scholarly journals Pathologists’ Perceptions Regarding Oropharyngeal Specimens during Covid-19 Pandemic

Background: The Covid-19 pandemic effected individuals worldwide. A significant number of specimens examined by pathologists are obtained from oropharyngeal region containing a highly viral titer along with increased preference of the virus to these tissues compared to other areas of the body requiring. The need of knowledge, attitudes such as appropriate Personal Protective Equipment (PPE) along with discarding of samples and adherence to protocols while dealing with these samples is necessary. Therefore, we aimed to assess the knowledge, attitude and practices of oral pathologists pertaining to modifications in laboratory protocols issued by various international organizations. Methods: A validated questionnaire with 22 close-ended questions was given to academic faculty, practicing pathologists and trainees of the pathology department working in a government institute (n=37). Statistics were applied and p<0.05 was considered statistically significant. Results: In this study 16 (73.7%) of the individuals were found to be well aware of the possible modifications in protocols. In addition, 12 (50%) pathologists recommended the use of complete PPE while performing various procedures. Furthermore, 15 (68.2%) individuals were satisfied with their laboratory design and training to combat the possible risks of the disease. p value was found to be 0.50, which shows an insignificant association between pathologists and laboratory practices. Conclusion: The results of the study can be considered satisfactory as they indicate that 16(73.7%) pathologists dealing with oropharyngeal specimens are aware of the modified guidelines regarding laboratory protocols, handling of specimens, architecture and personal protective equipment provided by organizations such as Center for Disease Control and World Health Organization. Keywords: Covid-19 Pandemic; Pathologists; Laboratory.

2020 ◽  
Vol 10 (31) ◽  
pp. 87-95
Author(s):  
Nicole Maria Miyamoto Bettini ◽  
Fabiana Tomé Ramos ◽  
Priscila Masquetto Vieira de Almeida

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.


2020 ◽  
Vol 10 (6) ◽  
pp. 1375-1383 ◽  
Author(s):  
Leandro Pecchia ◽  
Davide Piaggio ◽  
Alessia Maccaro ◽  
Claudio Formisano ◽  
Ernesto Iadanza

Abstract COVID-19 pandemic is plaguing the world and representing the most significant stress test for many national healthcare systems and services, since their foundation. The supply-chain disruption and the unprecedented request for intensive care unit (ICU) beds have created in Europe conditions typical of low-resources settings. This generated a remarkable race to find solutions for the prevention, treatment and management of this disease which is involving a large amount of people. Every day, new Do-It-Yourself (DIY) solutions regarding personal protective equipment and medical devices populate social media feeds. Many companies (e.g., automotive or textile) are converting their traditional production to manufacture the most needed equipment (e.g., respirators, face shields, ventilators etc.). In this chaotic scenario, policy makers, international and national standards bodies, along with the World Health Organization (WHO) and scientific societies are making a joint effort to increase global awareness and knowledge about the importance of respecting the relevant requirements to guarantee appropriate quality and safety for patients and healthcare workers. Nonetheless, ordinary procedures for testing and certification are currently questioned and empowered with fast-track pathways in order to speed-up the deployment of new solutions for COVID-19. This paper shares critical reflections on the current regulatory framework for the certification of personal protective equipment. We hope that these reflections may help readers in navigating the framework of regulations, norms and international standards relevant for key personal protective equipment, sharing a subset of tests that should be deemed essential even in a period of crisis.


2021 ◽  
Vol 4 ◽  
pp. 102-106
Author(s):  
Ankita Kar ◽  
Udayan Bhaumik ◽  
Vineeth Kumar ◽  
V. Shwetha ◽  
Shruthi Nagaraja

The coronavirus pandemic of 2019 has increased the risk of occupational cross infections among dentists. Dental procedures are inherently risky in this scenario due to the need for close proximity with patients and generation of aerosols and splatters. Regulatory dental health bodies, including World Health Organization, Center for Disease Control, and American Dental Association, have devised guidelines for various forms Personal protective equipment for routine outpatient procedures during this pandemic and in the post-COVID-19 world. Stringent regulations are also advisable to conserve these resources at a time when the threat of COVID-19 is likely to persist indefinitely.


2021 ◽  
Vol 9 (2) ◽  
pp. 83-90
Author(s):  
Laksita Barbara ◽  
Mareta Dea Rosaline ◽  
Akhiyan Hadi Susanto

AbstractThere are numbers of Indonesian Youtube Videos that show steps to wear and remove Personal Protective Equipment (PPE) for Corona Virus Disease (COVID19). However, the conformity with the current guidelines remains unknown. This paper aims to determine the validity of these videos based on the World Health Organization (WHO) guidelines. We searched on the Youtube website for videos in donning and doffing PPE for droplet precaution and selected the videos using inclusion and exclusion criteria. Included videos were then evaluated with a checklist derived from WHO course on donning and doffing PPE for COVID-19 and WHO recommendation on PPE for Covid-19. The search that was undertaken resulted in 66 videos, and 40 videos were included for evaluation. There is no significant difference in the donning and doffing score between account types (personal, organizational/institutional, news). The average number of viewers of all videos is more than 2700 viewers. The average score of donning is less than 70% of the total score, and the average doffing score is under 65%. The vast majority of the videos do not follow the WHO recommendation on the PPE type and use more equipment than recommended. There are several contamination risks shown by the videos. Indonesian Youtube videos on PPE procedures for COVID-19 must be selected carefully to be used as an instructional or educational media since most of it presents a high risk of cross-contamination.Keyword: personal protective equipment, audiovisual, cross-contamination, trainingAbstrakTerdapat video dalam Bahasa Indonesia yang terkait cara memakai dan melepaskan Alat Pelindung Diri (APD) untuk Corona Virus Disease (COVID19). Namun, kesesuaian video terhadap pedoman terkini belum diketahui. Penelitian ini bertujuan untuk menentukan validitas video berdasarkan pedoman World Health Organization. Kami menelusuri Youtube untuk memperoleh video instruksi mengenakan dan melepas APD pencegahan kontaminasi droplet dan menyeleksi video tersebut berdasarkan kriteria inklusi dan eksklusi. Video yang telah diseleksi kemudian dievaluasi menggunakan checklist yang diturunkan dari langkah-langkah yang ditunjukan dalam kursus APD COVID-19 yang disediakan oleh WHO, serta rekomendasi APD dari WHO. Penelusuran Youtube menampilkan 66 video, dan dipilih 40 video yang sesuai dengan kriteria kelayakan. Tidak terdapat perbedaan signifikan dalam skor mengenakan dan melepaskan APD antara akun personal, organisasi/institusi, dan berita. Rata-rata jumlah penonton video adalah lebih dari 2700. Skor rata-rata pemakaian APD kurang dari 70% dari skor total, dan skor pelepasan APD kurang dari 65%. Sebagian besar video tidak mengikuti rekomendasi WHO dalam pemilihan tipe PPE dan menggunakan alat yang lebih banyak dari yang direkomendasikan. Terdapat sejumlah risiko kontaminasi yang dapat diobservasi dari langkah-langkah yang ditunjukan dalam video. Video Youtube prosedur APD untuk COVID-19 perlu diseleksi dengan cermat untuk digunakan sebagai media instruksi maupun pendidikan karena sebagian besar menunjukan risiko tinggi kontaminasi silang.Kata Kunci: alat pelindung diri, audiovisual, kontaminasi silang, pelatihan


2019 ◽  
Vol 34 (s1) ◽  
pp. s110-s110
Author(s):  
You Jian-ping ◽  
Yang Sha ◽  
Luo Hong-Xia ◽  
Zhang Hui-Lan

Introduction:Personal protective equipment (PPE) is a necessary item in the period of unknown and high-risk emerging infectious disease. It is not only the necessary requirement of strict isolation, but also the last line of defense to protect medical staff.Aim:Compare the differences between contaminated frequency and sites under two types of PPE doffing.Methods:Recruited 56 health care workers (HCWs) who worked in clinical to follow the different PPE removal guidelines issued by the Chinese Center for Disease Control (CDC) and the World Health Organization (WHO) final resolution for preventing Ebola virus. Eight batches of HCWs were divided to conduct simulations of contaminated PPE removal using fluorescent lotion (Glitter Bug Potion, On Solution Pty Lt). Then we recorded the frequency and sites of contamination of personnel after removal of contaminated PPE by the method of visual observation.Results:According to China’s CDC process, the parts that are easily contaminated during PPE removal are: left hand and wrist (7 times), left calf (7 times), front chest center and left and right chest (6 times each) and left abdomen (5 times). Contaminated parts of the PPE process in accordance with the WHO process from high to low were: right hand and wrist (13 times), left hand and wrist (12 times), middle of the abdomen (10 times), left chest (9 times), and left abdomen (6 Times). There was no statistical difference between the two kinds of PPE piercing and removal (Z=1.177, P > 0. 05).Discussion:Under the guidance of the two processes recommended by China CDC and WHO, there was no significant difference in the frequency of pollution after removing PPE. It is speculated that the PPE recommendation processes issued by WHO and China CDC are effective for personal protection against fulminating infectious diseases.


Author(s):  
John Conly ◽  
◽  
W. H. Seto ◽  
Didier Pittet ◽  
Alison Holmes ◽  
...  

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.


Author(s):  
Sellia Juwita

According to the World Health Organization (WHO), adolescents are individuals who are undergoing a period of transition that gradually reaches sexual maturity, changes in the souls of children into adulthood. The changes that occurred at the time of Menarche caused young women to be embarrassed. Therefore, young women need to make adjustments in behavior. The adjustment cannot be done smoothly, especially if there is no support from parents, especially mothers. The role of the mother is very important in the process of growth and development of children, especially during adolescence. Teens begin to recognize the various sexual processes that are happening on the body and soul first through the mother. The design in this research is quantitative analytic, with the population of junior high school girls in Kecamatan Senapelan with total sampling technique, the number of samples 258 people. Data were collected through questionnaires and processed by computerization then analyzed univariat and bivariate using chiquare test. Univariate results in the knowing of girls who get mother support 49.2 percent and who do not get support as much as 57.8 percent, adolescents ready to face menarche 57.4 percent and not ready as much as 42.6 percent. The result of bivariate analysis showed that there was a correlation between mother support with adolescent readiness in facing menarche where p value value less than 0,05. Adolescents with maternal support are more prepared for menarche than those who do not get support. Keywords: Maternal support, readiness, menarche, adolescence


2020 ◽  
Vol 5 (1) ◽  
pp. 16-23
Author(s):  
Rini Anggeriani ◽  
Mona Yatiliu

The Data in 2017 from World Health Organization (WHO) on national health status at the target of the Sustainable Development Goals (SDGs) stated globally around 830 women die every day due to complications during pregnancy and childbirth, with an MMR rate of 216 per 100,000 live births. As much as 99 percent of maternal deaths due to problems of pregnancy, and childbirth or childbirth happened in developing countries. Anemia was a condition in which red blood cells (erythrocytes) decrease in the blood circulation or the mass of hemoglobin so that it was unable to fulfill its function as a carrier of oxygen throughout the tissue. The purpose of this study was to determine the effect of the administration of red guava juice and dates palm to increase Hb levels in post partum mothers. This study used a pre-experimental research design with a one group pre-test post-test approach. With sampling was taken by purposive sampling. The Data analysis using univariate, bivariate analysis using paired t-test. The results showed that 15 postpartum mothers who experienced anemia had a p value of 0,000 ≤ 0.05 so it can be concluded that there was an effect of giving red guava juice and dates to post partum mothers who had anemia. It is expected for post partum mothers who are anemic to consume red guava juice and dates routinely in order to increase Hb levels in the body.


2021 ◽  
Vol 30 (1) ◽  
pp. 16-22
Author(s):  
Navdeep Bhamra ◽  
Keshav Gupta ◽  
Jonathan Lee ◽  
Shams Al-Hity ◽  
Karan Jolly ◽  
...  

Background: On 11 March 2020, the World Health Organization (WHO) declared a global pandemic in the wake of the coronavirus disease 2019 (COVID-19) outbreak. The unpredictable nature of transmission of COVID-19 requires a meticulous understanding of guidance on personal protective equipment (PPE) as published by WHO and Public Health England (PHE). Aim: To assess perceived confidence and knowledge of PHE guidance relating to PPE by nursing staff. Methods: A nationwide survey was disseminated between May and June 2020 through social media platforms as well as internal mail via regulatory bodies and individual hospital trusts. Results: Data were collated from 339 nurses. Perceived confidence as measured on a Likert scale was a mode score of 3/5, with the average score for knowledge-based questions being 5/10. Of the respondents, 47% cited insufficient training on PPE guidance, and 84% advocated further training. Conclusions: Unifying published PPE guidance and ensuring consistency in training can improve awareness, confidence, and knowledge among nursing staff.


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