scholarly journals International Observational Survey of the Effectiveness of Personal Protective Equipment during Endoscopic Procedures Performed in Patients with COVID-19

Digestion ◽  
2021 ◽  
pp. 1-9
Author(s):  
Ryota Niikura ◽  
Mitsuhiro Fujishiro ◽  
Yousuke Nakai ◽  
Koji Matsuda ◽  
Takuya Kawahara ◽  
...  

<b><i>Introduction and Aims:</i></b> This international survey was performed to evaluate the cumulative incidence of nosocomial novel coronavirus disease 2019 (COVID-19) among healthcare professionals during endoscopic procedures. <b><i>Methods:</i></b> We performed an international web-based self-reported questionnaire survey. Participants completed the questionnaires every week for 12 weeks. The questionnaire elicited responses regarding the development of COVID-19 and details of the personal protective equipment (PPE) used. <b><i>Results:</i></b> All 483 participants were included in the analysis. Participants had a mean age of 42.3 years and comprised 68.3% males. The geographic distribution of the study population was Asia (89.2%), Europe (2.9%), North and South America (4.8%), Oceania (0.6%), and Africa (1.5%). The most common endoscopy-related role of the participants was endoscopist (78.7%), and 74.5% had &#x3e;10 years of experience. Fourteen participants had performed 83 endoscopic procedures in patients positive for COVID-19. During the mean follow-up period of 4.95 weeks, there were no cases of COVID-19 when treating COVID-19 positive patients. The most common PPE used by participants treating patients with COVID-19 was a surgical mask plus N95 mask plus face shield, goggles, cap, long-sleeved isolation gown, and single pair of gloves. The most common PPE used by participants treating patients without COVID-19 was a surgical mask, no face shield but goggles, cap, long-sleeved isolation gown, and single pair of gloves during all endoscopic procedures. <b><i>Conclusions:</i></b> The risk of COVID-19 transmission during any endoscopic procedure was low in clinical practice.

2020 ◽  
Author(s):  
Ryota Niikura ◽  
Mitsuhiro Fujishiro ◽  
Yousuke Nakai ◽  
Koji Matsuda ◽  
Takuya Kawahara ◽  
...  

AbstractIntroduction and aimsThis international survey was performed to evaluate the cumulative incidence of nosocomial novel coronavirus disease 2019 (COVID-19) among healthcare professionals during endoscopic procedures.MethodsWe performed an international web-based self-reported questionnaire survey. Participants completed the questionnaires every week for 12 weeks. The questionnaire elicited responses regarding the development of COVID-19 and details of the PPE used.ResultsAll 483 participants were included in the analysis. Participants had a mean age of 42.3 years and comprised 68.3% males. The geographic distribution of the study population was Asia (89.2%), Europe (2.9%), North and South America (4.8%), Oceania (0.6%), and Africa (1.5%). The most common endoscopy-related role of the participants was endoscopist (78.7%), and 74.5% had > 10 years of experience. Fourteen participants had performed 83 endoscopic procedures in patients positive for COVID-19. During the mean follow-up period of 4.95 weeks, there were no cases of COVID-19 when treating COVID-19 positive patients. The most common PPE used by participants treating patients with COVID-19 was a surgical mask plus N95 mask plus face shield, goggles, cap, long-sleeved isolation gown, and single pair of gloves. The most common PPE used by participants treating patients without COVID-19 was a surgical mask, no face shield but goggles, cap, long-sleeved isolation gown, and single pair of gloves during all endoscopic procedures.ConclusionsThe risk of COVID-19 transmission during any endoscopic procedure was low in clinical practice.


2020 ◽  
Author(s):  
Ilektra Athiana ◽  
Corinne Légeret ◽  
Patrick Bontems ◽  
Luigi Dall'Oglio ◽  
Paola De Angelis ◽  
...  

Abstract Background: As endoscopists are at risk to get infected by the novel Coronavirus SARS-CoV-2 during endoscopic procedures, the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) published recommendations regarding protection for the paediatric endoscopist and endoscopy suite staff. The aim of this survey was to investigate whether European paediatric gastroenterology centres applied the recommendations and how this extraordinary situation was handled by the different centres.Results: Twelve Paediatric European gastroenterology centers (from Belgium, Greece, Italy, Portugal, Slovenia, Spain, Switzerland, and United Kingdom) participated. Nine centres (75%) screened their patients for a possible COVID-19 infection before the procedure, the same amount of hospitals changed their practice based on the ESPGHAN recommendations. 67% of the centres reduced the staff in the endoscopy suite, 83% of the units used FFP2/3 masks and protective goggles during the procedure and 75% wore waterproof gowns.Conclusion: The global situation caused by COVID-19 changed so rapidly, and hospitals had to react immediately to protect staff and patients and could not wait for guidelines to be published. Furthermore, uniform guidelines could not be applied by all European hospitals at a certain time point of the viral spread, as different regions of Europe were not only affected differently by COVID-19, but also had different access to personal protective equipment.


2020 ◽  
Vol 59 (04) ◽  
pp. 294-299 ◽  
Author(s):  
Lutz S. Freudenberg ◽  
Ulf Dittmer ◽  
Ken Herrmann

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.


Author(s):  
Taito Kitano ◽  
Pierre-Philippe Piché-Renaud ◽  
Helen E Groves ◽  
Laurie Streitenberger ◽  
Renee Freeman ◽  
...  

Abstract Visitor restriction policies in pediatric wards during the novel coronavirus (COVID-19) outbreak are variable. Among 36 hospitals that responded to our survey, 97% allowed at least 1 visitor, with 67% restricting to 1 caregiver. Sixty-nine percent required the visitor to wear personal protective equipment and only 19% allowed non-household visitors.


2019 ◽  
Vol 3 (1) ◽  
pp. 53-81
Author(s):  
Julia McClure ◽  
Amitava Chowdhury ◽  
Sarah Easterby-Smith ◽  
Norberto Ferreras ◽  
Omar Gueye ◽  
...  

The following is an edited transcript of a roundtable that took place at the University of Glasgow in September 2018. The roundtable was organized by Dr. Julia McClure in conjunction with the Poverty Research Network’s conference - Beyond Development: The Local Visions of Global Poverty. That conference brought into focus the ways in which the global and local levels meet at the site of poverty and highlighted the different conceptions on the global are generated from the perspective of poverty. The roundtable brought together leading scholars from Europe, Africa, Asia and North and South America to take stock of global history as a field, to consider the role of existing centres of knowledge production, and to assess new directions for the field.


2020 ◽  
Vol 8 (1) ◽  
pp. 84
Author(s):  
Melda Yenni

The increasing of growth of any oil palm crop is not accompanied by safe behavior in the use of PPE in oil palm plantations. This is evident from most workers who do not work safely by not using PPE when they accomplished their activities. This study aims to determine of the use of Personal Protective Equipment (PPE) to workers in oil palm plantations. This is a quantitative research with cross sectional.The study population was all plantation workers totaling 77 workers and the sampling technique using total sampling method from the total total population of 77 workers. The results showed that the behavior of using PPE was in the bad category at 61.0%. Knowledge (p = 0.031), attitude (p = 0.001) and training (0.018) are variables that have a relationship with the use of PPE. Conclusions show that most workers know about the use of PPE but workers do not believe that one way to reduce the risk of workplace accidents is by using personal protective equipment and most of them have said that they have attended training in the use of personal protective equipment.


2015 ◽  
Vol 101 (2) ◽  
pp. 107-109
Author(s):  
CR Brisley ◽  
A Duggan

AbstractThe Royal Marines Band Service (RMBS) deploys in support of the Royal Naval Medical Service in a variety of operational roles. This article describes the roles that RMBS personnel performed whilst deployed on board RFA ARGUS during the recent Operation GRITROCK. The article is divided into five main sections, each describing one aspect of the work that RMBS ranks were asked to undertake: casualty handling; working within Primary Casualty Receiving Facility (PCRF) departments; personal protective equipment (PPE) monitoring and drills; temperature monitoring; and last, but not least, musical support. This will provide the reader with an insight into what the RMBS have achieved whilst deployed on board ARGUS and also what skills they are able to bring, both to contingency operations and operations in the medical environment.


Author(s):  
Gary Rodin ◽  
Sarah Hales

This chapter discusses the central role of Managing Cancer and Living Meaningfully (CALM) training and supervision in refining the CALM intervention and in building a supportive community of peers for clinicians. The elements of CALM training are outlined. In both the introductory and advanced CALM workshops, actual cases have been vital in illustrating CALM content and process. Representative clinical encounters have been provided with the aid of trained actors or by presentation of actual videotaped CALM sessions. These workshops have been highly rated by trainees, with clinician attendees often feeling inspired and supported in their work as a result of CALM training. The benefits of CALM training are evident in the implementation of CALM in various settings in Asia, Europe, and in North and South America.


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