scholarly journals Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience

Author(s):  
Gulnihal Reyhan Toptas ◽  
Eylem Unlubilgin ◽  
Tugba Kinay ◽  
Ali Riza Dogan ◽  
Mehmet Akif Akgul ◽  
...  

OBJECTIVE: The objective of this study was to determine the incidence of perioperative “severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)” infection among women, operated during Coronavirus disease-2019 (COVID-19) era. STUDY DESIGN: All patients who were operated on between March 11, 2020, and December 31, 2020, in our gynecology clinic were included in this cross-sectional study. The clinical and demographic characteristics of the patients, preoperative and postoperative SARS-CoV-2 positivity, the progress of the infection, and the survival rates in positive cases were analyzed. COVID-19 cases were diagnosed by reverse transcription-polymerase chain reaction testing for SARS-CoV-2. RESULTS: Operations of 133 (33%) of 406 patients were canceled for various reasons. 275 patients were operated on. Preoperatively three patients were diagnosed with COVID-19. One of these patients died and two were operated on after treatment and self-isolation. Only one (0.4%) patient was diagnosed with COVID-19 30 days postoperatively and completely recovered. We calculated the perioperative SARS-CoV-2 positivity rate as 1.4% (276 surgeries were planned and 4 patients were diagnosed with COVID-19). During the study, 107 physicians worked in our clinic alternately. Two (1.8%) of these physicians were diagnosed with COVID-19 and completely recovered without the need for intensive care. In addition, nine patients who were previously diagnosed with COVID-19 were operated on. Postoperative respiratory and other system complications did not occur in nine patients, previously diagnosed with COVID-19. CONCLUSION: The results of our study show that gynecological surgical procedures do not increase the transmission and mortality rates of SARS-CoV-2 among patients and healthcare professionals as long as infection control measures are followed.

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1593
Author(s):  
Kyoko Yoshioka-Maeda ◽  
Yuka Sumikawa ◽  
Noriha Tanaka ◽  
Chikako Honda ◽  
Riho Iwasaki-Motegi ◽  
...  

This cross-sectional study aimed to (1) describe the unclassified contents of telephone consultation services provided by a public health center during the first wave of COVID-19 in Japan and (2) examine whether the contents required assistance from public health nurses (PHNs). We analyzed a total of 207 calls in which the purpose of the call was unclassified into pre-set categories. PHNs transcribed the exact text of the consultation conversations recorded from 25 March to 20 April 2020 in City A. Approximately half of the calls were from residents. Seven categories were extracted through a qualitative content analysis. The most common topic was infection control measures, where the presence of COVID-19 infection was assumed (n = 62); the second most common was extreme anxiety and fear of infection (n = 50). Questions about the COVID-19 response system (n = 30), discrimination and misunderstandings about COVID-19 (n = 24), and response measures for COVID-19 outbreaks within organizations (n = 18) were also included. The unclassified consultations included various topics, several of which required the expertise of a PHN. Each local government should consider sharing and task-shifting telephone consultation services among PHNs and other staff to reduce their burden and allow them to concentrate on conducting infection control more effectively.


2020 ◽  
Vol 3 (2) ◽  
pp. 166-177
Author(s):  
Ramand Haji ◽  
◽  
Dana Abdilkarim ◽  
Salar Ali ◽  
Srwa Mohammad ◽  
...  

Background and objectives: Nurses can prevent the occurrence and transmission of noso-comial infections by following infection control measures such as wearing gloves and masks, using appropriate disinfection of skin and preventing accidental needle-stick inju-ries. This research aimed to evaluate the availability of hospital uniforms, personal protec-tive equipment, and infection control activities at hospitals in Sulaimani in the Kurdistan Region of Iraq, and to examine nurses’ experience of nosocomial infections. Methods and materials: A cross-sectional study was performed at 10 governmental hospi-tals during the period from 20th February to 28th September 2018. 525 nurses were se-lected as participants by a convenience sampling method. A self-administrated question-naire was used to collect data, which were analysed using SPSS software. Results: The results showed that 268 nurses (51%) reported that their hospitals provided sufficient uniforms to all the medical staff and the majority of nurses, 444 respondents (84.6%) stated that they were responsible for cleaning their working uniforms. 441 nurses reported that they did not acquire a nosocomial infection, and 479 (91.2%) did not have an accident during their work in the hospital. 79.9% of the nurses (404) reported recapping syringe needles after the usage, and 98 (18.7%) gave a low rating to the infection control unit activity in their hospitals. Finally, more than half of nurses (330) representing 62.9% of the sample were vaccinated against nosocomial infections. Conclusions: Most of Sulaimani governmental hospitals are providing sufficient uniforms for the health staff, the majority of nurses were vaccinated against one or more nosocomi-al infections, and the majority of nurses do needle syringe recapping.


Author(s):  
Silvia Eiken Alpers ◽  
Jens Christoffer Skogen ◽  
Silje Mæland ◽  
Ståle Pallesen ◽  
Åsgeir Kjetland Rabben ◽  
...  

Whether lockdown related to the COVID-19 pandemic influences alcohol consumption is not well known. This study assesses alcohol consumption and hazardous drinking behavior during the initial phase of pandemic measures in Norway and identifies potential risk factors. A cross-sectional study (N = 25,708) was conducted in Bergen, Norway, following the first six weeks of strict infection control measures. In a model of self-assessed increased alcohol consumption, logistic regression analysis was conducted with independent variables for COVID-19-related worries, joblessness, quarantine, self-reported drinking behavior, age, gender, and occupational situation. These are reported with odds ratios (ORs) with 95% confidence intervals. Fifty-one percent of respondents reported economic or health-related worries due to COVID-19, 16% had been in quarantine, 49% worked/studied from home, 54% reported hazardous drinking behavior, and 13% reported increased alcohol consumption. People aged 30–39 years had elevated odds of increased alcohol consumption during lockdown (OR 3.1, 2.4−3.8) compared to the oldest adults. Increased drinking was more frequent among people reporting economic worries (OR 1.6, 1.4−1.8), those quarantined (OR 1.2, 1.1−1.4), and those studying or working at home (OR 1.4, 1.3−1.6). More than half of respondents reported hazardous drinking behavior. Increased alcohol consumption during lockdown was common among people with economic worries, people in quarantine, and people studying or working at home. These data could be important when adjusting pandemic measures.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guillaume Legrand ◽  
Catherine Boisgard ◽  
Bernard Canac ◽  
Zuzana Cardinaud ◽  
Michela Giugiario Gorla ◽  
...  

Abstract Background The onset of COVID-19 required rapid organisational changes in the mental health domain. Most mental health-care departments appear to have set up infection control measures and also organised planning, coordination and measures that enabled them to provide psychiatric care in a restrictive environment. Our objective was to assess the organisation by psychiatric facilities in France of their response to COVID-19, during the first wave. Methods In June 2020, a cross-sectional study was performed by an audit with 48 items which was proposed to 331 hospitals in metropolitan France with a capacity for full-time, that is, inpatient psychiatric hospitalisation of adults. Results Of the 331 establishments contacted, 94 (28.4%) agreed to respond to the survey questionnaire. Full-time inpatient hospitalisation was completely or partially maintained by 94.7% (n = 89) of facilities. Specific measures concerning respect for patients’ rights were reported by 58% (n = 55) of establishments. Overall, 74.5% (n = 70) had set up a dedicated channel of care for patients at risk of severe COVID-19, and 52.1% (n = 49) a system for routine screening at admission for these risk factors. Nearly half the establishments (48.9%, n = 46) reported they had set up specific training programmes for patients about barrier measures and social distancing. Conclusions French psychiatric establishments on the whole were able to provide a necessary reorganisation of their management of patients and their families, regardless of facility status. Patients’ rights nonetheless seem to have not received the attention they merited during the early pandemic period. Somatic management of patients with mental illness must absolutely be improved.


Author(s):  
Degena Bahrey Tadesse ◽  
Gebremeskel Tukue Gebrewahd ◽  
Gebre Teklemariam Demoz

Abstract Background: The Coronavirus Disease in 2019 (COVID-19) is not only the deadly outbreak disease but also it affects the mental status of the population including the nurses. Nurses play a vital role in dealing with COVID-19 victims. Nurse’s infection control measures is affected by their knowledge, attitude, practice (KAP), and psychological responses towards COVID-19. Therefore, this study was aimed to determine the knowledge, attitude, practice, and psychological response among nurses toward the COVID-19 outbreak in Northern Ethiopia. The hospital-based cross-sectional study design was employed. The data were collected from March to April 2020. Data was collected through a self-administered questionnaire.The data were entered into Epi-data manager version 4.2 and exported to SPSS 23 for analysis. Descriptive analysis was reported to describe the demographic, mean knowledge, attitude practice, and psychological response score of nurses.Results: A total of 415 nurses were participated in this study making that 100% response rate. Of the participants 241(58.1%) were female. From the 415 nurses 307(74%), 278(67%), 299(72%%), and 354(85.3%) were had good knowledge, good infection prevention practice, a favorable attitude, and disturbed psychological response towards COVID-19 respectively.


2020 ◽  
Vol 11 (6) ◽  
pp. 9-14
Author(s):  
Ravichandra Ravi ◽  
Srividya Athkuri ◽  
Charishma Chowdary Ponugubati ◽  
Roopesh Borugadda ◽  
Sahithi Pamidimukkala ◽  
...  

Background: The pandemic caused by novel coronavirus (SARS-CoV-2) in Wuhan, China, in December 2019 is a highly infectious disease. The World Health Organization (WHO) has declared the outbreak of Corona Virus Diseases (COVID 19) as a global public health emergency. Currently, research on novel coronaviruses is still in the primary stage. Aims and Objective: The aim of this study is to assess knowledge and awareness on the usage of mouth masks among dental fraternity during this pandemic COVID-19. Materials and Methods: A total of 507 dentists from the Andhra Pradesh (India) region completed a questionnaire-based survey on knowledge, awareness, and infection control measures, such as usage of mouth masks during the pandemic COVID -19. The questionnaire was tailored from the guidance and the information provided for healthcare workers issued by the US Centres for Disease Control and Prevention (CDC). A suitable sampling method was used for the collection of data, and the distribution of responses was presented as percentages. Explanatory statistics were performed for all groups based on the percentage of correct responses. Results: A total of 530 participated in the survey, out of which 507 dentists completely answered the survey, and the response rate was 95.6%. Among the respondents, general practitioners and postgraduates accounted for 58.8% and 41.2%, respectively. There was a statistically significant difference for all the questions solicited among the respondents. General or private practitioners seem to be more aware than postgraduates, as they have answered correctly (>65%) for almost all the questions. Conclusion: The inputs from the study help us to throw some light and fill up space where required. There is a specific and strong need to implement periodic educational programmes and training sessions on infection control practices for COVID-19 among dentists in particular.


2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Lilian Bulage ◽  
Juliet Sekandi ◽  
Omar Kigenyi ◽  
Ezekiel Mupere

Quality of care plays an important role in the status of tuberculosis (TB) control, by influencing timely diagnosis, treatment adherence, and treatment completion. In this study, we aimed at establishing the quality of TB service care in Kamuli district health care centres using Donabedian structure, process, and outcomes model of health care. A cross-sectional study was conducted in 8 health care facilities, among 20 health care workers and 392 patients. Data was obtained using face-to-face interviews, an observation guide, a check list, and record review of the TB unit and laboratory registers. Data entry and analysis were done using EPI INFO 2008 and STATA 10 versions, respectively. A high number 150 (87.21%) of TB patients were not aware of all the signs to stop TB medication, and 100 (25.51%) patients received laboratory results after a period of 3–5 working days. The major challenges faced by health workers were poor attitude of fellow health workers, patients defaulting treatment, and fear of being infected with TB. One of the worst performance indicators was low percentage of cure. Comprehensive strengthening of the health system focusing on quality of support supervisions, patient follow up, promoting infection control measures, and increasing health staffing levels at health facilities is crucial.


2021 ◽  
Author(s):  
Batoul Bakkar ◽  
Fatema Mohsen ◽  
Humam Armashi ◽  
Marah Marrawi ◽  
Nizar Aldaher

Abstract Introduction: COVID-19 has overwhelmed public healthcare systems worldwide, exacted substantial economic burden, and forced governments to impose partial or complete lockdowns of entire countries with stringent infection control measures to curb the spread of the virus. This study aimed to reflect the Syrian public’s adherence to infection control measures by assessing their attitude and practice during this outbreak embedded within the war in Syria.Methods: This web-based cross-sectional study was distributed randomly in March 2020, nearly 11 years into the Syrian war crisis. The survey consists of 3 sections: socio-demographic characteristics, attitude, and practice. Multivariable logistic regression analysis was performed to identify factors associated with good practice, and negative attitude. Data were analyzed using the Statistical Package for Social Sciences version 25.0.Results: Of the 3586 participants, 68.2% were females, 50.8% were unemployed, and 79.2% were college-educated. Only 1402(39.1%) participants were wearing face masks when leaving their homes. Multiple logistic regression analysis revealed that female gender, age, and residence were factors associated with good practice towards avoiding mass gatherings, wearing face masks, and maintaining a 1-meter interpersonal distance; however, age and occupation were factors associated with a negative attitude towards the closure of universities and schools, travel ban, and quarantine for travelers.Conclusion: This survey sheds light on the need for multiple measures to address targeted populations; there must be a specialized method of prevention for each occupation, age group, and place of residence to prevent the outbreak of COVID-19.


Author(s):  
Susane Giti ◽  
Md Monirul Hoque ◽  
Arif Ahmed Khan ◽  
Md Mehedhi Hasan Shourov

Introduction: The recent outbreak of COVID-19 is a serious global concern. The emergence of SARS-CoV-2 led to a current pandemic of unprecedented levels. Early detection of the infection and prompt isolation of the cases are fundamental for containment of such outbreak. By this time, healthcare systems are facing shortages of reagents for diagnosing this disease. In this context, sample pooling can be an effective strategy to overcome this situation. This study aimed to evaluate the effectiveness of sample pooling strategy for RT-PCR tests for diagnosing and screening of COVID- 19 in mass population. Methods: A cross-sectional study was performed at the COVID-19 laboratory of Armed Forces Institute of Pathology of Bangladesh to evaluate the efficacy of sample pooling technique for detecting SARS-CoV-2 infection. In this laboratory, nasopharyngeal and oropharyngeal swabs were taken for the RT-PCR test to diagnose COVID-19. For each patient, both nasopharyngeal and oropharyngeal samples were taken and then mixed to make a single sample. Pooling was performed from the samples collected from 1 April 2020 to 30 April 2020. Total 350 samples were distributed randomly in 70 pools, so that each pool contains 5 samples. Positive pools were deconvulated and each sample was tested separately. Screening was performed by using RT-PCR targeting the ORF-1ab Region and N-gene. Results: Out of 70 pools 16 (22.85%) were found positive. Eighty samples of these 16 pools were tested individually and 21 (21/80, 26.25%) samples were found positive. All the positive pools were reproducible with testing of the individual samples of that pool (100%). Conclusion: Strategies of using pooled samples for screening may facilitate detection of early community transmission of SARS-CoV-2 and enable timely implementation of appropriate infection control measures to reduce spread. J Bangladesh Coll Phys Surg 2020; 38(0): 16-20


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