scholarly journals Personal protective equipment for reducing the risk of COVID-19 infection among healthcare workers involved in emergency trauma surgery during the pandemic: a systematic review protocol

2020 ◽  
Author(s):  
Dylan P Griswold ◽  
Andres Gempeler ◽  
Angelos Kolias ◽  
Peter J. Hutchinson ◽  
Andres M. Rubiano
Keyword(s):  
Systematic Review ◽  
Health Systems ◽  
Systematic Reviews ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Evidence Synthesis ◽  
Trauma Surgery ◽  
Experimental Studies ◽  
Protective Equipment ◽  
Cochrane Central Register

ABSTRACTObjectiveThe objective of this broad evidence synthesis is to identify and summarize the available literature regarding the efficacy of different personal protective equipment (PPE) for reducing the risk of COVID-19 infection in health personnel caring for patients undergoing trauma surgery in low-resource environments (LREs).IntroductionMany healthcare facilities in low-and middle-income countries are inadequately resourced and may lack optimal organization and governance, especially concerning surgical health systems. COVID-19 has the potential to decimate these already strained surgical healthcare services unless health systems take stringent measures to protect healthcare workers from viral exposure and ensure the continuity of specialized care for the patients.Inclusion criteriaThis review will preferentially consider systematic reviews of experimental and quasi-experimental studies, as well as individual studies of such designs, evaluating the effect of different PPE on the risk of COVID-19 infection in healthcare workers (HCWs) involved in emergency trauma surgery.MethodsWe will conduct several searches in the L·OVE (Living OVerview of Evidence) platform for COVID-19, a system that performs automated regular searches in PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and over thirty other sources. The search results will be presented according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram. Critical appraisal of the eligible studies for methodological quality will be conducted. Data will be extracted using the standardized data extraction tool in Covidence. Studies will, when possible, be pooled in a statistical meta-analysis using JBI SUMARI. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach for grading the certainty of evidence will be followed, and a Summary of Findings (SoF) will be created.Systematic review registration numberCRD42020198267

scholarly journals Personal protective equipment for reducing the risk of COVID-19 infection among healthcare workers involved in emergency trauma surgery during the pandemic: an umbrella review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e045598
Author(s):  
Dylan P Griswold ◽  
Andres Gempeler ◽  
Angelos G Kolias ◽  
Peter J Hutchinson ◽  
Andres M Rubiano
Keyword(s):  
Health Systems ◽  
Systematic Reviews ◽  
Low Income ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Evidence Synthesis ◽  
Trauma Surgery ◽  
Experimental Studies ◽  
Protective Equipment ◽  
Cochrane Central Register

IntroductionMany healthcare facilities in low-income and middle-income countries are inadequately resourced and may lack optimal organisation and governance, especially concerning surgical health systems. COVID-19 has the potential to decimate these already strained surgical healthcare services unless health systems take stringent measures to protect healthcare workers (HCWs) from viral exposure and ensure the continuity of specialised care for patients. The objective of this broad evidence synthesis is to identify and summarise the available literature regarding the efficacy of different personal protective equipment (PPE) in reducing the risk of COVID-19 infection in health personnel caring for patients undergoing trauma surgery in low-resource environments.MethodsWe will conduct several searches in the L·OVE (Living OVerview of Evidence) platform for COVID-19, a system that performs automated regular searches in PubMed, Embase, Cochrane Central Register of Controlled Trials and over 30 other sources. The search results will be presented according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram. This review will preferentially consider systematic reviews of experimental and quasi-experimental studies, as well as individual studies of such designs, evaluating the effect of different PPE on the risk of COVID-19 infection in HCWs involved in emergency trauma surgery. Critical appraisal of eligible studies for methodological quality will be conducted. Data will be extracted using the standardised data extraction tool in Covidence. Studies will, when possible, be pooled in a statistical meta-analysis using JBI SUMARI. The Grading of Recommendations, Assessment, Development and Evaluation approach for grading the certainty of evidence will be followed and a summary of findings will be created.Ethics and disseminationEthical approval is not required for this review. The plan for dissemination is to publish review findings in a peer-reviewed journal and present findings at high-level conferences that engage the most pertinent stakeholders.PROSPERO registration numberCRD42020198267.

scholarly journals Chest CT and rapid antigen testing for reducing the risk of COVID-19 infection among HCWs involved in emergency trauma surgery during the pandemic: a systematic review protocol (Preprint)

2020 ◽  
Author(s):  
Dylan Griswold ◽  
Andres Gempeler ◽  
Gail Rosseau ◽  
Neema Kaseje ◽  
WALTER D JOHNSON ◽  
...  
Keyword(s):  
Health Systems ◽  
Evidence Synthesis ◽  
Meta Analysis ◽  
Trauma Surgery ◽  
Experimental Studies ◽  
Healthcare Services ◽  
Chest Ct ◽  
Flow Diagram ◽  
Cochrane Central Register ◽  
Rapid Testing

UNSTRUCTURED ABSTRACT Introduction: Many healthcare facilities in low-and middle-income countries are inadequately resourced and may lack optimal organization and governance, especially concerning surgical health systems. COVID-19 has the potential to decimate these already strained surgical healthcare services unless health systems take stringent measures to protect healthcare workers (HCWs) from viral exposure and ensure the continuity of specialized care for the patients. The objective of this broad evidence synthesis is to identify and summarize the available literature regarding the efficacy of chest CT and rapid testing for emergency trauma surgery patients to reduce the risk of COVID-19 infection in trauma surgery staff in low-resource environments (LREs). Methods We will conduct several searches in the L·OVE (Living OVerview of Evidence) platform for COVID-19, a system that performs automated regular searches in PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and over thirty other sources. The search results will be presented according to the PRISMA flow diagram. This review will preferentially consider systematic reviews of experimental and quasi-experimental studies, as well as individual studies of such designs, evaluating the effect of chest CT and rapid testing for emergency trauma surgery patients in preventing COVID-19 infection in emergency trauma surgery staff. Critical appraisal of the eligible studies for methodological quality will be conducted. Data will be extracted using the standardized data extraction tool in Covidence. Studies will, when possible, be pooled in a statistical meta-analysis using JBI SUMARI. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach for grading the certainty of evidence will be followed, and a Summary of Findings (SoF) will be created. Ethics and dissemination Ethical approval is not required for this review. The plan for dissemination is to publish review findings in a peer-reviewed journal and present findings at high-level conferences that engage the most pertinent stakeholders. PROSPERO: CRD42020198267

scholarly journals Microwave- and Heat-Based Decontamination for Facemask Personal Protective Equipment (PPE): Protocol for a Systematic Review

2020 ◽  
Author(s):  
Dayre McNally ◽  
Katie O'Hearn ◽  
Shira Gertsman ◽  
Margaret Sampson ◽  
Lindsey Sikora ◽  
...  
Keyword(s):  
Systematic Review ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Structural Integrity ◽  
Protective Equipment ◽  
Children's Hospital ◽  
Surgical Masks ◽  
Children’S Hospital ◽  
Eastern Ontario

During the COVID-19 pandemic, a shortage of PPE (namely surgical masks, N95 masks, and gowns) has been experienced by some hospitals and could be expected in others due to a rapidly increased need. One method of addressing the issue of PPE shortage is to decontaminate and re-use PPE. The CDC specifically recommends N95 filtering facepiece respirators (FFRs) for healthcare workers who are interacting with patients with COVID-19.There are anecdotal reports and published literature evaluating the potential of microwave and heat methods as an effective method for FFR decontamination for reuse, with mixed reports of impact on structural integrity. To date this literature has not been comprehensively synthesized and the purpose of this review is to systematically review the existing literature on microwave and heat-based decontamination of facemask PPE.This information will be used to contribute to PPE decontamination protocols at the Children’s Hospital of Eastern Ontario and shared with other hospitals in Ontario, Canada, and internationally.

scholarly journals Personal protective equipment for reducing the risk of COVID-19 infection among healthcare workers involved in emergency trauma surgery during the pandemic: an umbrella review

2020 ◽  
Author(s):  
Dylan Paul Griswold ◽  
Andres Gempeler ◽  
Angelos Kolias ◽  
Peter Hutchinson ◽  
Andres Rubiano
Keyword(s):  
Systematic Reviews ◽  
Healthcare Workers ◽  
Randomised Controlled Trials ◽  
Trauma Surgery ◽  
Controlled Trials ◽  
Protective Equipment ◽  
Risk Environments ◽  
Surgical Masks ◽  
Randomised Controlled ◽  
N95 Respirators

Objective: The objective of this review was to summarise the effects of different personal protective equipment (PPE) for reducing the risk of COVID-19 infection in health personnel caring for patients undergoing trauma surgery. The purpose of the review was to inform recommendations for rational use of PPE for emergency surgery staff, particularly in low resources environments where PPE shortages and high costs are expected to hamper the safety of healthcare workers (HCWs) and affect the care of trauma patients. Introduction: Many healthcare facilities in low-and middle-income countries are inadequately resourced. COVID-19 has the potential to decimate these already strained surgical healthcare services unless health systems take stringent measures to protect healthcare workers from viral exposure. Inclusion criteria: This review included systematic reviews, experimental and observational studies evaluating the effect of different PPE on the risk of COVID-19 infection in HCWs involved in emergency trauma surgery. Indirect evidence from other healthcare settings was considered, as well as evidence from other viral outbreaks summarised and discussed for the COVID-19 pandemic. Methods: We conducted searches in the LOVE (Living OVerview of Evidence) platform for COVID-19, a system that performs automated regular searches in PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and over thirty other sources. The risk of bias assessment of the included studies was planned with the AMSTAR II tool for systematic reviews, the RoBII tool for randomised controlled trials, and the ROBINS-I tool for non-randomised studies. Data were extracted using a standardised data extraction tool and summarised narratively. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach for grading the certainty of the evidence was followed. Results: We identified 17 systematic reviews that fulfilled our selection criteria and were included for synthesis. We did not identify randomised controlled trials during COVID-19 or studies additional to those included in the reviews that discussed other similar viral respiratory illnesses. Conclusions: The use of PPE drastically reduces the risk of COVID-19 compared with no mask use in HCWs in the hospital setting. N95 and N95 equivalent respirators provided more protection and were found to halve the risk of COVID-19 contagion in HCWs from moderate and high-risk environments. Eye protection also offers additional security and is associated with reduced incidence of contagion. These effects apply to emergency trauma care. Decontamination and reuse appear as feasible, cost-effective measures that would likely help overcome PPE shortages and enhance the allocation of limited resources. SUMMARY OF FINDINGS There is high certainty that the use of N95 respirators and surgical masks are associated with a reduced risk of coronaviruses respiratory illness when compared with no mask use. In moderate to high-risk environments, especially in aerosol-generating procedures, N95 respirators are associated with a more significant reduction in risk of COVID-19 infection compared with surgical masks. Eye protection also reduces the risk of contagion. Decontamination of masks and respirators with ultraviolet germicidal irradiation, vaporous hydrogen peroxide, or dry heat is effective and does not affect PPE performance or fit.

scholarly journals Efficacy and Safety of Disinfectants for Decontamination of N95 and SN95 Filtering Facepiece Respirators: Protocol for a Systematic Review

2020 ◽  
Author(s):  
Katie O'Hearn ◽  
Richard J Webster ◽  
Anne Tsampalieros ◽  
Margaret Sampson ◽  
Lindsey Sikora ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hydrogen Peroxide ◽  
Disease Control ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Structural Integrity ◽  
Protective Equipment ◽  
Efficacy And Safety ◽  
Surgical Masks ◽  
Eastern Ontario

During the COVID-19 pandemic, a shortage of personal protective equipment (PPE), namely surgical masks, N95 masks, and gowns, has been experienced by some hospitals and could be expected in others due to a rapidly increased need. One method of addressing the shortage is to decontaminate and re-use PPE. The Centres for Disease Control (CDC) specifically recommends N95 filtering facepiece respirators (FFRs) for healthcare workers who are interacting with patients with COVID-19. There are anecdotal reports and published literature evaluating the potential of using disinfectants, such as hydrogen peroxide and bleach to decontaminate FFRs, with mixed reports of impact on structural integrity. To date this literature has not been comprehensively synthesized and the purpose of this review is to systematically review the existing literature on the use of disinfectants for the decontamination of facemask PPE.This information will be used to contribute to FFR decontamination protocols at the Children’s Hospital of Eastern Ontario and shared with other hospitals in Ontario, Canada, and internationally.

scholarly journals SKIN DISEASES CAUSED BY THE SARS-COV-2 VIRUS AND THEIR INCREASE DURING THE USE OF PERSONAL PROTECTIVE EQUIPMENT

2021 ◽  
Vol 8 (4) ◽  
pp. 265-270
Author(s):  
Justyna Olszewska ◽  
Anna Charuta ◽  
Jerzy Ładny ◽  
Klaudiusz Nadolny
Keyword(s):  
Systematic Review ◽  
Health Service ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Skin Diseases ◽  
Skin Barrier ◽  
Hand Eczema ◽  
Hand Washing ◽  
Protective Equipment ◽  
Skin Symptoms

The aim of the study was to present skin diseases that occur during the Sars-CoV-2 pandemic, especially among healthcare workers. Literature data on skin symptoms associated with COVID-19, frequently reported, e.g. by healthcare workers in the last months of the pandemic. Properly built, healthy, undamaged skin is our protection. It is extremely important for our health during the COVID-19 pandemic, and especially for people working in the health service. There is an increasing number of reports of irritating dermatitis among healthcare workers due to the increased need to wear personal protective equipment and more frequent hand washing than before the pandemic. Overzealous use of disinfectants and frequent hand washing can lead to disturbances in the functioning of the skin barrier, which in turn can lead to diseases such as hand eczema. This systematic review focuses on all skin problems related to COVID-19, including primary and secondary COVID-related cutaneous presentations. Skin diseases caused by Sars-CoV-2 virus should be monitored.

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.

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