Pediatrician’s dilemmas in the era of a pandemic

2020 ◽  
Vol 13 (3) ◽  
pp. 344-349
Author(s):  
Adam J. Sybilski
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Respiratory Diseases ◽  
Respiratory Infections ◽  
Winter Season ◽  
Current Season ◽  
Family Doctors ◽  
Care Workers ◽  
Precise Diagnosis ◽  
Autumn And Winter

The COVID-19 pandemic, announced in March 2020, forced health care workers, especially family doctors and pediatricians, to act in a special way and to increase their diagnostic vigilance. In the upcoming autumn and winter season, with an increased incidence of respiratory infections, including influenza, precise diagnosis and then effective therapy will be crucial. We can face many diagnostic and therapeutic dilemmas. In the presented article, the author tries to present possible typical scenarios of respiratory diseases in children. Five cases of children were described: with common cold, flu, acute laryngitis, obstructive bronchitis, exacerbation of bronchial asthma. Additionally, a patient with COVID-19 was discussed, which in the current season may additionally complicate the correct procedure. The differential diagnosis of these diseases is presented, followed by the basic therapeutic directions, with particular emphasis on inhalation treatment.

Factors affecting influenza vaccine uptake among health care workers in the Medical and Health Sciences Center of Debrecen University, Hungary

2012 ◽  
Vol 153 (13) ◽  
pp. 505-513 ◽  
Author(s):  
Piroska Orosi ◽  
Ágnes Borbély ◽  
Judit Szidor ◽  
János Sándor
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Vaccination Rate ◽  
Internal Communication ◽  
Health Science ◽  
Vaccine Uptake ◽  
Science Center ◽  
Family Doctors ◽  
Care Workers

Influenza vaccination is the most effective way of influenza prevention. The vaccination rate is low worldwide. In Hungary, the vaccine is free of charge to health care workers and, therefore, the low vaccination rate is unaccountable. Aims: In this study, the authors wanted to explore those factors which influence the refusal of vaccination. Methods: The Health Science Center of Debrecen University has about 4000 employees. The authors adjusted a questionnaire with 45 questions and sent it to 525 randomly selected health care workers, 294 of whom responded (response rate, 56%). The Epiinfo software was used for statistical evaluation. Results: The respondents strongly agreed that the vaccine is free and easy to obtain at the workplace. Official recommendations of the occupational health, the Medical Association of Hungary and advice of the family doctors failed to influence the decision. However, a significant impact of communication with family members, friends and colleagues on the decision was documented. Conclusions: The results indicate that the most important tool in decision making of influenza vaccination is the internal communication, but this effect is not a permanent one. International data show highly variable vaccination rates (between 2.1% and 82%). A better vaccination rate (98% or above) may be achieved with a mandatory influenza vaccination program among health care workers. Orv. Hetil., 2012, 153, 505–513.

scholarly journals FluMob: Enabling Surveillance of Acute Respiratory Infections in Health-care Workers via Mobile Phones

2017 ◽  
Vol 5 ◽  
Author(s):  
May Oo Lwin ◽  
Chee Fu Yung ◽  
Peiling Yap ◽  
Karthikayen Jayasundar ◽  
Anita Sheldenkar ◽  
...  
Keyword(s):  
Health Care ◽  
Mobile Phones ◽  
Health Care Workers ◽  
Respiratory Infections ◽  
Acute Respiratory Infections ◽  
Care Workers

scholarly journals High risk procedures and respiratory infections in hospital health care workers – quantifying the risk

2012 ◽  
Vol 16 ◽  
pp. e379 ◽  
Author(s):  
R. MacIntyre ◽  
D. Dwyer ◽  
H. Seale ◽  
W. Quanyi ◽  
Z. Yi ◽  
...  
Keyword(s):  
Health Care ◽  
High Risk ◽  
Health Care Workers ◽  
Respiratory Infections ◽  
Care Workers

Occupational pathology of respiratory organs in health care workers: issues of timely diagnosis

2020 ◽  
pp. 89-92
Author(s):  
R. V. Garipova ◽  
Z. M. Berkheeva
Keyword(s):  
Health Care ◽  
Early Diagnosis ◽  
Health Care Workers ◽  
Occupational Diseases ◽  
Respiratory Diseases ◽  
Care Workers ◽  
Respiratory Pathology ◽  
Analysis Of Cases ◽  
The Republic ◽  
Medical Examinations

Introduction. In the structure of occupational diseases of medical workers, respiratory pathology occupies a leading place, accounting for 60% in the Republic of Tatarstan. The most common are diseases from exposure to infectious agents in the form of various forms of respiratory tuberculosis. Most often, an infiltrative form is diagnosed, accompanied in 48.6% of cases by bacilli discharge.The aim of the study is to explore the structure of occupational respiratory diseases in workers of the healthcare industry of the Republic of Tatarstan, to identify factors that affect their early diagnosis during medical examinations.Materials and methods. A retrospective analysis of cases of occupational respiratory diseases in health care workers according to the office of Rospotrebnadzor of the Republic of Tatarstan and the register of patients of the Republican Center of Occupational Pathology.Results. In the structure of occupational diseases of the respiratory system, the leading place is occupied by pulmonary tuberculosis, amounting to 86%, followed by bronchial asthma–8%, chronic toxic bronchitis–4% and subatrophic rhinopharyngolaryngitis–2%. Analysis of cases of occupational respiratory pathology showed that only tuberculosis was detected during periodic medical examinations. Other respiratory diseases were diagnosed by applying for medical care, when there was a pronounced negative trend and when the disease was initially associated with the profession, we had to talk about sending it to the Bureau of medical and social expertise.Conclusions. Early diagnosis of occupational respiratory diseases of allergic etiology and toxic respiratory lesions in medical workers at periodic medical examinations can be achieved by the quality of a special assessment of working conditions due to the mandatory assessment of the chemical factor-contact with allergens, antitumor drugs, hormones, enzymes of microbial origin, narcotic analgesics, regardless of the concentration of harmful substances in the air of the working area. It is also necessary to take into account the presence of substances with an acute irritant effect.

scholarly journals Winter Season, Frequent Hand Washing, and Irritant Patch Test Reactions to Detergents Are Associated With Hand Dermatitis in Health Care Workers

Dermatitis ◽  
2013 ◽  
Vol 24 (4) ◽  
pp. 170-175 ◽  
Author(s):  
Adrienne Callahan ◽  
Elma Baron ◽  
Desta Fekedulegn ◽  
Michael Kashon ◽  
Berran Yucesoy ◽  
...  
Keyword(s):  
Health Care ◽  
Patch Test ◽  
Health Care Workers ◽  
Winter Season ◽  
Hand Washing ◽  
Hand Dermatitis ◽  
Care Workers ◽  
Test Reactions

Healthcare worker screening for nosocomial pathogens

2016 ◽  
Author(s):  
Paul Van Buynder ◽  
Elizabeth Brodkin
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Health Care Workers ◽  
Respiratory Diseases ◽  
Health Care Organizations ◽  
Control Programme ◽  
Care Workers ◽  
Tuberculosis Infection Control ◽  
Safety Strategy ◽  
Infection Control Programme

Health care organizations and their staff have a responsibility to prevent occupationally-acquired infections and avoid transmitting disease to patients. As well as being a known source of nosocomial infections, health care workers (HCWs) are at risk themselves of becoming infected in the workplace. Regulatory authorities in many countries advise or mandate screening for key blood-borne pathogens (BBPs) in settings where transmission between patients and staff is possible. Staff infected with a BBP are restricted from performing certain procedures. In addition to screening for BBP, health care organizations require a tuberculosis infection control programme. Routine screening of health care workers for other organisms such as MRSA is usually not indicated. Health care organizations should have robust policies to immunize health care workers against Hepatitis B and respiratory diseases. Many organizations now make immunization against key respiratory diseases a pre-requisite for employment as a key infection control patient safety strategy.

scholarly journals Prevalence of allergic respiratory diseases in Covid 19 positive health care workers at Hyderabad

2021 ◽  
Vol 39 ◽  
pp. S56
Author(s):  
P. Chandra Lekha ◽  
V. Sudha Rani ◽  
G. Jyothi Lakshmi ◽  
P. Shashikala Reddy
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Respiratory Diseases ◽  
Positive Health ◽  
Care Workers

scholarly journals Shift Work and Respiratory Infections in Health-Care Workers

2018 ◽  
Vol 188 (3) ◽  
pp. 509-517 ◽  
Author(s):  
Bette Loef ◽  
Debbie van Baarle ◽  
Allard J van der Beek ◽  
Elisabeth A M Sanders ◽  
Patricia Bruijning-Verhagen ◽  
...  
Keyword(s):  
Health Care ◽  
Shift Work ◽  
Health Care Workers ◽  
Respiratory Infections ◽  
Care Workers

scholarly journals Incidence of Reported Flu-Like Syndrome Cases in Brazilian Health Care Workers in 2020 (March to June)

2021 ◽  
Vol 18 (11) ◽  
pp. 5952
Author(s):  
Ada Ávila Assunção ◽  
Emanuella Gomes Maia ◽  
Renata Jardim ◽  
Tânia Maria de Araújo
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Respiratory Infections ◽  
Incidence Rates ◽  
Suspected Case ◽  
Care Workers ◽  
Increased Risk ◽  
Viral Respiratory Infections ◽  
Epidemiological Characteristics ◽  
General Community

Health care workers (HCWs) are at an increased risk of being exposed to COVID-19. This study aimed to characterize flu-like syndrome cases (FS) in HCWs notified in Brazil and compare them with FS cases in the general community (GC). In the Brazilian protocol, FS corresponds to a suspected case of COVID-19. The manuscript analyzed cases of FS in five Brazilian states, estimating the incidence rates of cases of FS and clinical and epidemiological characteristics. Registered cases (March to June 2020) totaled about 1,100,000 cases of FS. HCWs represented 17% of the registers, whose incidence was 20.41/100 vs. 2.15/100 in the GC. FS cases in HCWs concentrated the highest percentages in the age group of 30 to 49 years (65.15%) and among the nursing staff (46.86%). This study was the first interstate evaluation in Brazil to estimate suspected cases of FS by COVID-19 in HCWs. In order to control the spread of viral respiratory infections in HCWs, including COVID-19, it is necessary to review the management of health information to identify who they are, how many they are, and to what situations these workers are most frequently exposed, as well as in what professions they have. This information can guide specific, practical, and far-reaching actions.

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