Importancia del uso adecuado del equipo de protección individual y la implementación de protocolos de seguridad perioperatorios durante la pandemia de COVID-19

2020 ◽  
Vol 63 (4) ◽  
pp. 49-59 ◽  
Author(s):  
Noé Pérez Carrillo ◽  
Carlos Emiliano García Córdova ◽  
Ana Paula Ruiz Funes Molina ◽  
Alberto Manuel Ángeles Castellanos ◽  
Mayra Estrada Serrano ◽  
...  
Keyword(s):  
Decision Making ◽  
Key Words ◽  
Operating Room ◽  
Personal Protective Equipment ◽  
Health Personnel ◽  
Surgical Patients ◽  
Protective Equipment ◽  
Use Of Resources

The current landscape represents an unprecedented challenge in managing surgical patients, decision-making and the use of resources such as protective equipment in the context of the COVID-19 pandemic. Therefore, the objective of this article is to provide guidelines for good conduct in the operating room, the use of personal protective equipment, suggestions for surgeries and the best approach in the context of this situation. The main objective of these recommendations is to mitigate the risk of contagion and to educate medical-surgical health personnel in how to deal with this pandemic. Key words: COVID-19; coronavirus: protective equipment; surgery; operating room; training; emergency

scholarly journals Estratégias protetivas, administrativas e ambientais para a saúde dos trabalhadores durante a pandemia / Protective, administrative and environmental strategies for workers' health during the pandemic

2020 ◽  
Vol 10 (4) ◽  
Author(s):  
Isabel Cristina De Morais Gomes ◽  
Magda Guimarães de Araujo Faria ◽  
Fernando Augusto Dias e Sanches ◽  
Delson Silva
Keyword(s):  
Decision Making ◽  
Risk Management ◽  
Personal Protective Equipment ◽  
Health Personnel ◽  
Protective Equipment ◽  
Environmental Strategies

Objetivo: identificar publicações com indicativos de enfrentamento que enfatizem as estratégias protetivas, administrativas e ambientais descritas na literatura científica utilizadas para a prevenção e controle da infecção pelo novo coronavírus, em trabalhadores da saúde. Método: revisão integrativa de literatura realizada em junho de 2020 em sete bases de dados da área da saúde. Utilizou-se como descritores: “Health Personnel”, “Covid-19”, “Decision Making, Organizational”, “Containment of Biohazards”, “Personal Protective Equipment” “Risk Management”. Resultados: amostra de 13 artigos, os quais observou-se a todas estratégias preconizadas pela Organização Mundial de Saúde no enfrentamento às doenças de contexto pandêmico. Conclusões: a associação de estratégias não foi recorrente. A gravidade situação se desdobrou como terreno fértil para a construção de experiências inovadoras e colaborativas.

Recomendações de equipamentos de proteção individual no combate ao COVID-19

2020 ◽  
Vol 10 (31) ◽  
pp. 87-95
Author(s):  
Nicole Maria Miyamoto Bettini ◽  
Fabiana Tomé Ramos ◽  
Priscila Masquetto Vieira de Almeida
Keyword(s):  
World Health Organization ◽  
Personal Protective Equipment ◽  
Health Professionals ◽  
Health Personnel ◽  
Healthcare Professionals ◽  
World Health ◽  
Protective Equipment ◽  
Effective Strategy ◽  
The World ◽  
Health Organization

A Organização Mundial da Saúde - OMS confirmou a circulação internacional do novo Coronavírus em janeiro de 2020, nomeando-o como COVID-19 e, declarando uma pandemia. É de extrema importância que durante a pandemia, os profissionais de saúde tenham acesso e conhecimento sobre o uso correto dos Equipamentos de Proteção Individual (EPIs) e suas indicações, tomando assim, as devidas precauções na prevenção de infecções. O presente estudo buscou identificar a padronização mundial quanto ao uso dos EPIs utilizados no atendimento a pacientes suspeitos e/ou confirmados de COVID-19 no Brasil, EUA, China, Espanha, Itália e demais países europeus. Os guidelines apresentam a padronização quanto ao uso dos EPIs utilizados no atendimento a suspeitos e/ou confirmados de COVID-19, indo ao encontro das recomendações fornecidas pela OMS. Até o momento, o uso de EPIs é sem dúvida a estratégia mais importante e eficaz para proteger os profissionais de saúde durante a assistência ao paciente com COVID-19.Descritores: Infecções por Coronavírus, Equipamento de Proteção Individual, Pessoal de Saúde, Enfermagem. Recommendations for personal protective equipment to combat COVID-19Abstract: The World Health Organization - WHO confirmed the international circulation of the new Coronavirus in January 2020, naming it as COVID-19 and declaring a pandemic. It is extremely important that during the pandemic, health professionals have access and knowledge about the correct use of Personal Protective Equipment (PPE) and its indications, thus taking appropriate precautions to prevent infections. The present study sought to identify the worldwide standardization regarding the use of PPE utilized to take care of suspected and confirmed patients with COVID-19 in Brazil, USA, China, Spain, Italy and other European countries. The guidelines present a standardization regarding the use of PPE utilized to take care of suspected and confirmed with COVID-19, in line with the recommendations provided by WHO. To date, the use of PPE is undoubtedly the most important and effective strategy to protect healthcare professionals during care for patients with COVID-19.Descriptors: Coronavirus Infections, Personal Protective Equipment, Health Personnel, Nursing. Recomendaciones para el equipo de protección personal para combatir COVID-19Resumen: La Organización Mundial de la Salud - La OMS confirmó la circulación internacional del nuevo Coronavirus en enero de 2020, nombrándolo COVID-19 y declarando una pandemia. Es extremadamente importante que durante la pandemia, los profesionales de la salud tengan acceso y conocimiento sobre el uso correcto del Equipo de Protección Personal (EPP) y sus indicaciones, tomando así las precauciones adecuadas para prevenir infecciones. El presente estudio buscó identificar la estandarización mundial con respecto al uso de EPP utilizado para atender a pacientes sospechosos y/o confirmados con COVID-19 en Brasil, Estados Unidos, China, España, Italia y otros países europeos. Las pautas presentan la estandarización con respecto al uso de EPP utilizado para cuidar COVID-19 sospechoso y/o confirmado, de acuerdo con las recomendaciones proporcionadas por la OMS. Hasta la fecha, el uso de EPP es, sin duda, la estrategia más importante y efectiva para proteger a los profesionales de la salud durante la atención de pacientes con COVID-19.Descriptores: Infecciones por Coronavirus, Equipo de Protección Personal, Personal de Salud, Enfermería.

scholarly journals Use of Personal Protective Equipment and Operating Room Behaviors in Four Surgical Subspecialties: Personal Protective Equipment and Behaviors in Surgery

1999 ◽  
Vol 20 (02) ◽  
pp. 110-114 ◽  
Author(s):  
Deniz Akduman ◽  
Lynn E. Kim ◽  
Rodney L. Parks ◽  
Paul B. L'Ecuyer ◽  
Sunita Mutha ◽  
...  
Keyword(s):  
Operating Room ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Hand Surgery ◽  
Occupational Exposures ◽  
Protective Equipment ◽  
Care Hospital ◽  
Exposure Rate ◽  
Total Exposure

AbstractObjective:To evaluate Universal Precautions (UP) compliance in the operating room (OR).Design:Prospective observational cohort. Trained observers recorded information about (1) personal protective equipment used by OR staff; (2) eyewear, glove, or gown breaks; (3) the nature of sharps transfers; (4) risk-taking behaviors of the OR staff; and (5) needlestick injuries and other blood and body-fluid exposures.Setting:Barnes-Jewish Hospital, a 1,000-bed, tertiary-care hospital affiliated with Washington University School of Medicine, St Louis, Missouri.Participants:OR personnel in four surgical specialties (gynecologic, orthopedic, cardiothoracic, and general). Procedures eligible for the study were selected randomly. Hand surgery and procedures requiring no or a very small incision (eg, arthroscopy, laparoscopy) were excluded.Results:A total of 597 healthcare workers' procedures were observed in 76 surgical cases (200 hours). Of the 597 healthcare workers, 32% wore regular glasses, and 24% used no eye protection. Scrub nurses and medical students were more likely than other healthcare workers to wear goggles. Only 28% of healthcare workers double gloved, with orthopedic surgery personnel being the most compliant. Sharps passages were not announced in 91% of the surgical procedures. In 65 cases (86%), sharps were adjusted manually. Three percutaneous and 14 cutaneous exposures occurred, for a total exposure rate of 22%.Conclusion:OR personnel had poor compliance with UP. Although there was significant variation in use of personal protective equipment between groups, the total exposure rate was high (22%), indicating the need for further training and reinforcement of UP to reduce occupational exposures.

Changes in the organ of vision in children and adults with confirmed COVID-19 and anti-epidemic measures

2021 ◽  
pp. 44-53
Author(s):  
V.V. Brzheskiy ◽  
◽  
O.A. Konikova ◽  
N.N. Sadovnikova ◽  
E.L. Efimova ◽  
...  
Keyword(s):  
Side Effects ◽  
Key Words ◽  
Dry Eye ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Symptomatic Therapy ◽  
Medical Work ◽  
Medical Department ◽  
Ocular Manifestations ◽  
Acute Conjunctivitis

The COVID-19 pandemic revealed several aspects of the problems directly related to the Ophthalmologists: damage to the eyes of patients with the SARS-CoV-2 virus; organization of medical work in a pandemic, including in a medical department redesigned to treat patients infected with SARS-CoV-2; side effects of personal protective equipment usage and anti-epidemic measures aimed to protect the organ of vision. Ocular manifestations were noted in 15–23% of children and 4–31% of adults with COVID-19. They were usually limited to acute conjunctivitis with «clear» discharge, hyperemia, edema and folliculosis of the conjunctiva, which reduced in 7–14 days without any treatment or on symptomatic therapy. The presence of SARS-CoV-2 in the tear and epithelium of the conjunctiva does not always correlated with the presence and severity of conjunctivitis and therefore had no clinical significance. There were also other problems associated with anti-epidemic measures (dry eye syndrome when wearing personal protective equipment, computer visual syndrome, etc.), which also requires attention of Ophthalmologists. Key words: COVID-19, SARS-CoV-2, ocular manifestations in children and adults.

scholarly journals Protocols and safety measurements used in intubation of COVID-19 patients

2022 ◽  
Author(s):  
Ahmed Fouad Bogari ◽  
Nada Mohmmad Alharbi ◽  
Mohammed Abdulrahman Alaqlan ◽  
Turki Salem Aljaza ◽  
Ali Ibrahim Alibrahim ◽  
...  
Keyword(s):  
Literature Review ◽  
Infection Control ◽  
Operating Room ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Protective Equipment ◽  
Critical Approach ◽  
Research Papers ◽  
Anesthesia Equipment ◽  
Proper Disposal

The COVID-19 pandemic has forced many countries to pose an emergency to contain the contamination and prevent the further spread of the infection. In this context, many societies and research papers were published to optimize guidelines and protocols for patients undergoing surgery and subsequent intubation. Accordingly, infection control is a critical approach to reduce the rate of contamination and risk of catching infections for suspected and confirmed COVID-19 patients. As a result, various guidelines were discussed in the current literature review, including guidelines to the patient, healthcare workers, operating room, anesthesia equipment, and patient transportation. For instance, healthcare workers can protect themselves from catching infections by wearing personal protective equipment and conducting adequate disinfection measures following each operation, in addition to the proper disposal of the contaminated objects. Strictly following these protocols should be done to reduce the risk of contamination in the operating room and enhance the outcomes of the patients and healthcare workers.

scholarly journals EVALUATION OF THE INFECTION AWARENESS OF DENTISTS DURING COVID-19 PANDEMIC

2021 ◽  
Author(s):  
SANAZ SADRY ◽  
Zeynep Sapan
Keyword(s):  
Infection Control ◽  
Key Words ◽  
Working Conditions ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Years Of Experience ◽  
Test Results ◽  
Chi Square ◽  
Chi Square Test ◽  
Survey Results

Background: The present study aims to investigate the state of sterilization, disinfection and infection control of dentists during the COVID-19 pandemic. Methods: The study involved 310 dentists, who were asked to fill in a 19-question, multiple-choice survey on sterilization, disinfection and infection control. The survey results were evaluated statistically using chi-square test. Results: An investigation of the changes in working conditions and occupational experience during the pandemic period showed that 86.7% of the physicians who quit are the ones with occupational experience of 0 to 6 years. 89.3% of the physicians who answered “No idea” to the question about sterilization methods consist of physicians with over 20 years of experience, while 7.1% of them are physicians with 6-10 years of experience. Conclusion: Dentistry is the highest risk profession in the COVID-19 pandemic. And dentists need to reduce this risk by utilizing personal protective equipment and adopting the most appropriate disinfection and sterilization measures. Key Words: Disinfection, dentistry, sterilization.

scholarly journals Forecast predictions for the COVID-19 pandemic in Brazil by statistical modeling using the Weibull distribution for daily new cases and deaths

2020 ◽  
Author(s):  
Vitor Hugo Moreau
Keyword(s):  
Decision Making ◽  
Weibull Distribution ◽  
Statistical Modeling ◽  
Personal Protective Equipment ◽  
Educational Level ◽  
Protective Equipment ◽  
Preventive Strategies ◽  
Health Authorities ◽  
Total Death ◽  
The Mean

Abstract COVID-19 has killed more than 330.000 people worldwide and more than 21,000 Brazilians. Since there are no specific drugs or vaccines, the available tools against COVID-19 are preventive, such as the use of personal protective equipment, social distancing, lockdowns and mass testing. Such measures are hindered in Brazil due to a restrict budget, low educational level of the population and misleading attitudes from the federal authorities. Predictions for COVID-19 are of pivotal importance to subsidize and mobilize health authorities’ efforts in applying the necessary preventive strategies. The Weibull distribution was used to model the forecast prediction of COVID-19, in four scenarios, based on the curve of daily new deaths as a function of time. The date in which the number of daily new deaths will fall below the rate of 3 deaths per million, the mean level considered by some countries to relax stay-at-home measures, was estimated. If the daily new deaths curve was bended today (i. e. about 1,250 deaths per day), the predicted date would be on June 18th. Analysis of the lethality rate allowed the estimation of daily new cases and total death toll at the end of the outbreak. Our results suggest that each additional day that lasts to bend the daily new deaths curve can correspond to additional 3,718 deaths at the end of COVID-19 outbreak in Brazil (R2 = 0.9938). Predictions of the outbreak can be used to guide Brazilian health authorities in the decision making to properly fight COVID-19 pandemic.

An assessment of radiation use, knowledge and concerns in trainee cardiologists in Ireland

2021 ◽  
pp. 20201348
Author(s):  
Lisa Brandon ◽  
David Keane
Keyword(s):  
Decision Making ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
X Ray ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
The Republic ◽  
Radiation Use ◽  
Cardiac Society ◽  
Correct Size

Objective To evaluate knowledge, routine use and concerns of trainee cardiologists in the Republic of Ireland regarding radiation use in the cardiac catheterization laboratory. Methods We handed out a Radiation Questionnaire to cardiology trainees in February 2020 at the Irish Cardiac Society “Spring Meeting”. The questionnaire assessed radiation protection use amongst trainees and tested knowledge of X-ray basics. Results Many trainees report inadequate access to properly sized lead protection, and infrequent dosimeter usage. Over one-third of trainees report musculoskeletal issues from wearing leads, the majority of whom use correct size lead <60% of the time. 33.3% report radiation concerns will affect their decision making regarding subspeciality training, but notably 83.3% of females and only 19% of males surveyed report this, showing this is a bigger issue for females in cardiology. Less than half of trainees feel adequately educated about radiation. Conclusion Our assessment show deficiencies in the provision and use of personal protective equipment to trainees, highlights extra radiation concerns of female cardiology trainees, and notes gaps in knowledge in radiation use. Advances in knowledge Our assessment highlights deficiencies in the education of cardiology trainees regarding ionizing radiation, and suggests this area needs to be improved upon.

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