scholarly journals Role of Personal Protective Measures in Prevention of COVID-19 Spread among Physicians in Bangladesh: A Multicenter Cross-sectional Comparative Study

2020 ◽  
Author(s):  
Md. Musab Khalil ◽  
Md Mashiul Alam ◽  
Mostafa Kamal Arefin ◽  
Mamunur Rashid Chowdhury ◽  
Muhammad Rezeul Huq ◽  
...  
Keyword(s):  
Health Care Workers ◽  
World Health ◽  
Cross Sectional ◽  
Protective Measures ◽  
Care Workers ◽  
Significant Difference ◽  
Baseline Information ◽  
Health Organization ◽  
Risk Assessment And Management

Abstract ObjectiveThis study aims to determine the role of personal protective measures in the prevention of COVID-19 spread among the physicians working at different health facilities in Bangladesh.MethodsThis hospital-based cross-sectional comparative was conducted from May to June 2020. A total of 98 COVID-19 positive physicians and 92 COVID-19 negative physicians (physicians having no symptoms of COVID-19 or tested negative), were enrolled. The questionnaire was adapted from a tool developed by the World Health Organization (WHO) for risk assessment and management of exposure of health care workers in the context of COVID-19. Data was collected from the respondents online using google forms.ResultsThere was no significant difference in baseline information between COVID-19 positive and COVID-19 negative physicians. The physicians, who were unaware of direct participation in COVID-19 patient care, had higher odds of being COVID-19 positive (OR= 4.018; CI: 1.532-10.535). Also, the physicians, who were unaware of the COVID-19 status while performing aerosol generated procedure (AGP), had a higher chance of being COVID-19 positive, had a higher chance of being COVID-19 positive (OR= 2.522; CI: 1.020-6.233). Using face shields/goggles (OR=0.437; CI:0.228-0.837), regular decontamination of the patient’s surroundings (OR=0.392; CI:0.176-0.873) while usual take care of patients and use of N95 masks while performing AGP (OR=0.372; CI:0.159-0.873) had protective roles against COVID-19 among the physicians. The physicians who had reused the medical gown had two times more chance of being tested positive for COVID-19 than those who had not reused it (OR= 2.3; CI:1.251-4.259).ConclusionThe use of face shield/goggles and N95 masks and decontamination of the patient’s surroundings may give protection against COVID-19. Also, reusing medical gown should be avoided as much as possible.

scholarly journals Role of Personal Protective Measures in Prevention of COVID-19 Spread Among Physicians in Bangladesh: a Multicenter Cross-Sectional Comparative Study

2020 ◽  
Vol 2 (10) ◽  
pp. 1733-1739 ◽  
Author(s):  
Md. Musab Khalil ◽  
Md Mashiul Alam ◽  
Mostafa Kamal Arefin ◽  
Mamunur Rashid Chowdhury ◽  
Muhammad Rezeul Huq ◽  
...  
Keyword(s):  
Comparative Study ◽  
Healthcare Workers ◽  
World Health ◽  
Cross Sectional ◽  
Protective Measures ◽  
Significant Difference ◽  
Baseline Information ◽  
Health Organization ◽  
Risk Assessment And Management

Abstract This study aims to determine the role of personal protective measures in the prevention of COVID-19 spread among the physicians working at different health facilities in Bangladesh. This hospital-based cross-sectional comparative study was conducted from May to June 2020. A total of 98 COVID-19 positive physicians and 92 COVID-19 negative physicians (physicians with no symptoms of COVID-19 or who tested negative) were enrolled. The questionnaire was adapted from a tool developed by the World Health Organization (WHO) for risk assessment and management of exposure of healthcare workers in the context of COVID-19. Data were collected from the respondents online using Google forms. There was no significant difference in baseline information between COVID-19 positive and COVID-19 negative physicians. The physicians, who were unaware of direct participation in COVID-19 patient care, had higher odds of being COVID-19 positive (OR = 4.018; CI: 1.532–10.535). Additionally, the physicians, who were unaware of the COVID-19 status while performing the aerosol-generated procedure (AGP), had a higher chance of being COVID-19 positive (OR = 2.522; CI: 1.020–6.233). Using face shields/goggles (OR = 0.437; CI:0.228–0.837) and regular decontamination of the patient’s surroundings (OR = 0.392; CI:0.176–0.873) while usual take care of patients and use of N95 masks while performing AGP (OR = 0.372; CI:0.159–0.873) had protective roles against COVID-19 among the physicians. The physicians who had reused the medical gown had two times more chances of being tested positive for COVID-19 than those who had not reused it (OR = 2.3; CI:1.251–4.259). The use of face shields/goggles and N95 masks and decontamination of the patient’s surroundings may give protection against COVID-19. Additionally, reusing medical gowns should be avoided as much as possible.

scholarly journals Knowledge and Perception of Health Care Workers Regarding COVID-19 in Different Parts of Gujarat State

Healthline ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 54-57
Author(s):  
Disha Patel ◽  
Bela Patel ◽  
Naresh Makwana ◽  
Dipesh Parmar
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
World Health ◽  
Gujarat State ◽  
Cross Sectional ◽  
Delayed Treatment ◽  
Care Workers ◽  
Health Organization ◽  
Spread Of Infection ◽  
Basic Course

Introduction: The World Health Organization declared the 2019–20 coronavirus outbreak a Public Health Emergency of International Concern (PHEIC) on 30 January 2020 and a pandemic on 11 March 2020. A poor understanding of the disease among healthcare workers may implicate in delayed treatment and the rapid spread of infection. Objective: To know the perception and knowledge of the health care workers in different districts of Gujarat state about the COVID 19. Method: A cross sectional web based survey was conducted among the 104 health care workers working in different districts of Gujarat during the month of April 2020. WhatsApp and Telegram based questionnaire was sent to each participant and their response was recorded. Data was entered in Microsoft Excel 2016 and was analysed by applying various statistical test using SPSS version 25. Results: Out of 104 participants, 46.15% and 53.85% were male and female respectively. Mean age of participants was 26.40 years. Majority participants were from Saurashtra-Kutch(36.54%) followed by central Gujarat(28.85%) and north Gujarat(23.08%). Out of 63 who had received training of basic course in COVID-19, only 27 were able to give correct answer about criteria for discharge of patient. Conclusion: HCWs in our study are having good knowledge regarding COVID 19. They are aware of the measures needed to be taken to reduce the spread of the disease. HCWs were using authentic sources for information; this ultimately affects knowledge and is reflected in attitude and practice.

Role of antioxidant herbs and Yoga practices in prevention of infectious diseases with special reference to Covid-19 pandemic

2020 ◽  
Vol 11 (SPL1) ◽  
Author(s):  
Krushna Chaitanya Patnaik ◽  
Dhirajsingh Rajput
Keyword(s):  
Health Care ◽  
Infectious Diseases ◽  
Health Care Workers ◽  
Vital Role ◽  
World Health ◽  
Loss Of Life ◽  
Care Workers ◽  
Anti Oxidant ◽  
Health Organization

Infectious diseases are the disorders caused by pathogenic organisms which are scary because most of us don’t have the sufficient knowledge about them. They are scarier because they can be dangerous and may lead to loss of life. We think about them only if we are health care workers or it happens to ourselves and our close ones. Immunity plays vital role in prevention of mechanism of the formation of diseases. Significant role of free radicals in initiating as well as improving immunity to minimize the diseases is major point of focus behind utilization of Anti-oxidant and rejuvenation therapy. Ayurveda has mentioned similar principles under the heading of . Present workis a review based on the previous published articles, recent updates regarding prevention of COVID-19 according to World Health Organization, Ayurveda aspect towards prevention of infectious diseases using antioxidant herbs and yoga practices. There are numerous antioxidant herbs and yoga but the specific mentioned seems to be more useful in developing immunity. The mentioned herbs may prove more useful in developing immunity.

scholarly journals The Utilization of Protective Face Masks among Polish Healthcare Workers during COVID-19 Pandemic: Do We Pass the Exam?

2021 ◽  
Vol 18 (2) ◽  
pp. 841
Author(s):  
Radomir Reszke ◽  
Łukasz Matusiak ◽  
Piotr K. Krajewski ◽  
Marta Szepietowska ◽  
Rafał Białynicki-Birula ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Medical Profession ◽  
Cross Sectional Study ◽  
Internet Survey ◽  
World Health ◽  
Cross Sectional ◽  
Protective Measures ◽  
Who Criteria ◽  
The Face ◽  
Health Organization

Relevant personal protective measures during the COVID-19 pandemic include face masks, possibly decreasing the risk of infection among the general population and healthcare workers (HCW) if utilized properly. The aim of the study was to assess whether different Polish HCW utilize face masks according to the 2020 World Health Organization guidance (WHO) criteria. This cross-sectional study included 1156 respondents who participated in an internet survey evaluating mask-related behaviors. All the WHO criteria were complied with by 1.4% of participants, regardless of medical profession, specialty or place of employment. HCW mostly adhered to criterion 1 (C1; strict covering of the face and mouth with the mask; 90.8%), C4 (washing/disinfecting the hands after touching/taking off the mask; 49%) and C3 (taking off the mask properly without touching the anterior surface; 43.4%), whereas C2 (avoidance of touching the mask with hands) was complied with least commonly (6.8%). HCW with mask-induced itch (31.6%) complied to C2 less often (odds ratio 0.53; p = 0.01). The study reveals that Polish HCW rarely adhere to all the 2020 WHO guidance criteria on the use of masks, whereas the adherence to particular criteria is variable and may be associated with the presence of skin-related conditions and other factors. Better compliance with the recommendations in the future is necessary to increase personal safety of HCW and prevent the transmission of SARS-CoV-2.

scholarly journals Incidence of COVID-19 infection amongst the high risk versus low risk health care workers: an audit from a tertiary cancer care centre

2021 ◽  
Vol 8 (7) ◽  
pp. 3474
Author(s):  
Nitin Shetty ◽  
Nivedita Chakrabarty ◽  
Amit Joshi ◽  
Amar Patil ◽  
Suyash Kulkarni ◽  
...  
Keyword(s):  
Health Care ◽  
High Risk ◽  
Health Care Workers ◽  
Cancer Care ◽  
Low Risk ◽  
Care Centre ◽  
Protective Measures ◽  
Care Workers ◽  
Significant Difference ◽  
Treatment Research

Background: Theoretically, health care workers (HCW) are at increased risk of getting infected with COVID-19 compared to the general population. Limited data exists regarding the actual incidence of COVID-19 infection amongst the high risk and low risk HCW of the same hospital. We present an audit from our tertiary cancer care centre comparing the COVID-19 infection rate between the high risk and low risk HCW, all of whom had been provided with adequate protective measures and health education.Methods: This is a retrospective observational study from 01 April 2020 to 30 September 2020, in which all the 970 HCW of Advanced Centre for Treatment, Research and Education in Cancer were divided into high risk and low risk groups. High risk HCW included all the medical and non-medical staff directly involved with the care of COVID-19 patients, and rest were low risk HCW. Adequate protective measures and classes for infection prevention were provided to all the HCW. We calculated the incidence of COVID-19 infection in both these groups based on the positive real time-polymerase chain reaction (RT-PCR) result and also looked for any significant difference in incidence between these two groups.Results: The incidence of COVID-19 infection amongst the high risk HCW was 13% and that of low risk HCW was 14%.Conclusions: We found no significant difference in COVID-19 infection between the high risk and low risk HCW. Thus, along with protective measures, behavior modifications induced by working in high risk areas, prevented the high risk HCW from getting increased COVID-19 infection compared to the low risk HCW.

scholarly journals A super-spreader of SARS-CoV-2 in incubation period among health-care workers

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Chaojie Wei ◽  
Yufeng Yuan ◽  
Zhenshun Cheng
Keyword(s):  
Health Care ◽  
Severe Acute Respiratory Syndrome ◽  
World Health Organization ◽  
Incubation Period ◽  
Health Care Workers ◽  
World Health ◽  
Doctor Who ◽  
Care Workers ◽  
Potential Sources ◽  
Health Organization

AbstractSince the coronavirus disease 2019 (COVID-19) identified in Wuhan, Hubei, China in December 2019, it has been characterized as a pandemic by World Health Organization (WHO). It was reported that asymptomatic persons are potential sources of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We present an outbreak among health-care workers incited by a doctor who cared a patient with COVID-19 in a Hospital in Wuhan, Hubei, China, which indicates existence of super-spreader even during incubation period.

scholarly journals Food intolerances and associated symptoms in patients undergoing Fobi-Capella technique without gastric ring

2015 ◽  
Vol 28 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Marcella de Arruda MOREIRA ◽  
Patrícia Ramos Maciel ESPÍNOLA ◽  
Camila Wanderley de AZEVEDO ◽  
Cinthia Karla Rodrigues do Monte GUEDES
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Food Intolerance ◽  
World Health ◽  
Cross Sectional ◽  
Significant Difference ◽  
One Year ◽  
Health Organization ◽  
Nutritional Monitoring ◽  
Height Data

BACKGROUND: Bariatric surgery is considered the only effective method to treat refractory obesity, and especially for those in which clinical treatment was not successful. However, the appearance of food intolerances and clinical manifestations are quite common. AIM: To identify food intolerances and associated them to symptoms in patients undergoing Fobi-Capella technique without gastric ring. METHODS: This was a cross-sectional study of adult patients who had more than one year after surgery. Demographic, anthropometric, weight and preoperative height data were investigated. Nutritional status was classified according to the criteria established by the World Health Organization. It was considered food intolerance the presence of nausea, vomiting, diarrhea or bloating after eating a particular food. RESULTS: The sample consisted of 61 patients who attended the nutritional consultation of which 26 (42.6%) had food intolerance, mostly related to red meat (n=12; 34.3%) during the first six months of operation; there was a significant difference between the periods between 0 and 6 months, and 7 to 12 (p=0.02). Among the symptoms reported by patients, nausea was the most recurrent until the 6th month, but without significant differences between the two periods (p=0.06). CONCLUSION: The Fobi-Capella procedure without gastric ring promoted high frequency of intolerance to meat in general, especially for the red, chicken and fish, on this sequence; nausea was the most frequent symptom. These data suggest the need for adequate nutritional monitoring throughout the postoperative period.

scholarly journals The Good COPD Guidelines

2004 ◽  
Vol 11 (1) ◽  
pp. 15-16
Author(s):  
Dennis Bowie
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Mortality Rates ◽  
World Health ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
The Third ◽  
Care Workers ◽  
Prevalent Disease ◽  
Health Organization

Chronic obstructive pulmonary disease (COPD) is becoming an increasing problem for health care workers. The World Health Organization predicts that in the year 2020, this disease will be the fifth most prevalent disease worldwide, up from 12th place, and it will be the third most common cause of death, up from sixth place in 1997 (1). Hospitalization and mortality rates for COPD continue to rise in Canada (2). Therefore, the burden of COPD on Canadians, the health care system and physicians is obvious.

scholarly journals A COMPARATIVE, QUESTIONNAIRE BASED CROSS-SECTIONAL STUDY ON SELF MEDICATION PRACTICE AMONG MEDICAL AND PARAMEDICAL STUDENTS

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Monika Mishra
Keyword(s):  
Prescription Drugs ◽  
Cross Sectional Study ◽  
Brand Names ◽  
World Health ◽  
P Value ◽  
Duration Of Treatment ◽  
Self Medication ◽  
Cross Sectional ◽  
Significant Difference ◽  
Health Organization

Background: According to World Health Organization (WHO), self medication is use of medicines to treat self recognized symptoms, or use of a prescribed medicine for chronic symptoms. It is associated with use of prescription drugs, alternative medicines and over the counter drugs (OTC). Methods: This was a prospective, observational, questionnaire based study where two groups of students were interviewed with a prevalidated questionnaire. The first group comprised of students from MBBS while the second group consisted of students of paramedical courses namely physiotherapy, operation theatre technicians and lab technicians. Results: A total of 200 students with an average age 19.62±0.65 years participated in the study. Among these students, 100 were medical students. All the students had practiced self medication however, only 51.00% agreed with the concept of self-medication. Considering the significant „p‟ value to be <0.05 there was a significant difference among the 2 groups with respect to awareness of generic and brand names of the drugs and importance of completing the course of treatment. 51.00% of medical and 29.00% paramedical students were aware about generic and brand names of drugs while knowledge about importance of completing course of treatment was present in 62% medical and 42% paramedical students. (p value<0.05). Also, there was no significant difference regarding the knowledge about the content, dose, duration of treatment and frequency of drug administration among the two groups. Conclusion: The present study shows a high prevalence of selfmedication among medical and paramedical students of the institution. The knowledge about self-medication was encouraging among the students of both the groups. Keywords: Self medication, student, knowledge

scholarly journals Use of medical face masks versus particulate respirators as a component of personal protective equipment for health care workers in the context of the COVID-19 pandemic

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
John Conly ◽  
◽  
W. H. Seto ◽  
Didier Pittet ◽  
Alison Holmes ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Personal Protective Equipment ◽  
Scientific Evidence ◽  
Routine Care ◽  
World Health ◽  
Protective Equipment ◽  
Contact Mode ◽  
Care Workers ◽  
Health Organization

Abstract Currently available evidence supports that the predominant route of human-to-human transmission of the SARS-CoV-2 is through respiratory droplets and/or contact routes. The report by the World Health Organization (WHO) Joint Mission on Coronavirus Disease 2019 (COVID-19) in China supports person-to-person droplet and fomite transmission during close unprotected contact with the vast majority of the investigated infection clusters occurring within families, with a household secondary attack rate varying between 3 and 10%, a finding that is not consistent with airborne transmission. The reproduction number (R0) for the SARS-CoV-2 is estimated to be between 2.2–2.7, compatible with other respiratory viruses associated with a droplet/contact mode of transmission and very different than an airborne virus like measles with a R0 widely cited to be between 12 and 18. Based on the scientific evidence accumulated to date, our view is that SARS-CoV-2 is not spread by the airborne route  to  any significant extent and the use of particulate respirators offers no advantage over medical masks as a component of personal protective equipment for the routine care of patients with COVID-19 in the health care setting. Moreover, prolonged use of particulate respirators may result in unintended harms. In conjunction with appropriate hand hygiene, personal protective equipment (PPE) used by health care workers caring for patients with COVID-19 must be used with attention to detail and precision of execution to prevent lapses in adherence and active failures in the donning and doffing of the PPE.

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