of the participants report a reduction in therapies especially for benign thyroid disease (-41.8 %) and radiosynoviorthesis (–53.8 %) while tumor therapies remained mainly stable. 48 % of the participants report a shortage of personal protective equipment. Conclusions Nuclear medicine services are notably reduced 3 weeks after the SARS-CoV-2 pandemic reached Germany, Austria and Switzerland on a large scale. We must be aware that the current crisis will also have a significant economic impact on the healthcare system. As the survey cannot adapt to daily dynamic changes in priorities, it serves as a first snapshot requiring follow-up studies and comparisons with other countries and regions.

Aerosol-generating procedures in home care

2021 ◽  
Vol 26 (2) ◽  
pp. 76-80
Author(s):  
Drew Payne ◽  
Martin Peache
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Personal Protective Equipment ◽  
Health Professionals ◽  
Community Setting ◽  
Protective Equipment ◽  
Clinical Environment ◽  
Clinical Practices ◽  
Clinical Procedures ◽  
Increased Risk ◽  
The Uk

COVID-19 has changed the landscape of healthcare in the UK since the first confirmed case in January 2020. Most of the resources have been directed towards reducing transmission in the hospital and clinical environment, but little is known about what community nurses can do to reduce the risk when they nurse people in their own homes? This article looks at what COVID-19 is, how it is spread and how health professionals are at an increased risk from aerosol-generating procedures (AGPs). There is also a discussion on the benefit of mask usage. It defines what AGPs are, which clinical procedures are AGPs, including ones performed in the community setting, and which identified clinical practices that have been mistaken for AGPs. There is also a discussion on the suitability of performing cardiopulmonary resuscitation (CPR). It also describes how to reduce the risk by the use of full personal protective equipment (PPE) and other strategies when AGPs are performed in a patient's home. It ends with general advice about managing the risk of COVID-19 transmission with patients in their homes.

scholarly journals Utilization of personal protective equipment and associated factors among large-scale factory workers using health belief model in Debre-Berhan town, Amhara region, Ethiopia, 2021

2021 ◽  
Author(s):  
Wondimu Sema ◽  
Muluken Tessema
Keyword(s):  
Personal Protective Equipment ◽  
Large Scale ◽  
Health Belief ◽  
P Value ◽  
Protective Equipment ◽  
Factory Workers ◽  
Perceived Severity ◽  
Debre Berhan ◽  
Equipment Utilization ◽  
Belief Model

Abstract BackgroundPersonal protective equipment is designed to protect workers from serious workplace injuries or illnesses resulting from contact with chemical, radiological, physical, electrical, mechanical, or other workplace hazards. ObjectiveTo determine Personal Protective Equipment utilization and its associated factor based on health belief model among large scale factory workers in Debre-Birhan, Ethiopia. MethodsAn institution-based cross-sectional study was employed in Debre Berhan Town, North Shoa Ethiopia from April 1 st to May 1 st , 2021 using an interviewer administered structured questionnaires. A total of 412 samples were selected by systematic random sampling method. The data was entered by Epi-data version 3.1 and analyzed by SPSS. variables with a p-value of 0.2 was fitted for multiple logistic regressions and a p-value of <0.05 was statistically significant. ResultA total of 412 workers were participated in the study with a 100% response rate. The mean age was 29 (±7.3) years. Most workers 367 (89 %) knew that PPE can prevent work related injury and illness. Over all 172 (41.7 %) of the workers were considered to have good PPE utilization. Perceived susceptibility [AOR=1.2, 95 %, CI (1.076-1.38)], perceived severity, [AOR=1.1, 95 %, CI (1.088-1.163)], perceived self-efficacy, [AOR=1.2, 95 %, CI (1.082-1.349)], and Perceived barrier [AOR=0.87, 95 %, CI (0.800 -0.956)] were found to be significant predictors of good PPE utilization. ConclusionThe study revealed that good Personal protective equipment utilization in large scale factory workers. Perceived susceptibility perceived severity, perceived barrier and perceived self-efficacy were found to be predictors of PPE utilization.

scholarly journals Disposal of Personal Protective Equipment during the COVID-19 Pandemic Is a Challenge for Waste Collection Companies and Society: A Case Study in Poland

Resources ◽  
2020 ◽  
Vol 9 (10) ◽  
pp. 116 ◽  
Author(s):  
Piotr Nowakowski ◽  
Sandra Kuśnierz ◽  
Patrycja Sosna ◽  
Jakub Mauer ◽  
Dawid Maj
Keyword(s):  
Personal Protective Equipment ◽  
Local Governments ◽  
Large Scale ◽  
Protective Equipment ◽  
Waste Collection ◽  
Multiple Perspectives ◽  
Online Questionnaire ◽  
Information Campaigns ◽  
The Social

One of the social measures applied during the COVID-19 pandemic has been the use of personal protective equipment (PPE)—face masks and gloves. As a result, this waste category has expanded enormously. This study investigates waste management issues from multiple perspectives, including local governments, waste collection companies, and individual citizens in Poland using a telephone survey for institutions and an online questionnaire for individuals. The results of this study show that approximately 80% of local governments in the Silesian region have applied special measures for handling and collection of waste PPE. Only 13% of waste collection companies have applied special collection schedules for the waste generated at quarantine collection points due to the high costs of changing collection schedules, providing additional vehicles, and paying for more labor. The information campaigns focusing on new methods of PPE waste collection have been difficult to introduce on a large scale, and citizens need better information regarding how to handle and dispose of waste PPE. Results indicated the most helpful method in supporting waste PPE collection would be automatic PPE dispensers with waste PPE collection options and waste bags of a designated color. The respondents identified waste PPE pollution of the environment as an issue and the necessity for proper recovery of this waste stream.

scholarly journals COVID-19 Pandemic, Javanese Rituals, and Social Solidarity

2021 ◽  
Vol 317 ◽  
pp. 01045
Author(s):  
Dhanang Respati Puguh ◽  
Rabith Jihan Amaruli ◽  
Mahendra Pudji Utama
Keyword(s):  
Cultural Capital ◽  
Personal Protective Equipment ◽  
Large Scale ◽  
Social Care ◽  
Cultural Practices ◽  
Health Workers ◽  
Social Solidarity ◽  
Protective Equipment ◽  
Literature Study ◽  
Indonesian Government

The COVID-19 Pandemic has been going on for more than a year in Indonesia. The Indonesian government has been struggling to manage this Pandemic in various ways by implementing health protocols, Large-Scale Social Restrictions (PSBB), and vaccinations. This article discusses the efforts made by the Javanese people in coping with the COVID-19 Pandemic by using literature study methods and observations of the realities that occurred during the Pandemic in Semarang. The discussion focused on cultural practices carried out by Semarang society to overcome the COVID-19 Pandemic, such as the ritual of repelling logs, social care for affected communities, and cooperation in providing personal protective equipment for health workers. Based on this reality, it can be stated that socio-cultural capital is used to cope with the COVID-19 Pandemic.

scholarly journals Implementation of Continuous Glucose Monitoring in the Hospital: Emergent Considerations for Remote Glucose Monitoring During the COVID-19 Pandemic

2020 ◽  
Vol 14 (4) ◽  
pp. 822-832 ◽  
Author(s):  
Rodolfo J. Galindo ◽  
Grazia Aleppo ◽  
David C. Klonoff ◽  
Elias K. Spanakis ◽  
Shivani Agarwal ◽  
...  
Keyword(s):  
Drug Administration ◽  
Continuous Glucose Monitoring ◽  
Personal Protective Equipment ◽  
Healthcare Professionals ◽  
Food And Drug Administration ◽  
Glucose Monitoring ◽  
Glycemic Variability ◽  
Ambulatory Setting ◽  
Protective Equipment ◽  
Glucose Levels

Continuous glucose monitoring (CGM) has become a widely used tool in the ambulatory setting for monitoring glucose levels, as well as detecting uncontrolled hyperglycemia, hypoglycemia, and glycemic variability. The accuracy of some CGM systems has recently improved to the point of manufacture with factory calibration and Food and Drug Administration clearance for nonadjunctive use to dose insulin. In this commentary, we analyze the answers to six questions about what is needed to bring CGM into the hospital as a reliable, safe, and effective tool. The evidence to date indicates that CGM offers promise as an effective tool for monitoring hospitalized patients. During the current coronavirus disease 2019 crisis, we hope to provide guidance to healthcare professionals, who are seeking to reduce exposure to SARS-Cov-2, as well as preserve invaluable personal protective equipment. In this commentary, we address who, what, where, when, why, and how CGM can be adopted for inpatient use.

Personal protective equipment and testing during the COVID-19 pandemic

2020 ◽  
Vol 15 (5) ◽  
pp. 1-7
Author(s):  
Ray Higginson ◽  
Bridie Jones ◽  
Tamara Kerr ◽  
Anne-Marie Ridley
Keyword(s):  
Infection Control ◽  
Return To Work ◽  
Personal Protective Equipment ◽  
Healthcare Delivery ◽  
Cardiac Patients ◽  
Protective Equipment ◽  
Patient Contact ◽  
Ongoing Research ◽  
Infection Control Guidelines ◽  
Established Infection

COVID-19 is caused by the severe acute respiratory syndrom coronavirus 2 (SARS-CoV-2) virus. The virus poses specific problems for cardiac nurses, with nurses being at the frontline of healthcare delivery. These issues not only involve treating and caring for cardiac patients with the virus, but also include the need to continue routine cardiac interventions during the pandemic. Many cardiac interventions are invasive, requiring close patient contact. As such, these interventions pose significant infection risks. To mitigate against these risks, cardiac nurses should follow established infection control guidelines and wear personal protective equipment where appropriate. Ongoing research is also demonstrating the usefulness of COVID-19 testing, the results of which will aid in the detection of the virus and enable any self-isolating nurses to return to work, where appropriate.

Surgical Masks and Filtering Facepiece (FFP) Respirators – a Guide

Dental Update ◽  
2020 ◽  
Vol 47 (7) ◽  
pp. 560-564
Author(s):  
John Rafelt
Keyword(s):  
Return To Work ◽  
Personal Protective Equipment ◽  
Clinical Relevance ◽  
Protective Equipment ◽  
Surgical Masks ◽  
Dental Staff ◽  
Dental Practices ◽  
Dental Profession ◽  
Dental Professional ◽  
The Way

As the dental profession return to practice following the recent lockdown caused by the COVID-19 pandemic, the correct use of personal protective equipment (PPE) will be essential to comply with Government guidelines and help prevent further spread of the coronavirus. At the time of writing, it is understood that a person may carry COVID-19 and be asymptomatic for a period of time, therefore proper protection for both the patient and the dental professional is critical if dental practices are to continue practising safely. CPD/Clinical Relevance: A good understanding of PPE will be essential when dental staff return to work. The way we do dentistry will be different for some time, requiring changes to our equipment, materials and procedures.

scholarly journals 3D printing applications during COVID-19 pandemic: a literature review

2021 ◽  
Vol 69 ◽  
Author(s):  
Giovanna Barbosa Brito de Sousa BIONE ◽  
Jéssyca Maria França de Oliveira MELO ◽  
Francine Queiroz PEREIRA ◽  
Felipe Rodrigues de ALMEIDA ◽  
Renata Cimões Jovino SILVEIRA ◽  
...  
Keyword(s):  
Public Health ◽  
3D Printing ◽  
Literature Review ◽  
Personal Protective Equipment ◽  
Health Professionals ◽  
Large Scale ◽  
Protective Equipment ◽  
Front Line ◽  
Exclusion Criteria ◽  
The World

ABSTRACT The fast spread of COVID-19 around the world has generated significant impacts on the way societies lives, one of which is the scarcity of personal protective equipment (PPE) for workers in the front lines of combat against the virus. Sanitary insecurity has led populations and health professionals to a rampant search for protective equipment and other devices necessary for life maintenance, both for patients and professionals, revealing health system limitations during large-scale crisis, as the COVID-19 pandemic. On this paper, we aimed to present the initiatives of professionals and companies related to 3D printing to share programs and resources whose purpose is supplying workers in the front line, who have been important allies in combating the effects caused by coronavirus. A search was performed in four electronic databases: SCOPUS, BVS, EMBASE and MEDLINE via PUBMED. After analyzing the inclusion and exclusion criteria, a table of results was prepared with the main characteristics of the products manufactured and made available, as well as the institutions involved. It was concluded, therefore, that the applications of 3D printing in the initiatives had great contributions to public health and the additive industry during the pandemic period of COVID-19.

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