scholarly journals Pattern of use of hydroxychloroquine as prophylaxis among health care workers against COVID-19: a KAP study

Author(s):  
Madhusudan Singh ◽  
Sushant Saurabh ◽  
Obaid Ali ◽  
Saparya Tripathi ◽  
Vineet Kumar Pathak ◽  
...  

Background: Hydroxychloroquine (HCQs) was one of the first chemoprophylaxis that received the recommendation for coronavirus disease 2019 (COVID-19). ICMR also time to time revised the guidelines for the use of HCQs as a prophylactic agent against COVID-19. But its mechanism of action for the same and duration of use was not much supported by available evidence. Hence, we conducted a web-based survey among Health Care Workers (HCWs) to know their Knowledge attitude practice (KAP) on HCQs use.Methods: We used a web-based questionnaire through google form which was circulated through snowball technique among health care worker working in a various hospital set up through various social media over a period of 1-month.Results: In our study total 159 HCWs responded to questionnaire. 37.1% (59/159) HCWs had taken HCQs, out of which 13.2% (21/59) participants acquired SARS-CoV-2 infection. Out of suffered HCWs, 38% (8/21) had taken full 7 weeks regime. Also, 84.7% (50/59) participants responded that they were confused whether to continue further taking HCQ after completing 7 weeks HCQ regimen or before every turn of their COVID duty.Conclusions: ICMR recommended its use in early phase of COVID-19 when there was not sufficient data available about its treatment and prophylaxis. But with the coming evidences we now know that there is limited role of HCQ in terms of prophylactic agent against SARS-CoV-2.

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 628-631
Author(s):  
Devangi Agrawal ◽  
Namisha Khara ◽  
Bhushan Mundada ◽  
Nitin Bhola ◽  
Rajiv Borle

In the wake of the current outbreak of novel Covid-19, which is now declared as a 'pandemic' by the WHO, people around the globe have been dealing with a lot of difficulties. This virus had come into light in December 2019 and since then has only grown exponentially. Amongst the most affected are the ones who have been working extremely hard to eradicate it, which includes the hospitals, dental fraternity and the health-care workers. These people are financially burdened due to limited practise. In the case of dentistry, to avoid the spread of the virus, only emergency treatments are being approved, and the rest of the standard procedures have been put on hold. In some cases, as the number of covid cases is rising, many countries are even trying to eliminate the emergency dental procedures to divert the finances towards the treatment of covid suffering patients. What we need to realise is that this is probably not the last time that we are facing such a situation. Instead of going down, we should set up guidelines with appropriate precautionary measures together with the use of standardised PPEs. The government should also establish specific policies to support dental practices and other health-care providers. Together, we can fight this pandemic and come out stronger.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1042-1047
Author(s):  
Khushbu Balsara ◽  
Deepankar Shukla

In a very short period of time, “COVID-19” has seized the consciousness globally by making remarkable changes in our day to day living and has superintended as a public health emergency globally. It has high radar of transmission, affecting an individual at work to frontline workers. The measures and planning for a response plays a key role from drawing up an emergency committee and this follows an equation which broadly deals with epidemiological to clinical history of the patient, management steps from isolation, screening, diagnostic assays for identification and treatment. The application of an organized plan with secure structure aids in better performance, increases efficacy of management and saves time. Also saves time for a health care worker to g through routine levels of channels of administration if already a familiar way of operation is known for such situations. Thus, planning and developing a ‘blueprint of approach’ towards management of patient while facing such situation is a must. This review provides an insight to the measures for detection, response and preparedness of the hospital and health care workers should largely be inclusive of; also highlights the measures to be taken at every step after coming in contact with a positive case of “COVID-19”.


2016 ◽  
Vol 12 (3) ◽  
Author(s):  
Rasha H. Bassyouni ◽  
Ahmed-Ashraf Wegdan ◽  
Naglaa A El-Sherbiny

To evaluate the role of educational intervention on health care workers' (HCWs) compliance to standard precautions and cleaning of frequently touched surfaces at critical care units, forty-nine HCWs at 2 intensive care units (ICUs) and one neonatology unit at Fayoum University hospital were evaluated for knowledge, attitude and practice (KAP) towards standard precautions as well as obstacles affecting their compliance to standard precautions before and after a 32-hour purposed-designed infection control education program. A structured self-administrated questionnaire as well as observational checklists were used. Assessment of Environmental cleaning was investigated by observational checklist, ATP bioluminescence and aerobic bacteriological culture for 118 frequently touched surfaces. Pre-intervention assessment revealed that 78.6% of HCWs were with good knowledge, 82.8% with good attitude and 80.8% had good practice. Obstacles identified by HCWs were as follow: making patient-care very technical (65.3%), deficiency of hand washing facilities (59.2%), skin irritation resulting from hand hygiene products (51%), and unavailability of PPE (38.8%). High significant improvements of knowledge, attitude and practice were detected after one month of educational intervention (P= 0.000). During the pre-interventional period only 30.5% of surfaces were considered clean versus 97.45% post intervention (P< 0.05). The highest Median ATP bioluminescence values were obtained from telephone handset, light switches and Blood pressure cuffs. S. aureus was the most common isolated organism followed by Enterococcus spp and E.coli (52, 38 and 19 surfaces respectively). In conclusion, contentious training of HCWs on standard precautions should be considered a mandatory element in infection control programs


Vestnik ◽  
2021 ◽  
pp. 313-316
Author(s):  
И.Г. Турсумбай ◽  
Л.К. Кошербаева

Одним из последствий осуществления медицинской деятельности в разнообразных хозяйственных формах является изменение экономического положения работников здравоохранения. От количества и качества их труда зависит экономический результат деятельности лечебно-профилактических учреждений (ЛПУ) в целом. В статье приводится сравнительный анализ занимающихся подготовкой экономистов в области здравоохранения по различным критериям. Подчеркивается необходимость непрерывного совершенствования подготовки управленческих кадров в области экономики здравоохранения в современных условиях развития общества. One of the consequences of the implementation of medical activities in various economic forms is a change in the economic situation of health care workers. The number and quality of their work depends on the economic result of the activities of medical and preventive institutions (LPU) as a whole. The article presents a comparative analysis of the health economists who are engaged in training according to various criteria. The necessity of continuous improvement of training of managerial personnel in the field of health economics in the modern conditions of society development is emphasized.


2021 ◽  
pp. 49-52
Author(s):  
Shrivastava P ◽  
Verma S ◽  
Khushboo Khushboo ◽  
Bhattacharya P K

Despite the ubiquity of health-related communications via social media, no consensus has emerged what information should be conveyed and how it should be conveyed to avoid creating panic among general population. With lockdowns social media, mass media became as a habit by people for news, information regarding COVID-19 and it is practiced even after lockdown. During the COVID-19 pandemic, mass media, social media and local news has become as the source of a toxic “infodemic” source for public. It contained both solicited and unsolicited advice. No conceptual model exists for examining the roles of media. It is important to rst assess the important mis-information, role of infodemics and prevalent casualness among the public regarding the COVID-19. Till mass vaccination is not commenced it is prudent to emphasize guidelines and practices as per COVID guidelines like social distancing, wearing mask, hand hygiene


1997 ◽  
Vol 2 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Rosemare Troskie

The Reconstruction and Development Plan as well as the National Health Plan of the ANC supports the reorganisation of health services. OpsommingDie Heropbou en Ontwikkelingsprogram sowel as die Nasionale Gesondheidsplan van die ANC staan die herorganisasie van gesondheidsdienste voor. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


Author(s):  
Quentin Eichbaum

Abstract Telemedicine refers to the use of telecommunication technologies for the purpose of transmitting medical information between physically separated clinical sites, in order to provide health care to patients at such remote locations. Additionally, telemedicine can be used to educate health care workers and students at distant locations. Telemedicine technologies can be categorized as either ‘store-andforward’ or ‘interactive’ (or ‘synchronous/asynchronous’) depending on the timing of the transmission of information. This review focuses on applications of telemedicine to the field of obstetric and gynecologic (Obs/Gyne) ultrasound. It also examines the utilization patterns of telemedicine, as well as its costs and benefits. Finally, this article examines the role of telemedicine in medical education, specifically also with reference to Obs/Gyne ultrasound.


2020 ◽  
Author(s):  
Louie Florendo Dy ◽  
Jomar Fajardo Rabajante

AbstractThe number of confirmed COVID-19 cases admitted in hospitals is continuously increasing in the Philippines. Frontline health care workers are faced with imminent risks of getting infected. In this study, we formulate a theoretical model to calculate the risk of being infected in health care facilities considering the following factors: the average number of encounters with a suspected COVID-19 patient per hour; interaction time for each encounter; work shift duration or exposure time; crowd density, which may depend on the amount of space available in a given location; and availability and effectiveness of protective gears and facilities provided for the frontline health care workers. Based on the simulation results, a set of risk assessment criteria is proposed to classify risks as ‘low’, ‘moderate’, or ‘high’. We recommend the following: (i) decrease the rate of patient encounter per frontline health care worker, e.g., maximum of three encounters per hour in a 12-hour work shift duration; (ii) decrease the interaction time between the frontline health care worker and the patients, e.g., less than 40 minutes for the whole day; (iii) increase the clean and safe space for social distancing, e.g., maximum of 10% crowd density, and if possible, implement compartmentalization of patients; and/or (iv) provide effective protective gears and facilities, e.g., 95% effective, that the frontline health care workers can use during their shift. Moreover, the formulated model can be used for other similar scenarios, such as identifying infection risk in public transportation, school classroom settings, offices, and mass gatherings.


2006 ◽  
Vol 19 (4) ◽  
Author(s):  
Jan de Jonge ◽  
Maria C.W. Peeters ◽  
Pascale M. Le Blanc

Emotion work and positive work outcomes: The role of specific job resources Emotion work and positive work outcomes: The role of specific job resources J. de Jonge, M.C.W. Peeters & P.M. Le Blanc, Gedrag & Organisatie, Volume 19, November 2006, nr. 4, pp. 345-367 This cross-sectional study among 826 health care workers examined the association between emotion work (defined as emotional demands) and positive work outcomes (i.e., creativity, active learning, and job challenge), and the moderating role of job resources on this relation. The hypotheses were tested with multivariate multiple regression analyses (LISREL 8.30), using cross-validation techniques. The results showed indeed that, compared with a non-match, a match between emotional demands and (emotional) resources increased the chance of positive work outcomes. So, to achieve positive work outcomes it seems to be important for job demands in general and for emotional demands in particular, that a correspondence exists between the kind of job resource and the kind of job demands. From a practical point of view, work-related interventions on emotion work should therefore focus on specific, emotional, job resources to stimulate positive work outcomes for health care workers.


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