scholarly journals How did the COVID-19 pandemic change the practice of Paediatric Endoscopists in Europe?

2020 ◽  
Author(s):  
Ilektra Athiana ◽  
Corinne Légeret ◽  
Patrick Bontems ◽  
Luigi Dall'Oglio ◽  
Paola De Angelis ◽  
...  
Keyword(s):  
At Risk ◽  
United Kingdom ◽  
European Society ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
The Novel ◽  
Endoscopic Procedures ◽  
Viral Spread ◽  
Novel Coronavirus ◽  
Time Point

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.

scholarly journals Visitor Restriction Policy on Pediatric Wards During Novel Coronavirus (COVID-19) Outbreak: A Survey Study Across North America

2020 ◽  
Author(s):  
Taito Kitano ◽  
Pierre-Philippe Piché-Renaud ◽  
Helen E Groves ◽  
Laurie Streitenberger ◽  
Renee Freeman ◽  
...  
Keyword(s):  
North America ◽  
Personal Protective Equipment ◽  
Survey Study ◽  
Protective Equipment ◽  
The Novel ◽  
Restriction Policy ◽  
Novel Coronavirus

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.

scholarly journals Decontamination Interventions for the Reuse of Surgical Mask Personal Protective Equipment: A Systematic Review

2020 ◽  
Author(s):  
David J Zorko ◽  
Shira Gertsman ◽  
Katie O'Hearn ◽  
Nicholas Timmerman ◽  
Nasser Ambu-Ali ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Antimicrobial Properties ◽  
Original Research ◽  
Protective Equipment ◽  
The Novel ◽  
Eligibility Criteria ◽  
Surgical Masks ◽  
Study Characteristics ◽  
Novel Coronavirus ◽  
Citation Screening

Background: The high demand for personal protective equipment (PPE) during the novel coronavirus outbreak has created global shortages and prompted the need to develop strategies to conserve supply. Surgical mask PPE have a broad application of use in a pandemic setting, but little is known regarding decontamination interventions to allow for their reuse. Objective: Identify and synthesize data from original published studies evaluating interventions to decontaminate surgical masks for the purpose of reuse. Methods: We searched MEDLINE, Embase, CENTRAL, Global Health, the WHO COVID-19 database, Google Scholar, DisasterLit, preprint servers, and prominent journals from inception to April 8, 2020 for prospective original research on decontamination interventions for surgical mask PPE. Citation screening was conducted independently in duplicate. Study characteristics, interventions, and outcomes were extracted from included studies by two independent reviewers. Outcomes of interest included impact of decontamination interventions on surgical mask performance and germicidal effects. Results: Seven studies met eligibility criteria: one evaluated the effects of heat and chemical decontamination interventions applied after mask use on mask performance, and six evaluated interventions applied prior to mask use to enhance antimicrobial properties and/or mask performance. Mask performance and germicidal effects were both evaluated in heterogenous test conditions across a variety of mask samples (whole masks and pieces or individual mask layers). Safety outcomes were infrequently evaluated. Mask performance was best preserved with dry heat decontamination. Germicidal effects were best in salt-, N-halamine- and nanoparticle-coated masks. Conclusion: There is limited evidence on the safety or efficacy of surgical mask decontamination. Given the heterogenous methods used in the studies to date, we are unable to draw conclusions on the most appropriate, safest intervention(s) for decontaminating surgical masks for the purpose of reuse.

scholarly journals GAAREIP: Indian Innovation of Caps and Personal Protective Equipment

2020 ◽  
Vol 34 (1-2) ◽  
pp. 24-27
Author(s):  
Aakash Pandita ◽  
Girish Gupta
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Personal Protective Equipment ◽  
Significant Risk ◽  
Protective Equipment ◽  
The Novel ◽  
Care Workers ◽  
The World ◽  
Coronavirus Infection ◽  
Novel Coronavirus

The world has recently been hit by a pandemic caused by the novel Coronavirus infection. The infection is highly contagious and possesses a significant risk for health care workers caring for the infected patients. With more than 200 countries being affected and around 3,00,000 deaths across the globe, the essential supply of masks and personal protective equipment has been falling short of the ever increasing need. In such crisis there is a need for innovating and designing endogenous masks and equipment to avoid compromise in care of the effected patients and for safeguarding the health of health care workers.

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 ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Single Pair ◽  
Web Based ◽  
Endoscopic Procedures ◽  
Study Population ◽  
Novel Coronavirus ◽  
North And South America ◽  
North And South

<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.

scholarly journals Protecting Healthcare Workers From COVID-19 and the Assaulting Society: Indian Perspective

2020 ◽  
Author(s):  
Nileswar Das ◽  
Priyanka Mishra
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Protective Equipment ◽  
The Novel ◽  
The Future ◽  
Public Behavior ◽  
Novel Coronavirus ◽  
Indian Perspective

The novel Coronavirus Disease (COVID-19) pandemic has created a massive burden on Healthcare Workers (HCWs). Working in a potentially infectious environment, HCWs are at higher risk of physical and psychological illnesses. However, providing adequate Personal Protective Equipment (PPE) is necessary to protect HCWs from rising violence in the community due to fear, frustration, and stigma. The authors highlighted this important yet relatively underresearched entity of public behavior that demands further studies in the future.

scholarly journals Personal Protective Equipment during Endoscopy

2020 ◽  
Vol 11 (01) ◽  
pp. 45-52
Author(s):  
Shibi Mathew ◽  
Mathew Philip
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Personal Protective Equipment ◽  
World Health ◽  
Protective Equipment ◽  
The Novel ◽  
Safety Measures ◽  
Care Workers ◽  
Novel Coronavirus ◽  
Health Organization

AbstractThe novel coronavirus disease 2019 (COVID-19) which originated in China has been declared a pandemic by the World Health Organization (WHO). This virus gets transmitted through air droplets and direct contact. Health care workers doing aerosol-generating procedures are at a higher risk of acquiring the infection. Many procedures done by the gastrointestinal endoscopists are classified as aerosol-generating procedures, which in turn underline the need for proper safety precautions during these procedures. Apart from general safety measures advised by various organizations, proper use of personal protective equipment (PPE) is a pivotal factor in safeguarding health care personnel during endoscopy. This article provides a short overview of the different PPEs available and their proper use in endoscopy.

scholarly journals Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19

2020 ◽  
Vol 27 (6) ◽  
pp. 967-971 ◽  
Author(s):  
Robert W Turer ◽  
Ian Jones ◽  
S Trent Rosenbloom ◽  
Corey Slovis ◽  
Michael J Ward
Keyword(s):  
Emergency Department ◽  
Medical Treatment ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
The Novel ◽  
Policy Changes ◽  
Medical Screening ◽  
Emergency Medical ◽  
Risk Patients ◽  
Novel Coronavirus

Abstract Emergent policy changes related to telemedicine and the Emergency Medical Treatment and Labor Act during the novel coronavirus disease 2019 (COVID-19) pandemic have created opportunities for technology-based clinical evaluation, which serves to conserve personal protective equipment (PPE) and protect emergency providers. We define electronic PPE as an approach using telemedicine tools to perform electronic medical screening exams while satisfying the Emergency Medical Treatment and Labor Act. We discuss the safety, legal, and technical factors necessary for implementing such a pathway. This approach has the potential to conserve PPE and protect providers while maintaining safe standards for medical screening exams in the emergency department for low-risk patients in whom COVID-19 is suspected.

scholarly journals Mobility-Guided Modeling of the COVID-19 Pandemic in Metro Manila

2020 ◽  
Author(s):  
Bernhard Egwolf ◽  
O.P. Nicanor Austriaco
Keyword(s):  
The Philippines ◽  
The Novel ◽  
National Capital Region ◽  
Viral Spread ◽  
Mobility Data ◽  
National Capital ◽  
Metro Manila ◽  
The Government ◽  
Novel Coronavirus ◽  
The City

ABSTRACTCOVID-19 is a novel respiratory disease first identified in Wuhan, China, that is caused by the novel coronavirus, SARS-CoV-2. To better understand the dynamics of the COVID-19 pandemic in the Philippines, we have used real-time mobility data to modify the DELPHI Epidemiological Model recently developed at M.I.T., and to simulate the pandemic in Metro Manila. We have chosen to focus on the National Capital Region, not only because it is the nation’s demographic heart where over a tenth of the country’s population live, but also because it has been the epidemiological epicenter of the Philippine pandemic. Our UST CoV-2 model suggests that the government-imposed enhanced community quarantine (ECQ) has successfully limited the spread of the pandemic. It is clear that the initial wave of the pandemic is flattening, though suppression of viral spread has been delayed by the local pandemics in the City of Manila and Quezon City. Our data also reveals that replacing the ECQ with a General Community Quarantine (GCQ) will increase the forecasted number of deaths in the nation’s capital unless rigorous tracing and testing can be implemented to prevent a second wave of the pandemic.

scholarly journals The Impact Of COVID-19 On Out-Of-Hours Adult Hospice Care: An Online Survey

2021 ◽  
Author(s):  
Felicity Hasson ◽  
Paul Slater ◽  
Anne Fee ◽  
Tracey McConnell ◽  
Sheila Payne ◽  
...  
Keyword(s):  
Palliative Care ◽  
United Kingdom ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Community Based ◽  
Out Of Hours ◽  
Care Services ◽  
The United Kingdom ◽  
Palliative Care Services ◽  
The Impact

Abstract BackgroundGlobally COVID-19 has had a profound impact on the provision of healthcare, including palliative care. However, there is little evidence about the impact of COVID-19 on delivery of out-of-hours specialist palliative care services in the United Kingdom. The aim of the study is to investigate the impact of the COVID-19 pandemic on the delivery of out-of-hours community-based palliative care services.Methods A national online census survey of managers of adult hospices in the United Kingdom was undertaken. Survey were emailed to managers of adult hospices (n=150) who provided out-of-hours community palliative care services. Fifteen questions related specifically to the impact of COVID-19 and data were analysed thematically.ResultsEighty-one responses to the survey were returned (54% response rate); 59 were complete of which 47 contained COVID-19 data. Findings indicated that COVID-19 impacted on out-of-hours community-based palliative care. To meet increased patient need, hospices reconfigured services; redeployed staff; and introduced new policies and procedures to minimize virus transmission. Lack of integration between charitably and state funded palliative care providers was reported. The interconnected issues of the use and availability of Personal Protective Equipment (n=21) and infection control screening (n=12) resulted in changes in nursing practices due to fear of contagion for patients, carers and staff. Conclusions Survey findings suggest that due to increased demand for community palliative care services, hospices had to rapidly adapt and reconfigure services. Even though this response to the pandemic led to some service improvements, in the main, out-of-hours service reconfiguration resulted in challenges for hospices, including workforce issues, and availability of resources such as Personal Protective Equipment. These challenges were exacerbated by lack of integration with wider healthcare services. More research is required to fully understand the implications of such changes on the quality of care provided.

Sign in / Sign up

Export Citation Format

Share Document