scholarly journals Contamination of SARS-CoV-2 in patient surroundings and on personal protective equipment in a non-ICU isolation ward for COVID-19 patients with prolonged PCR positive status

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Li Wei ◽  
Wenzhi Huang ◽  
Xiaojun Lu ◽  
Yantong Wang ◽  
Linzhi Cheng ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Clinical Samples ◽  
Protective Equipment ◽  
Environmental Sampling ◽  
Personal Protection ◽  
Personal Protection Equipment ◽  
Environmental Cleaning ◽  
Air Samples ◽  
Before And After ◽  
Isolation Ward

Abstract Objectives We performed an environmental sampling study to investigate the environmental contamination of SARS-CoV-2 by COVID-19 patients with prolonged PCR positive status of clinical samples. Methods We sampled the air from rooms for nine COVID-19 patients with illness or positive PCR > 30 days, before and after nasopharyngeal/oropharyngeal swabbing and before and after nebulization treatment. We also sampled patients’ surroundings and healthcare workers’ personal protection equipment (PPE) in a non-ICU ward. SARS-CoV-2 was detected by PCR. Results Eighty-eight samples were collected from high-touch surfaces and floors in patient rooms and toilets, with only the bedsheets of two patients and one toilet positive for SARS-CoV-2. All air samples (n = 34) were negative for SARS-CoV-2. Fifty-five samples collected from PPE were all negative. Conclusion Contamination of near-patient surroundings was uncommon for COVID-19 patients with prolonged PCR positive status if environmental cleaning/disinfection were performed rigorously. Airborne transmission of SARS-CoV-2 was unlikely in these non-ICU settings.

scholarly journals Environmental contamination of the SARS-CoV-2 in healthcare premises: An urgent call for protection for healthcare workers

2020 ◽  
Author(s):  
Guangming Ye ◽  
Hualiang Lin ◽  
Liangjun Chen ◽  
Shichan Wang ◽  
Zhikun Zeng ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Personal Protection ◽  
Personal Protection Equipment ◽  
Hand Sanitizer ◽  
Self Service ◽  
Contamination Levels ◽  
Novel Coronavirus ◽  
Isolation Ward

AbstractImportanceA large number of healthcare workers (HCWs) were infected by SARS-CoV-2 during the ongoing outbreak of COVID-19 in Wuhan, China. Hospitals are significant epicenters for the human-to-human transmission of the SARS-CoV-2 for HCWs, patients, and visitors. No data has been reported on the details of hospital environmental contamination status in the epicenter of Wuhan.ObjectiveTo investigate the extent to which SARS-CoV-2 contaminates healthcare settings, including to identify function zones of the hospital with the highest contamination levels and to identify the most contaminated objects, and personal protection equipment (PPE) in Wuhan, China.DesignA field investigation was conducted to collect the surface swabs in various environments in the hospital and a laboratory experiment was conducted to examine the presence of the SARS-CoV-2 RNA.SettingSix hundred twenty-six surface samples were collected within the Zhongnan Medical Center in Wuhan, China in the mist of the COVID-19 outbreak between February 7 - February 27, 2020.ParticipantsDacron swabs were aseptically collected from the surfaces of 13 hospital function zones, five major objects, and three major personal protection equipment (PPE). The SARS-CoV-2 RNAs were detected by reverse transcription-PCR (RT-PCR).Main Outcomes and MeasuresSARS-CoV-2 RNAsResultsThe most contaminated zones were the intensive care unit specialized for taking care of novel coronavirus pneumonia (NCP) (31.9%), Obstetric Isolation Ward specialized for pregnant women with NCP (28.1%), and Isolation Ward for NCP (19.6%). We classified the 13 zones into four contamination levels. The most contaminated objects are self-service printers (20.0%), desktop/keyboard (16.8%), and doorknob (16.0%). Both hand sanitizer dispensers (20.3%) and gloves (15.4%) were most contaminated PPE.Conclusions and RelevanceMany surfaces were contaminated with SARS-CoV-2 across the hospital in various patient care areas, commonly used objects, medical equipment, and PPE. The 13 hospital function zones were classified into four contamination levels. These findings emphasize the urgent need to ensure adequate environmental cleaning, strengthen infection prevention training, and improve infection prevention precautions among HCWs during the outbreak of COVID-19. The findings may have important implications for modifying and developing urgently needed policy to better protect healthcare workers during this ongoing pandemic of SARS-CoV-2.Key PointsQuestionWhat was the hospital setting contamination status, the most contaminated objects and PPE of SARS-CoV-2 during the outbreak of COVID-19 in Wuhan, China?FindingsThe most contaminated zones were the intensive care unit for novel coronavirus pneumonia (NCP) (31.9%), Obstetric Isolation Ward specialized for pregnant women with NCP (28.1%), and Isolation Ward for NCP (19.6%). The most contaminated objects and PPE are self-service printers (20.0%), hand sanitizer dispensers (20.3%), and gloves (15.4%).MeaningThe findings may have important implications for modifying and developing urgently needed policy to better protect healthcare workers during this ongoing pandemic of SARS-CoV-2.

scholarly journals Income, wealth and use of personal protection equipment in the Mekong Delta

2021 ◽  
Author(s):  
Matteo Migheli
Keyword(s):  
Low Income ◽  
Mekong Delta ◽  
Developed Countries ◽  
Household Wealth ◽  
Protective Equipment ◽  
Personal Protection ◽  
Personal Protection Equipment ◽  
Management Techniques ◽  
Using Data ◽  
Developing And Developed Countries

AbstractBoth in developing and developed countries, farmers often do not protect themselves adequately, especially when applying agrochemicals that are dangerous for their health. The issue is relevant because insufficient protection is between the causes leading to intoxication of farmers and workers who handle these products. The literature suggests that both lack of training and information and low income may explain why, especially in developing countries, protective equipment is under-used. Using data from the Mekong Delta, this study addresses the issue of whether income and household wealth may help explaining the use of incomplete protections against pesticides. The results suggest that income, more than wealth, is a reason why Vietnamese farmers operating in the Mekong Delta fail in using adequate protections. In particular, the data suggest that they may prefer to divert resources to increasing the production of their fields or to buying goods that may be used both as protection and as everyday garments. This behaviour leads to underinvestment in some important protective goods. Possible public interventions to mitigate the problem are suggested; in particular, the promotion of integrated pest management techniques could be useful.

scholarly journals Hand Hygiene and Personal Protective Equipment in Healthcare Settings During COVID-19 Pandemic in Bangladesh

2020 ◽  
Vol 31 (2) ◽  
pp. 69-75
Author(s):  
Md Rezaul Karim ◽  
Sushil Kumar Sah ◽  
Afsarunnesa Syeda ◽  
Muhammad Tanvir Faysol ◽  
Aminur Rahman ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Healthcare Facility ◽  
Survey Study ◽  
Protective Equipment ◽  
Protective Measures ◽  
Healthcare Settings ◽  
Mandatory Training ◽  
Before And After

Objective: This study conducted to implement protective measures in healthcare settings during theCOVID-19 pandemic in the context of Bangladesh. Methods: It is an observational survey study. A pre-designed open questionnaire electronic linkusing google form was used to collect data from 500 healthcare workers within Bangladesh in whichparticipants were observed, and variables were measured. Results: The study findings revealed that among all participants, 70.9% were working in COVID-19dedicated hospitals, and 1.8% were diagnosed with COVID-19 while working. The study showed that69.1% of participants washed hands before and after consulting/handling each patient, 69.1% hadreadily available rubs/sanitizer in their healthcare facility, and 65.5% adhered principals ofhandwashing. The study also revealed that only 76.4% of participants maintained aseptic precautionsfor donning/doffing. Conclusion: The study findings recommend that mandatory training and maintaining asepticprecautions for PPE putting on (donning), and removal (doffing) is equally important. Bangladesh J Medicine July 2020; 31(2) :69-75

scholarly journals Limiting factors of face shield use for health professionals during the COVID-19 pandemic

Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Ana Cristina de Oliveira e Silva ◽  
Wynne Pereira Nogueira ◽  
Elucir Gir ◽  
Sandra Aparecida de Almeida ◽  
Bárbara Iansã de Lima Barroso ◽  
...  
Keyword(s):  
Health Professionals ◽  
Healthcare Workers ◽  
Web Of Science ◽  
Respiratory Infections ◽  
Scientific Evidence ◽  
Limiting Factors ◽  
Protective Equipment ◽  
Personal Protection ◽  
Fluid Resistance

BACKGROUND: Coronavirus disease (COVID-19) is caused by SARS-COV2, a highly transmissible and pathogenic viral infection, and was identified in December 2019 in Wuhan, China. Three months later, it became a severe pandemic. OBJECTIVE: To identify scientific evidence on the use of face shields by health professionals during the COVID-19 pandemic period. METHOD: An integrative literature review of articles obtained from PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science databases was undertaken. For the search, controlled, non-controlled descriptors and specific keywords: “face shield,” “fluid resistance procedure,” “respiratory infections,” “healthcare workers,” “COVID-19,” “aerosols,” and “personal protection infection” were used. RESULTS: The sample comprised seven studies. The available evidence has shown that face shields do not have a defined standard for their production—their effectiveness depends on the quality of the visor, structure, and fixation system. They must be used as adjuvants to other personal protective equipment (PPE), and their isolated use is not recommended due to the fragilities of peripheral face sealing, especially during the COVID-19 pandemic period. CONCLUSION: Due to the shortage of this equipment, domestic face shields can be indicated if they meet production requirements, based on scientific evidence for their efficient use.

scholarly journals Atividades Educativas para uso adequado de Equipamentos de Proteção Individual em Hospital Federal de Referência

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Camila Pureza Guimarães Da Silva ◽  
Verônica Caé Da Silva ◽  
Patrícia Fernandes Britto ◽  
Dejanira De Jesus ◽  
Verônica Wermelinger Costa Nonato ◽  
...  
Keyword(s):  
Continuing Education ◽  
Personal Protective Equipment ◽  
Rio De Janeiro ◽  
Descriptive Study ◽  
Protective Equipment ◽  
Personal Protection ◽  
Educational Activities ◽  
Personal Protection Equipment ◽  
Adult Inpatient ◽  
The City

Objetivo: relatar a experiência da realização de atividades educativas sobre Paramentação e Desparamentação de Equipamentos de Proteção Individual (EPI) em um hospital da rede federal situado no município do Rio de Janeiro. Método: estudo descritivo, do tipo relato de experiência, realizado em um hospital a partir de ações educativas. Resultados: foram desenvolvidas ações educativas com 894 colaboradores da instituição onde a maioria era do sexo feminino (80,6%), 70% das categorias de enfermagem e mais de 48% dos serviços de internação de adultos. Houve demonstração de insegurança quanto às técnicas, especialmente a de desparamentação. Conclusão: as atividades possibilitaram um cuidado da instituição com os seus colaboradores, da equipe de enfermagem e multiprofissional, dando-lhes ferramentas no uso correto dos EPI para enfrentamento da COVID-19.Descritores: Enfermagem; Educação Continuada; Equipamento de Proteção Individual; Infecções por Coronavirus; COVID-19.EDUCATIONAL ACTIVITIES FOR PROPER USE OF PERSONAL PROTECTION EQUIPMENT IN A FEDERAL REFERENCE HOSPITALObjective: to report the experience of carrying out educational activities on Personal Protective Equipment (PPE) placement and safe removal in a federal hospital located in the city of Rio de Janeiro. Method: descriptive study, the type of experience report realized in a hospital based on educational actions. Results: educational activities were developed with 894 participants of the institution, most were female (80.6%), 70% from the nursing category and more than 48% from adult inpatient services. There was demonstration of insecurity regarding the techniques, especially on withdrawal of personal protective equipment. Conclusion: the activities made it possible to care for the institution with its collaborators, the nursing and multidisciplinary team, giving them tools for the correct use of PPE to face COVID-19.Descriptors: Nursing; Continuing Education; Personal Protection Equipments; Coronavirus Infections; COVID-19. ACTIVIDADES EDUCATIVAS PARA EL USO ADECUADO DEL EQUIPO DE PROTECCIÓN PERSONAL EN UN HOSPITAL FEDERAL DE REFERENCIAObjetivo: informar sobre la experiencia de llevar a cabo actividades educativas sobre colocación y retiro de equipos de protección personal (EPP) en un hospital federal ubicado en la ciudad de Río de Janeiro. Método: estudio descriptivo, informe de experiencia, realizado en un hospital basado en acciones educativas. Resultados: las acciones educativas se desarrollaron con 894 participantes de la institución, la mayoría eran mujeres (80,6%), 70% de la categoría de enfermería y más del 48% de los servicios de hospitalización de adultos. Hubo demostración de inseguridad con respecto a las técnicas, especialmente la eliminación de equipos Conclusión: las actividades permitieron atender a la institución con sus colaboradores, el equipo de enfermería y multidisciplinario, brindándoles herramientas para el uso correcto del EPP para hacer frente à COVID-19.Descriptores: enfermería; Educación contínua; Equipo de protección personal; Infecciones por coronavirus; COVID-19.

scholarly journals Analysis of MUI Fatwa Number 17 of 2020 Regarding Kaifiat Prayer Guidelines for Health Workers Who Wear Personal Protection Equipment (PPE) When Treating and Handling Covid-19 Patients

2021 ◽  
Vol 6 (2) ◽  
pp. 247
Author(s):  
Frina Oktalita ◽  
Darlin Rizki
Keyword(s):  
Personal Protective Equipment ◽  
Health Workers ◽  
Descriptive Analysis ◽  
The Body ◽  
Protective Equipment ◽  
Personal Protection ◽  
Personal Protection Equipment ◽  
Library Research ◽  
The Law

This study aims to analyze the MUI fatwa no. 17 of 2020 concerning the guidelines for prayer for health workers who wear personal protective equipment (PPE) when handling and caring for COVID-19 patients. This study tries to describe the ijtihad method used by MUI in establishing a law. This study uses a type of library research with descriptive analysis. The results of this study state that health workers (PPE) must continue to pray even though it’s not possible to purify themselves (ablution or tayamum). With consideration, 1) if the body (lahiriyah) in hadas condition, it is not obligate his pray (I'adah), 2) if the PPE is unclean then it is necessary to repeat the prayer. The fatwa cannot be separated from the syar'i argument which is the basis for issuing the fatwa, particularly using the talfiq manhaji method. The fatwa can be used as an alternative to confusion over the law, and is intended to create benefits, especially for health workers who treat and handle Covid-19 patients.

scholarly journals Problems of Development and Implementation of Personal Protection Equipment for Personnel of Radiation and Chemical Hazardous Facilities, Emergency and Rescue Teams and Population

2021 ◽  
pp. 69-72
Author(s):  
V.I. Rubtsov ◽  
◽  
G.A. Novikov ◽  
A.N. Timoshenko ◽  
G.P. Prostakishin ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Energy Use ◽  
Operation Mode ◽  
Normal Operation ◽  
Protective Equipment ◽  
Personal Protection ◽  
Personal Protection Equipment ◽  
Emergency Rescue ◽  
Emergency Situations ◽  
Influence Area

The article presents a brief review of the activities of the laboratory "Personal protection equipment for the personnel of hazardous production facilities" for creation of the regulatory-legal and regulatory-methodological support system for personal protection of the personnel of radiation and chemical hazardous facilities, of regular and non-staff emergency rescue teams of Rosatom State Corporation and of FMBA of Russia as well as of the population living in the influence area of the mentioned facilities. The issues of standardization and certification of personal protective equipment at NPPs and in the field of atomic energy use — both in the normal operation mode of dangerous objects, and in emergency situations of peace and war time are considered. The problems arising in the implementation of innovative personal protective equipment, primarily due to international obligations, are shown.

scholarly journals Comfort Assessment of Personal Protection Systems During Total Joint Arthroplasty Using a Novel Multidimensional Evaluation Tool

2006 ◽  
Vol 88 (5) ◽  
pp. 465-469 ◽  
Author(s):  
MHA Malik ◽  
Elizabeth Handford ◽  
Elaine Staniford ◽  
AK Gambhir ◽  
PR Kay
Keyword(s):  
Healthcare Workers ◽  
Rating Scale ◽  
Personal Protection ◽  
Evaluation Tool ◽  
Personal Protection Equipment ◽  
Multidimensional Evaluation ◽  
Protection Systems ◽  
Perceived Change ◽  
Comfort Rating ◽  
Surgical Gowns

INTRODUCTION A number of studies have assessed the usefulness of surgical gowns and exhaust suits with regards to barrier function and protection afforded to healthcare workers from blood strike-through, splashes and aerosols. PATIENTS AND METHODS We have performed a comfort assessment comparison between the Charnley exhaust suit, disposable gown plus visor and the Stryker Steri-Shield system using a newly developed objective multidimensional ergonomic tool designed to measure wearable comfort across the dimensions of emotion, attachment, harm, perceived change, movement and anxiety. RESULTS The total mean Comfort Rating Scale value for a disposable gown plus visor was 16.1 with a mean dimensional score of 2.7 (range, 0.2–8.4), for the Charnley system the values were 51.4 and 8.6 (range, 5.9–12.8), respectively, and for the Stryker Steri-Shield 15.4 and 2.6 (range, 0.8–5.6). CONCLUSIONS The Steri-Shield system provides the least variation in comfort and, as such, may offer the best combination of comfort, protective qualities and form or style of personal protection equipment for lower limb arthroplasty operations.

scholarly journals Comparing the effect of in-person training and virtual training on using personal protection equipment among the staff in an open stone quarry

2020 ◽  
Keyword(s):  
Statistical Tests ◽  
Control Group ◽  
Training Methods ◽  
Personal Protection ◽  
Safety Level ◽  
Personal Protection Equipment ◽  
Virtual Training ◽  
Complementary Method ◽  
Significant Difference ◽  
Before And After

Introduction: Training has an important role in decreasing accidents and increasing safety level of workplaces. The aim of this study is to compare the effect of in-person training and virtual training on using personal protection equipment among the staff in an open stone quarry. Method: In this study, intermediary of training type has been carried out on three different groups (control, in person training, and virtual training) on 75 numbers of staff in an open stone quarry in 2018. The training content was compiled by researcher in virtual and in-person types and then confirmed by the experts. Data of personal protection equipmentusage in workplace were gathered by questionnair before and after trainig. Data were analysed by statistical tests including K2, dependant t, paired t, and variance analysis. Results: There has been no significant difference between groups before trainig the use of personal protection equipment. After training, findings showed a significant difference in personal protection equipment average usage among the staff. After intermediary, The ratio of using safety helmet and mask was increased among virtual and in- person groups rather than control group. Conclusion: This study findings have shown that in-person training and virtual training methods are effective in using the personal protection equipment in both groups and have increased safetybehaviors. It seems that using virtual training as alternative or complementary method for traditional methods can be an appropriate approach for retraining and improveing quarry staff's safety and self-care behaviour

scholarly journals A Survey of Psychiatric Healthcare Workers' Perception of Working Environment and Possibility to Recover Before and After the First Wave of COVID-19 in Sweden

2021 ◽  
Vol 12 ◽  
Author(s):  
Eirini Alexiou ◽  
Steinn Steingrimsson ◽  
Magnus Akerstrom ◽  
Ingibjörg H. Jonsdottir ◽  
Linda Ahlstrom ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Negative Impact ◽  
Working Environment ◽  
University Hospital ◽  
Protective Equipment ◽  
Web Based ◽  
Before And After ◽  
Survey Responses ◽  
The Impact

Objective: This study aimed to investigate the impact of the first wave of the COVID-19 pandemic on perceived working environment, including the possibility to recover, among psychiatric healthcare workers (PHCWs) in comparison with pre-pandemic measures.Method: A link to an anonymous, web-based COVID-19 related survey was sent via email to all PHCWs at a university hospital in Sweden (n = 1,618) in September 2020. The response rate was 38% (566 of 1,507 eligible participants). Working environment survey responses collected in 2019 were used as pre-pandemic comparators. Statistical analyses were performed to assess overall impact over time on work demands, support, motivation, and recovery, stratified by professional role, and considering variables such as access to personal protective equipment.Results: The percentage of individuals responding negatively to statements about working environment increased significantly for most items after the first wave. Similarly, the increase of five of the investigated factors indicated a more negative perception of recovery during the pandemic. Registered nurses reported a greater negative impact of the pandemic on perceived working conditions and ability to recover than other professional groups. PHCWs working with patients with COVID-19 (35%) who reported being worried about becoming infected (12%) or infecting others (17%), or lacking adequate personal protective equipment (22%) were more negatively impacted regarding work environment-related items than those who did not.Conclusions: PHCWs' working environment and possibility for recovery were impacted by the first wave of the COVID-19 pandemic, nurses being most affected. Although psychiatric services do not directly care for patients with severe COVID-19 infection, the results from this study suggests that mental health services should also prepare for future pandemics.

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