scholarly journals Monitoring of the Environmental Contamination and Exposure Risk of COVID-19 in the Medical Staff of Coronavirus referral hospitals in Qom, Iran

2020 ◽  
Vol 9 (1) ◽  
pp. 178-182
Keyword(s):  
Risk Assessment ◽  
Personal Protective Equipment ◽  
Medical Staff ◽  
Environmental Samples ◽  
Biological Fluid ◽  
Respiratory Illness ◽  
Assessment Process ◽  
Protective Equipment ◽  
Exposure Risk ◽  
Referral Hospitals

COVID-19 is a new infection that first occurred in China and now is spreading worldwide. The disease is considered to be a serious respiratory disease in humans. This study has been designed to assess surface contamination of SARS-CoV-2and exposure risk of the disease in the medical staff of two coronavirus referral hospitals of Qom province, which were dedicated to the admission and treatment of COVID -19 patients.. This study was carried in two steps including analysis of environmental samples and exposure risk assessment of COVID-19. In this study 50 environmental samples were collected from different sites of the hospitals. After extracting RNA, RT-PCR was done for the detection of SARS-CoV-2. The results showed that 18% of environmental sites, including elevator buttons (8%), doorknobs (6%) and bed rails (4%) were positive. In the risk assessment process based on according to wear of personal protective equipment, exposed to high touch surfaces, performing hand hygiene, any accident with biological fluid/respiratory secretions, the results indicate that 60.4 %, 68.3%, 28.6% and 20.6% health care personal including medical doctors, nurses and assistant nurses have high risk, respectively. In general, implement a plan for monitoring health personnel exposed to confirmed COVID-19 cases for respiratory illness including environmental surveillance engineering controls and personal protective equipment recommended.

scholarly journals A mask-based infection control method for screening endoscopy may prevent SARS-CoV-2 transmission and relieve staff anxiety

2021 ◽  
Vol 9 ◽  
pp. 205031212110470
Author(s):  
Yuji Nadatani ◽  
Akira Higashimori ◽  
Shingo Takashima ◽  
Hirotsugu Maruyama ◽  
Koji Otani ◽  
...  
Keyword(s):  
High Risk ◽  
Infection Control ◽  
Personal Protective Equipment ◽  
Medical Staff ◽  
Fluorescent Dyes ◽  
Control Method ◽  
Protective Equipment ◽  
Health Checkup ◽  
Screening Endoscopy ◽  
Droplet Trajectory

Objectives: Endoscopy confers high risk for acquiring coronavirus disease 2019. Although guidelines recommend that medical staff use personal protective equipment, no infection control equipment have been established for patients. This study aimed to clarify the usefulness of two face masks we had designed for transnasal and transoral endoscopy. Methods: The efficacy of the masks was evaluated by simulating coughing in a mannequin with fluorescent dyes and mapping the droplet trajectory and number. The number of aerosols generated during endoscopy was clinically evaluated in the endoscopy room. Overall, 4356 screening endoscopies were performed with the patients wearing our masks at Medcity21, a health checkup facility, between June and December 2020; the effects of the masks on the patient’s condition were evaluated retrospectively. An 11-item paper-based survey was performed by the endoscopy staff 6 months after the adoption of the mask-based infection control method. Results: Use of both masks reduced the number of droplets released during the simulation. Clinically, the use of both masks did not affect the patients’ conditions during endoscopy and prevented an increase in the aerosols in the endoscopy room. This mask-based infection control method was favorably received, and all staff indicated that understanding the efficacy of our mask-based infection control reduced their anxiety regarding infection. Until December 2020, none of our staff had contracted SARS-CoV-2. Conclusion: Our mask-based infection control method is easy to adopt, inexpensive, and effective; understanding its effectiveness may help ease the fear of infection among endoscopy staff.

Organization of personneindividual protection conducting diagnostic and treatment procedures using radionuclide and generating sources of ionizing radiation

2017 ◽  
Vol 62 (5) ◽  
pp. 28-30
Author(s):  
В. Рубцов ◽  
V. Rubcov ◽  
В. Клочков ◽  
V. Klochkov ◽  
А. Нефедов ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Ionizing Radiation ◽  
Personal Protective Equipment ◽  
Medical Staff ◽  
High Performance ◽  
Protective Equipment ◽  
Study Guide ◽  
Personal Protection ◽  
Radiation Sources ◽  
Treatment Procedures

Purpose: To improve radiation safety of medical staff and patients during diagnostic and treatment procedures with using of radionuclide radiation sources. Materials and methods: Staff working conditions have been analyzed and the potential for using of various personal protective equipment has been assessed based on the developed framework of personal protection of medical staff and patients at nuclear medicine centers. In accordance with methods described in the current Russian standards, specimens of personal protective equipment manufactured at Russian industrial plants and suitable for use by medical staff and patients at nuclear medicine centers have been tested. Results: Results of laboratory tests of new advanced high-performance personal protective equipment of various purposes for protection of medical staff and patients during diagnostic and treatment procedures with using of radionuclide radiation sources are provided. Training and information documents and guidelines have been developed, including “Study guide on personal protection during diagnostic and treatment procedures with using of radionuclides and ionizing radiation sources” for various departments of the Institute of Continuing Vocational Education, State Research Center – Burnasyan Federal Medical Biophysical Center of the FMBA of Russia, and “Guidelines on personal protection of medical staff and patients during diagnostic and treatment procedures with using of radionuclides and ionizing radiation sources”. Conclusion: Study guide and Guidelines on personal protection of medical staff and patients at nuclear medicine centers during diagnostic and treatment procedures with using of radionuclide radiation sources, as well as the draft of the Standard guidelines on delivery of free personal protective equipment to medical staff have been developed based on the results of work and studies.

Personal Protective Equipment Management and Policies: European Network for Highly Infectious Diseases Data from 48 Isolation Facilities in 16 European Countries

2012 ◽  
Vol 33 (10) ◽  
pp. 1008-1016 ◽  
Author(s):  
Giuseppina De Iaco ◽  
Vincenzo Puro ◽  
Francesco Maria Fusco ◽  
Stefan Schilling ◽  
Helena C. Maltezou ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Personal Protective Equipment ◽  
European Countries ◽  
Assessment Process ◽  
Positive Pressure ◽  
Protective Equipment ◽  
Sudden Increase ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Isolation Facilities

Objective.To collect data about personal protective equipment (PPE) management and to provide indications for improving PPE policies in Europe.Design.Descriptive, cross-sectional survey.Setting and Participants.Data were collected in 48 isolation facilities in 16 European countries nominated by National Health Authorities for the management of highly infectious diseases (HIDs).Methods.Data were collected through standardized checklists at on-site visits during February-November 2009. Indications for adequate PPE policies were developed on the basis of a literature review, partners' expert opinions, and the collected data.Results.All facilities have procedures for the selection of PPE in case of HID, and 44 have procedures for the removal of PPE. In 40 facilities, different levels of PPE are used according to a risk assessment process, and in 8 facilities, high-level PPE (eg, positive-pressure complete suits or Trexler units) is always used. A fit test is performed at 25 of the 40 facilities at which it is applicable, a seal check is recommended at 25, and both procedures are used at 17. Strategies for promoting and monitoring the correct use of PPE are available at 42 facilities. In case of a sudden increase in demand, 44 facilities have procedures for rapid supply of PPE, whereas 14 facilities have procedures for decontamination and reuse of some PPE.Conclusions.Most isolation facilities devote an acceptable level of attention to PPE selection and removal, strategies for the promotion of the correct use of PPE, and ensuring adequate supplies of PPE. Fit test and seal check procedures are still not widely practiced. Moreover, policies vary widely between and within European countries, and the development of common practice procedures is advisable.Infect Control Hosp Epidemiol 2012;33(10):1008-1016

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 Hazard Identification, Risk Assessment and Risk Control in Chemical Industry

2020 ◽  
Vol 8 (6) ◽  
pp. 4429-4433
Keyword(s):  
Risk Assessment ◽  
Chemical Industry ◽  
Personal Protective Equipment ◽  
Risk Control ◽  
Hazard Identification ◽  
Working Environment ◽  
Protective Equipment ◽  
Worker Attitudes ◽  
Direct Observations ◽  
Extreme Risk

This study was aimed at identifying hazards through risk assessment and risk control by using HIRARC method in the warehouse of Company XYZ (a pharmaceutical company). Data was collected through direct observations, documentations, and interviews. The study found that Company XYZ identified 104 hazards in the year 2017, which were caused by poor working environment, worker attitudes, manual work, tools and machinery. This study revealed 57% of the total risks fall in medium category, 38% high, 5% low, and none of them are categorized under extreme risk. To control the risk, the company has been taking proactive actions through the elimination of risks, engineering, administration and Personal Protective Equipment (PPE).

scholarly journals Analisis Risiko Paparan Debu Kapas Terhadap Kejadian Bisinosis di Industri Tekstil PT. Grandtex Bandung

2016 ◽  
Vol 14 (2) ◽  
pp. 57
Author(s):  
Sri Slamet Mulyati ◽  
Onny Setiani ◽  
Mursid Raharjo
Keyword(s):  
Risk Assessment ◽  
Lung Function ◽  
Personal Protective Equipment ◽  
Significant Relationship ◽  
Health Problems ◽  
Psychological Disorder ◽  
P Value ◽  
Protective Equipment ◽  
Cotton Dust ◽  
Work Activities

Background: Byssinosis is still health problems associated with exposure to cotton dust. High risk of health problems in Environmental Health Risk Assessment is expressed as a Risk Quotenit (RQ) .Work activities, the use of personal protective equipment, and psychological disorder may also affect the incidence of byssinosis. Methods: This was an observational research with cross sectional design. The population in this research are all employees of PT.Grandtex.Eighty workers from morning shifts only were randomly selected. Each worker was examined of the FEV1 and FVC. Questionnaires structured was another tools for collecting data.Total dust measured in the working environments and ambient air.Results: The results by Chi-Square test showed significant relation between the Risk Quotenit (RQ) with byssinosis (p-value 0.043; PR 1,8 (95%CI : 0.95-3.52),have a significant relationship between work activities with byssinosis (p-value 0.035; PR 2.2 (95%CI : 0.86-5.85)have a significant relationship between the use of personal protective equipment with byssinosis (p-value 0.001; PR 2.9 (95%CI : 1.21-6.81) and have a significant relationship between psychological disorders with byssinosis (p-value 0.023; PR 1,7 (95%CI : 1.28-2.14)Conclusion: The number of worker with positive Byssinosis symptoms and abnormal lung function 15 people(18.75%) , positive Byssinosis symptoms and normal lung function 35people(43.75%) Keywords : Byssinosis, cotton dust, risk assessment

scholarly journals Military trauma and orthopaedics experience of the UK COVID-19 pandemic: a lesson in versatility and how it can influence our deployed role

2020 ◽  
pp. bmjmilitary-2020-001663
Author(s):  
Tim Packer ◽  
L McMenemy ◽  
J Kendrew ◽  
S A Stapley
Keyword(s):  
Personal Protective Equipment ◽  
Medical Staff ◽  
Protective Equipment ◽  
Use Of Technology ◽  
Military Trauma ◽  
The Uk ◽  
And Training ◽  
Services Use

The COVID-19 pandemic necessitated unprecedented change within the NHS. Some medical staff have been deployed into unfamiliar roles, while others have been exposed to innovative ways of working. The embedded military Trauma and Orthopaedic (T&O) cadre have been integral to this change. Many of these new skills and ways of working learnt will be transferable to deployed environments. Feedback from the T&O military cadre highlighted key areas of learning as changes in T&O services, use of technology, personal protective equipment, redeployment and training. This paper aims to discuss how these changes were implement and how they could be used within future military roles. The T&O cadre played important roles within their NHS trusts and the skills they learnt will broaden their skills and knowledge for future deployments.

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