scholarly journals Contagion Management at the Méditerranée Infection University Hospital Institute

2021 ◽  
Vol 10 (12) ◽  
pp. 2627
Author(s):  
Pierre-Edouard Fournier ◽  
Sophie Edouard ◽  
Nathalie Wurtz ◽  
Justine Raclot ◽  
Marion Bechet ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Early Diagnosis ◽  
Personal Protective Equipment ◽  
Early Stage ◽  
Point Of Care ◽  
University Hospital ◽  
Protective Equipment ◽  
Monitoring Point ◽  
Epidemiological Monitoring ◽  
Wide Range

The Méditerranée Infection University Hospital Institute (IHU) is located in a recent building, which includes experts on a wide range of infectious disease. The IHU strategy is to develop innovative tools, including epidemiological monitoring, point-of-care laboratories, and the ability to mass screen the population. In this study, we review the strategy and guidelines proposed by the IHU and its application to the COVID-19 pandemic and summarise the various challenges it raises. Early diagnosis enables contagious patients to be isolated and treatment to be initiated at an early stage to reduce the microbial load and contagiousness. In the context of the COVID-19 pandemic, we had to deal with a shortage of personal protective equipment and reagents and a massive influx of patients. Between 27 January 2020 and 5 January 2021, 434,925 nasopharyngeal samples were tested for the presence of SARS-CoV-2. Of them, 12,055 patients with COVID-19 were followed up in our out-patient clinic, and 1888 patients were hospitalised in the Institute. By constantly adapting our strategy to the ongoing situation, the IHU has succeeded in expanding and upgrading its equipment and improving circuits and flows to better manage infected patients.

scholarly journals Adherence to personal protective equipment use among healthcare workers caring for confirmed COVID-19 and alleged non-COVID-19 patients

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Meike M. Neuwirth ◽  
Frauke Mattner ◽  
Robin Otchwemah
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
University Hospital ◽  
Protective Equipment ◽  
Care Workers

AbstractAdherence observations of health care workers (HCW) revealed deficiencies in the use of recommended personal protective equipment (PPE) among HCW caring in COVID-19 and non-COVID-19 wards during the first period of the SARS-CoV-2 pandemic in a university hospital in Germany. The adherence to wearing surgical face or FFP2-masks and disinfecting hands prior to donning and after doffing the PPE was significantly higher in COVID-19 wards However, there was no total adherence of 100% in COVID-19 wards.

scholarly journals 478. Psychological Distress among Infectious Disease Physicians during the Response to the COVID-19 Outbreak in the Republic of Korea

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S305-S305
Author(s):  
Se Yoon Park ◽  
Bongyoung Kim ◽  
Dong Sik Jung ◽  
Sook In Jung ◽  
Won Sup Oh ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Psychological Distress ◽  
Infection Control ◽  
Personal Protective Equipment ◽  
Text Message ◽  
Disease Outbreaks ◽  
Maslach Burnout Inventory ◽  
Republic Of Korea ◽  
Protective Equipment ◽  
The Republic

Abstract Background This study aimed to investigate psychological distress among infectious disease (ID) physicians during the coronavirus disease (COVID-19) outbreak in the Republic of Korea. Methods Using an online-based survey link sent via text message and email, we conducted a survey from April 21 to 25, 2020, targeting all ID physicians currently working in ID (n = 265). The questionnaire was based on the Maslach Burnout Inventory-Human Services Survey and the Depression, Anxiety, and Stress Scales, and information was collected on factors protecting against psychological distress and difficulties in relation to COVID-19. Results Of 265 ID physicians, 115 (43.3%) responded, showing burnout (97, 90.4%), depression (20, 17.4%), anxiety (23, 20.0%), and stress (5, 4.3%). There were no differences in terms of distress between ID physicians who were directly involved in the care of patients with COVID-19 or not (Table 1). Greater than 50% of physicians valued their work and felt recognized by others, whereas < 10% indicated that sufficient human and financial support and private time had been provided during the outbreak. The most challenging issues concerned a lack of human resources for COVID-19 treatment or infection control, a shortage of personal protective equipment or airborne infection isolation rooms, pressure for research, and lack of guidelines for COVID-19 management (Figure 1). Table 1. Figure 1. Difficulties in response to the COVID-19 outbreak. Abbreviations: COVID-19, coronavirus disease 19; HCWs, healthcare workers; ICPs, infection control practitioners; IRB, Institutional Review Board; PPE, personal protective equipment Conclusion During the COVID-19 outbreak in the ROK, most respondents reported psychological distress. Preparing strategies for infectious disease outbreaks that support ID physicians is essential. Disclosures All Authors: No reported disclosures

The challenge of infection control in patients' homes

2021 ◽  
Vol 26 (4) ◽  
pp. 168-174
Author(s):  
Drew Payne ◽  
Martin Peache
Keyword(s):  
Infectious Disease ◽  
Disease Management ◽  
Hand Hygiene ◽  
Infection Control ◽  
Personal Protective Equipment ◽  
Clinical Care ◽  
Cross Infection ◽  
Protective Equipment ◽  
Unique Challenge ◽  
Clinical Equipment

Infection control is the responsibility of all nurses, but, traditionally, it has been seen as a priority only in hospitals. Infection control does not stop when a patient is discharged home, but should be practiced wherever clinical care takes place. Community nurses face a unique challenge as they work in patients' homes, and they must manage infection control in that unique environment. This article looks at practical ways to maintain infection control in patients' homes. It covers hand hygiene and personal protective equipment (PPE), including the five moments of hand hygiene, appropriate hand hygiene, the use of all PPE and when gloves are required and when they are not. It also discusses managing clinical equipment, both that taken into the home and that left with a patient, including decontamination, safe storage of sharps and waste management. It touches upon what can be done in a patient's home to reduce the risk of contamination, as well as infectious disease management, including specimens and wound infection management. Lastly, it talks about cross-infection and why staff health is also important.

scholarly journals Infection Control Practices among Laboratory Healthcare Workers in an Urban Local Government Area of Lagos State, Nigeria

2021 ◽  
Vol 4 (2) ◽  
pp. 86-96
Author(s):  
Omobola Ojo ◽  
Adeyinka Adeniran ◽  
Olayinka Goodman ◽  
Bisola Adebayo ◽  
Esther Oluwole ◽  
...  
Keyword(s):  
Local Government ◽  
Infection Control ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Local Government Area ◽  
Good Knowledge ◽  
Protective Equipment ◽  
Major Barrier ◽  
Limited Availability ◽  
Wide Range

Background: Laboratory healthcare workers do handle a wide range of potentially dangerous materials which exposes them to numerous hazards. This study aimed to assess the practices of laboratory health care workers towards safety, infection control and the associated factors to its practices. Case Presentation: A cross-sectional study was conducted among 181 laboratory healthcare workers in all registered 33 laboratory facilities in Ikeja Local Government Area in 2017. Data were collected with pre-tested, structured self-administered questionnaires. Data analysed with SPSS version 20 and p-value of < 0.05. The mean age of respondents was 35.0 ± 2.45 years, most of whom were females (57.7%) and married (61.1%). The majority (98.9%) demonstrated good knowledge of infection control. A total of 62.3% identified hand washing as the most important infection control practice while HIV and Tuberculosis were diseases respondents majorly considered as high risk of contracting. A total of 84.6% of the respondents showed good practices. Limited availability of personal protective equipment in the laboratories was a major barrier identified by 98.1% of respondents. Respondents displayed good knowledge, attitude and practice of infection control. Discussion and Conclusion: Barrier to infection control was the limited availability of personal protective equipment. Therefore, concerted efforts should be mustered to ensure continuous training and retraining with the provision of personal protective equipment.        

scholarly journals 950 A Close Loop Audit to Assess Awareness Among Non-Consultant Hospital Doctors Re Use of Personal Protective Equipment

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Amin ◽  
M Fahad Ullah ◽  
E Hannon ◽  
G Feaney ◽  
J Khan
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
University Hospital ◽  
Protective Equipment ◽  
Age Group ◽  
Educational Session ◽  
Hospital Doctors ◽  
Limited Supply ◽  
Two Phases ◽  
Effective Use

Abstract Introduction Personal protective equipments (PPEs) are like war uniforms in the fight against Corona Pandemic. The limited supply of PPEs warrant their proper use not only to avoid shortage of supplies but also to prevent any infectious spread to healthcare workers. This study aimed at analyzing awareness among non-consultant hospital doctors re proper use of PPEs Method A questionnaire was devised using local available guidelines published by university Hospital Limerick. The study was done in 2 phases. In 1st phase 100 questionnaires were distributed to non-consultant hospital doctors(NCHDs). Results were analysed and after 1st phase and emails were sent with results and local guidelines and a zoom educational session was organized. In 2nd phase, questionnaire was redistributed in a week's time and results were re analysed to close the loop. Results 200 NCHDs participated in the study,100 in each phase. Most common age group in two phases was 21-30 yrs. Awareness about PPEs use for Covid 19 increased significantly in 2nd phase across all domains (what is included in PPEs (100% from 91%), Sequence for putting on PPEs (52% to 88% p &lt; 0.05), steps for FIT test (57% to 74% p = 0.247) and sequence for removing PPEs (47% to 81% p &lt; 0.05). Conclusions Though PPEs donning and doffing sessions were organized by the hospital officially, Awareness about effective use of PPEs among NCHDs further improved after organizing a Zoom educational session and auditing.

scholarly journals Which Personal Protective Equipment Should I Use while Caring for Children Attending the ED? Paediatric Emergency Procedures in the COVID-19 Era and Beyond

2021 ◽  
Author(s):  
Simon Craig ◽  
Julia Clark ◽  
Mike Starr ◽  
Joanne Grindlay ◽  
Andrew Tagg ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Infectious Diseases ◽  
Personal Protective Equipment ◽  
Respiratory Illness ◽  
Transmission Risk ◽  
Protective Equipment ◽  
Emergency Physicians ◽  
Emergency Procedures ◽  
Community Transmission ◽  
Infectious Disease Specialists

Abstract ObjectivesTo determine recommendations for the use of personal protective equipment (PPE) based on transmission risk for paediatric procedures in the Emergency Department during the COVID-19 pandemic. MethodsTwo survey rounds were conducted in April-May 2020. The survey presented a number of emergency medicine procedures relevant to the care of children, and asked respondents to provide PPE recommendations according to levels of community transmission, and whether or not the child had symptoms of acute respiratory illness. ResultsParticipants were recruited by approaching relevant professional groups, with 15 from the PREDICT network and 12 from the Australasian Society of Infectious Diseases (ASID) Paediatric Infectious Diseases (ANZPID) Group. Airborne PPE is recommended for resuscitative procedures and various respiratory procedures in most situations There were differences in opinion between emergency and paediatric infectious disease specialists with regards to most appropriate PPE for children without symptoms of COVID-19 in a setting of low community transmission, and for procedures involving the head, neck or airway. In general, emergency physicians were more likely to favour airborne PPE than infectious disease specialists. In the setting of high community transmission, there was a stronger tendency to recommend at least droplet precautions for most procedures – regardless of whether or not the child had symptoms. ConclusionsDifferences in PPE recommendations for various paediatric procedures between infectious disease specialists and emergency physicians were identified. Further research is urgently needed to clarify and quantify risks for many common interventions and determine strategies for multidisciplinary consensus regarding future recommendations.

scholarly journals Graphene-based biosensors

2018 ◽  
Vol 8 (3) ◽  
pp. 20160132 ◽  
Author(s):  
Sabine Szunerits ◽  
Rabah Boukherroub
Keyword(s):  
Biological Samples ◽  
Early Stage ◽  
Point Of Care ◽  
High Surface ◽  
Volume Ratio ◽  
Wide Range ◽  
The Status ◽  
Delays In Diagnosis ◽  
Short Time ◽  
Sensor Interfaces

Reliable data obtained from analysis of DNA, proteins, bacteria and other disease-related molecules or organisms in biological samples have become a fundamental and crucial part of human health diagnostics and therapy. The development of non-invasive tests that are rapid, sensitive, specific and simple would allow patient discomfort to be prevented, delays in diagnosis to be avoided and the status of a disease to be followed up. Bioanalysis is thus a progressive discipline for which the future holds many exciting opportunities. The use of biosensors for the early diagnosis of diseases has become widely accepted as a point-of-care diagnosis with appropriate specificity in a short time. To allow a reliable diagnosis of a disease at an early stage, highly sensitive biosensors are required as the corresponding biomarkers are generally expressed at very low concentrations. In the past 50 years, various biosensors have been researched and developed encompassing a wide range of applications. This contrasts the limited number of commercially available biosensors. When it comes to sensing of biomarkers with the required picomolar (pM) sensitivity for real-time sensing of biological samples, only a handful of sensing systems have been proposed, and these are often rather complex and costly. Lately, graphene-based materials have been considered as superior over other nanomaterials for the development of sensitive biosensors. The advantages of graphene-based sensor interfaces are numerous, including enhanced surface loading of the desired ligand due to the high surface-to-volume ratio, excellent conductivity and a small band gap that is beneficial for sensitive electrical and electrochemical read-outs, as well as tunable optical properties for optical read-outs such as fluorescence and plasmonics. In this paper, we review the advances made in recent years on graphene-based biosensors in the field of medical diagnosis.

scholarly journals Early Data From Case Series of Tracheostomy in Patients With SARS-CoV-2

2020 ◽  
Vol 163 (6) ◽  
pp. 1150-1152 ◽  
Author(s):  
Elizabeth Floyd ◽  
Scott S. Harris ◽  
Jessica W. Lim ◽  
David R. Edelstein ◽  
Briana Filangeri ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Respiratory Failure ◽  
Personal Protective Equipment ◽  
York City ◽  
Case Series ◽  
University Hospital ◽  
Protective Equipment ◽  
North Shore

Thirty-eight tracheostomies were performed on patients with respiratory failure secondary to SARS-CoV-2 infection over the month of April at North Shore University Hospital and Lenox Hill Hospital (members of Northwell Health System in Long Island and New York City). Follow-up by May 14 revealed that 21 (55.2%) had been weaned from ventilators and 7 (18.4%) underwent decannulation. Two patients (5.3%) expired in the weeks following tracheostomy. Between the 2 institutions, 10 attending surgeons performed all of the tracheostomies using appropriate personal protective equipment, and none demonstrated seroconversion within 1 to 2 weeks of this article.

scholarly journals Prevention of COVID-19 Infection with Personal Protective Equipment

2021 ◽  
Vol 16 (1) ◽  
pp. 61-69
Author(s):  
Noriko Shimasaki ◽  
Hideaki Morikawa ◽  
◽  
Keyword(s):  
Infectious Disease ◽  
Infection Control ◽  
Personal Protective Equipment ◽  
Control Measures ◽  
Protective Equipment ◽  
Modes Of Transmission ◽  
Infection Control Measures ◽  
Urban Disaster ◽  
Asymptomatic Individuals ◽  
Novel Coronavirus

A new infectious disease caused by a novel coronavirus (COVID-19) has spread rapidly worldwide in 2020. The COVID-19 pandemic in Japan can be viewed as an urban disaster because transmission of this respiratory disease tends to occur in densely populated areas. A scientific understanding of the pathogen itself, the cause of the disaster (infectious disease), as well as infection control measures, are important to implement robust and appropriate countermeasures. This review discribes the features, especially the modes of transmission, of COVID-19 and the principles by which infection control is possible using one of the most effective infection control measures – personal protective equipment (PPE). Because COVID-19 is often transmitted to others by asymptomatic individuals through droplets, even those who are unaware of their infection should wear masks to prevent the spread of droplets that may contain the virus and effectively control the spread of disease. However, given the worldwide competition for masks and the urgent requirement of effective controls, it is necessary to conduct further research to establish a system that can supply adequate numbers of masks to regions where many people are infected in the country, with no shortage of masks, in order to make the country more resilient to disasters caused by infectious diseases in the future.

scholarly journals Moldable Mask: A Reusable, Hot Water Moldable, Additively Manufactured Mask to Be Used as an N95 Alternative

Materials ◽  
2021 ◽  
Vol 14 (22) ◽  
pp. 7082
Author(s):  
Erica Martelly ◽  
Charles Li ◽  
Kenji Shimada
Keyword(s):  
Personal Protective Equipment ◽  
Early Stage ◽  
Hot Water ◽  
Protective Equipment ◽  
Viable Option ◽  
High Demand ◽  
Mask Design ◽  
3D Printed ◽  
N95 Respirators ◽  
At Home

There has been high demand for personal protective equipment (PPE) during the COVID-19 pandemic, especially N95 respirators. Unfortunately, at the early stage of the pandemic, the supply could not meet the demand for N95 respirators, leading to a shortage and unsafe reuse of this form of PPE. We developed the Moldable Mask to ease the demand for N95 respirators by creating a 3D-printed mask that uses a piece of N95 material as a filter. A sheet of N95 material could be used or one N95 respirator to be turned into two masks. The main feature of the mask is the ability to easily mold it in hot water to create a custom fit for each user. It can also be easily assembled at home with affordable materials. The final mask design was qualitatively fit tested on 13 subjects, with all subjects showing an improvement in fit with the hot water molding technique and 10 (77%) subjects passing the fit test. This shows that the Moldable Mask is a viable option for a safe, affordable N95 alternative when N95 mask supply is strained.

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