scholarly journals EXPOSICIÓN Y RIESGO OCUPACIONAL DE COVID-19 EN ESTUDIANTES, DOCENTES Y PROFESIONALES DE LA SALUD.

2021 ◽  
Vol 31 (2) ◽  
pp. 33-41
Author(s):  
Alberto Narváez Olalla ◽  
Jonathan Melena Zapata ◽  
Jhon Guerrero González ◽  
Diana Solís Cárdenas ◽  
Lilian Calderón Layedra ◽  
...  
Keyword(s):  
Infection Risk ◽  
Occupational Group ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Cross Sectional ◽  
Protective Measures ◽  
Occupational Risks ◽  
High Incidence ◽  
The Impact ◽  
Correct Implementation

IntroductionHealth professional’s exposure to the new coronavirus (SARS-CoV-2) as well as their risk of acquiring COVID-19 “its associated disease”, has been higher compared to other population groups. Nevertheless, the correct implementation of biosecurity measures could reduce their infection risk. The objective of this study was to evaluate the availability of personal protective equipment “PPE”, occupational risks and its relationship with COVID-19 in health professionals.Patients and methods603 subjects among students, teachers, and health professionals were included in a cross-sectional descriptive observational study. Occupational exposure and incidence of COVID-19 were the main measurements. ResultsMost of the subjects were women (73.5%) and young adults (92.6%) and 23.55% (95% CI 20.3-27.1) referred a diagnosis of COVID-19 (15% confirmed, 8% suspected). People who worked in Pichincha’s province and those who did not have soap presented a higher risk of COVID-19 infection (adjusted OR= 2.85 and 2.68 respectively). Contact with confirmed and suspicious cases were the variables that were associated with the highest risk of infection (adjusted OR= 9.28 and 3.07 respectively).Conclusions The high incidence of COVID-19 in the subjects was associated with PPE deficiencies. Health professional’s protection must be a priority for health and labor authorities, who must also provide the PPE and necessary supplies. A periodic screening in this occupational group to assess the impact of protective measures and analyze the implementation of necessary corrections.is recommended.

scholarly journals SARS-CoV-2 Infection in Health Care Workers: Cross-sectional Analysis of an Otolaryngology Unit

2020 ◽  
Vol 163 (4) ◽  
pp. 671-672 ◽  
Author(s):  
Alberto Paderno ◽  
Milena Fior ◽  
Giulia Berretti ◽  
Alberto Schreiber ◽  
Alberto Grammatica ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Cross Sectional ◽  
Staff Members ◽  
Care Workers ◽  
Sectional Analysis ◽  
The Impact

The restart of routine in- and outpatient activity in the COVID-19 postepidemic peak needs to be carefully planned in light of specific patterns of viral diffusion. We evaluated SARS-CoV-2 serology in the entire personnel of a COVID-19-free otolaryngology department in a highly affected area. The aim was to determine the prevalence of SARS-CoV-2 positivity among staff to clarify the impact of different risk factors for infection. The entire staff of the otolaryngology unit was tested for SARS-CoV-2 serology. Symptomatic staff members were tested with nasal/pharyngeal swabs. All answered a survey focused on the number of in- and extrahospital positive contacts and type of activities in the unit. Five (9%) were positive for SARS-CoV-2 infection. The only variable associated with a higher risk of infection was the number of extrahospital contacts without personal protective equipment ( P = .008). Our study shows that in non-COVID-19 departments, the use of adequate personal protective equipment leads to low rates of infection among health care workers. The prevalent risk of infection was related to extrahospital contact.

scholarly journals The impact of COVID-19 pandemic on training and mental health of residents: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eman Alshdaifat ◽  
Amer Sindiani ◽  
Wasim Khasawneh ◽  
Omar Abu-Azzam ◽  
Aref Qarqash ◽  
...  
Keyword(s):  
Mental Health ◽  
Residency Training ◽  
Training Programs ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Surgical Residents ◽  
Tertiary Center ◽  
The Impact

Abstract Background Residency programs have been impacted by the Coronavirus disease 2019 (COVID-19) pandemic. In this study we aim to investigate and evaluate the impact of the pandemic on residents as well as residency training programs. Methods This was a cross-sectional study including a survey of 43 questions prepared on Google forms and electronically distributed among a convenience sample of residents training at a tertiary center in North Jordan during the COVID-19 pandemic. Data were collected in the period between October 30th and November 8th of 2020. The survey included questions that addressed the impact of the pandemic on residents’ health as well as training programs. The study participants included residents in training at KAUH in 2020 and were stratified according to the type of residency program (surgical residents (SRs) and non-surgical residents (NSRs)). Statistical methods included descriptive analysis, Chi-square or Fisher’s exact test, Mann Whitney U test, and Cramer’s V and r statistics as measures of effect sizes. Results Of all 430 residents, 255 (59%) responded to the survey. A total of 17 (7%) of residents reported being infected with COVID-19 and a significant difference was reported between SRs and NSRs (10% vs 4%, V = .124 “small effect” (95% CI; .017–.229), p = 0.048). Approximately, 106 (42%) reported a decrease in the number of staff working at the clinic and 164 (64%) reported limited access to personal protective equipment during the pandemic. On a 4-point Likert scale for the feeling of anxiety, the median was 2 (2–3 IQR) in the NSRs group, vs 2 (1–2 IQR) in the SRs groups, with the NSRs being more likely to feel anxious (r = 0.13 “small effect” (95% CI; 0.007–0.249), p = .044). Similarly, the proportion of residents who reported feeling anxious about an inadequacy of protective equipment in the work area was significantly greater in the NSRs group (90.3% vs 75.2%; V = .201 “small effect” (95% CI; .078–.313), p = .001), as well as the proportion of residents who reported feeling increased stress and anxiety between colleagues being also significantly higher in the NSRs group (88.1% vs 76%; V = .158 “small effect” (95% CI; .032–.279), p = .012). Conclusion The burden of the ongoing pandemic on the mental health status of residents is very alarming and so providing residents with psychological counseling and support is needed. Also, critical implications on the flow of residency training programs have been noticed. This necessitates adapting and adopting smart educational techniques to compensate for such limitations.

scholarly journals Impact of enhanced personal protective equipment on the physical and mental well-being of healthcare workers during COVID-19

2020 ◽  
pp. postgradmedj-2020-139150 ◽  
Author(s):  
Ramanathan Swaminathan ◽  
Bimantha Perera Mukundadura ◽  
Shashi Prasad
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Negative Impact ◽  
Well Being ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Cross Sectional ◽  
The Impact ◽  
Mental Well Being

BackgroundThe COVID-19 pandemic has necessitated the use of enhanced personal protective equipment (PPE) in healthcare workers in patient-facing roles. We describe the impact on the physical and mental well-being of healthcare professionals who use enhanced PPE consistently.MethodsWe conducted a single-centre, cross-sectional study among healthcare professionals who use enhanced PPE. A web-based questionnaire was disseminated to evaluate the effects on individuals’ physical and mental well-being. Physical and mental impact was assessed through a visual analogue scale.ResultsProspective analysis of the views of 72 respondents is reported. 63.9% were women and 36.1% were men. Physical impact included exhaustion, headache, skin changes, breathlessness and a negative impact on vision. Communication difficulties, somnolence, negative impact on overall performance and difficulties in using surgical instrumentation were reported.ConclusionOur study demonstrates the undeniable negative impact on the front-line healthcare workers using enhanced PPE and lays the ground for larger multicentric assessments given for it to potentially be the norm for the foreseeable future.

scholarly journals Biosafety conducts adopted by orthodontists

2018 ◽  
Vol 23 (3) ◽  
pp. 73-79 ◽  
Author(s):  
Camila Gonçalves Jezini Monteiro ◽  
Mariana Martins e Martins ◽  
Adriana de Alcantara Cury-Saramago ◽  
Henry Pinheiro Teixeira
Keyword(s):  
Observational Study ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Training Time ◽  
Disinfection Methods ◽  
Significant Difference ◽  
High Incidence ◽  
E Mail

ABSTRACT Objective: This cross-sectional observational study was designed to assess the biosafety conducts adopted by orthodontists, and possible differences regarding training time. Methods: Both the application of methods for sterilization/disinfection of instruments and materials, and the use of personal protective equipment (PPE) were collected through questionnaires via e-mail. Results: The questionnaires were answered by 90 orthodontists with a mean age of 37.19 ± 9.08 years and mean training time of 13.52 ± 6.84 years. Regarding orthodontic pliers, 63.23% use an autoclave, except 1 who does not perform any procedure. All participants use autoclave to sterilize instruments, and 95.6% of respondents perform cleaning with chemicals prior to sterilization. Most of them (65.56%) use an autoclave to sterilize orthodontic bands, with some still associating disinfection methods, while few (18.89%) do nothing at all. There was a high incidence of the answer “nothing” for the methods used for elastic, accessories, bandages, metal springs, and arches. All respondents use mask and gloves in attendance, 78.92% use aprons, 58.92% use protective goggles, and 50.01% use cap. Training time significantly influenced (p = 0.003) only the use of glutaraldehyde for sterilization/disinfection of pliers. Conclusions: The sterilization and cleaning of pliers, instruments, and bands, besides the use of PPE, received more uniform and positive responses, while other items suggest disagreements and possible failures. Only orthodontists trained for more than 13 years choose using glutaraldehyde for pliers sterilization/disinfection, the only adopted method with a significant difference in relation to training time.

scholarly journals Nurses Perception of Biological Risk

2020 ◽  
Vol 5 (7) ◽  
pp. 44-50
Author(s):  
Rosa Elvira Minchala Urgilés ◽  
Ángel Efraín Palaguachi Tenecela ◽  
Luis Francisco Altamirano Cardenas ◽  
Pedro Carlos Martínez Suárez ◽  
Elvia Narcisa Godoy Durán ◽  
...  
Keyword(s):  
Risk Management ◽  
Data Collection ◽  
Observational Research ◽  
Risk Of Infection ◽  
Sense Organs ◽  
Cross Sectional ◽  
Protective Measures ◽  
Biological Risk ◽  
The Individual ◽  
Nursing Professionals

Biohazard perception is a process in which the sense organs interact with microorganisms that can cause tissue or multi-organic damage. The risk of infection by biological agents is recognized as one of the most important, especially in nursing professionals. Objective: To identify the perception of nursing personnel on biological risk, in the Vicente Corral Moscoso Hospital, Cuenca-Ecuador. Methodology: Cross-sectional, descriptive observational research with a quantitative approach. The sample was 164 nurses. A questionnaire validated in Cuba was used for data collection, and the processing and analysis of the results was carried out in the SPSS v25 programme. Results: 59% were between 20 and 30 years old, 92% were female, 50% were single and 44% were nursing professionals. In relation to the individual, 60% have received little training on biological risk, 59% have received protective measures. In the nature of the risks, 92% do consider the consequences of biological risks, 79% report little information on accidents and incidents in the institution. In risk management, 68 per cent report that few managers and supervisors are aware of current biosecurity resolutions. Conclusion: Nurses have received little biohazard training, are unaware of some of the protective measures and accidents and incidents in the facility. Few administrators and supervisors are trained in bio-safety.

scholarly journals The Impact of COVID-19 Pandemic During Lockdown on the Veterinary Profession in Romania: A Questionnaire-Based Survey

2021 ◽  
Vol 8 ◽  
Author(s):  
Alexandra Nicoleta Mureşan ◽  
Sorin Morariu ◽  
Radu Andrei Baisan ◽  
Ruxandra Costea ◽  
Cosmin Mureşan
Keyword(s):  
Social Economic ◽  
Control Measures ◽  
Protective Equipment ◽  
Remote Work ◽  
Risk Of Infection ◽  
Online Questionnaire ◽  
Veterinary Profession ◽  
Almost All ◽  
The Impact ◽  
Emergency Measures

The lockdown period in Romania lasted for 60 days and had the purpose of limiting the spread of SARS-CoV-2 virus outbreak and manage its consequences through emergency measures on many important areas of activity. This study aimed to gather, assess, analyze and disseminate relevant social, economic, and medical aspects on the impact of COVID-19 pandemic during lockdown on the veterinary profession in Romania. A survey was created using an online questionnaire platform, and disseminated. The survey was completed by a total of 409 individuals. A high number of respondents (71.64%; n = 293) felt exposed to medium or high risk of infection with SARS-CoV-2 at their workplace and many (56.97%; n = 233) felt that their professional environment was more stressful than usual during lockdown. Almost all respondents (89.73%; n = 367) declared the implementation of several control measures recommended by FECAVA and FVE (e.g., social distancing, wearing protective equipment, hand washing), but few mentioned the opportunity of remote work or visiting restrictions. Overall, the results show that the impact of lockdown lies directly on four main categories of importance on veterinarian professional's life—human resource, activity management, relationship between veterinarian and authorities, and continuing education.

scholarly journals Seroprevalence of the SARS-CoV-2 antibody in healthcare workers: a multicentre cross-sectional study in 10 Colombian cities

2021 ◽  
pp. oemed-2021-107487
Author(s):  
Jeadran Nevardo Malagón-Rojas ◽  
Marcela Mercado-Reyes ◽  
Yezith G Toloza-Pérez ◽  
Eliana L Parra Barrera ◽  
Marien Palma ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Strong Association ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Significant Difference ◽  
Automated Immunoassay

BackgroundHealthcare workers are at increased risk of infection due to occupational exposure to SARS-CoV-2-infected patients. The objective of this study was to determine the seroprevalence of SARS-CoV-2 in healthcare workers in Colombia.MethodsThis study is a cross-sectional study focused on estimating the seroprevalence of SARS-CoV-2 antibodies in healthcare workers from 65 hospitals in 10 cities in Colombia during the second semester of 2020. The seroprevalence was determined using an automated immunoassay (Abbott SARS-CoV-2 CLIA IgG). The study included a survey to establish the sociodemographic variables and the risk of infection. A multivariate model was used to evaluate the association between the results of seroprevalence and risk factors.ResultsThe global seroprevalence of antibodies against SARS-CoV-2 was 35% (95% Bayesian CI 33% to 37%). All the personnel reported the use of protective equipment. General services personnel and nurses presented the highest ratios of seroprevalence among the healthcare workers. Low socioeconomic strata have shown a strong association with seropositivity.ConclusionThis study estimates the prevalence of SARS-CoV-2 infection among healthcare workers. Even though all the personnel reported the use of protective equipment, the seroprevalence in the general services personnel and nurses was high. Also, a significant difference by cities was observed.

scholarly journals Healthcare Workers’ Attitudes toward Patients with COVID-19

2021 ◽  
Author(s):  
Joseph Ottolenghi ◽  
Rodney A McLaren ◽  
Cecilia Bahamon ◽  
Mudar Dalloul ◽  
Sandra McCalla ◽  
...  
Keyword(s):  
New York ◽  
Registered Nurses ◽  
Healthcare Workers ◽  
Survey Study ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Demographic Information ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Exact Test

Abstract Background Early in the SARS-CoV-2 pandemic, before the routine availability and/or use of personal protective equipment, healthcare workers were understandably concerned. Our aim was to explore healthcare workers’ attitudes towards patients infected with SARS-CoV-2 at the time of the nation’s first surge in two highly affected hospitals in New York. Methods We performed a cross-sectional, self-administered survey study of healthcare workers. The survey consisted of 17 multiple-choice questions including demographic information, ethics and willingness to care for patients with SARS-CoV-2 infection. Subgroup analyses were performed using Fisher’s exact test. Results Of 340 healthcare workers approached, 338 (99.4%) consented to the survey; 163 (48.7%) were registered nurses and 160 (48.3%) lived with children. While 326 (97.3%) workers were concerned about putting their family/coworkers at risk of infection after caring for a patient with SARS-CoV-2, only 30 (8.9%) were unwilling to treat a patient with SARS-CoV-2 infection. Registered nurses were more likely than other healthcare workers to think it was ethical to refuse care for SARS-CoV-2 infected patients, worried more often about contracting infection, and felt that SARS-CoV-2 added to their stress level (p=.009, p=.018, p<.001, respectively). A similar contrast was seen when comparing workers who live with children with those that did not. Conclusion Levels of stress and concern were extremely high. In spite of that, the overwhelming majority of workers were willing to treat patients with SARS-CoV-2 infection. Registered nurses and healthcare workers who live with children were more likely to think it is ethical to refuse care for SARS-CoV-2 infected patients.

scholarly journals Healthcare Workers in Brazil during the COVID-19 Pandemic: A Cross-Sectional Online Survey

2020 ◽  
Vol 57 ◽  
pp. 004695802096371
Author(s):  
Paula Cotrin ◽  
Wilana Moura ◽  
Caroline Martins Gambardela-Tkacz ◽  
Fernando Castilho Pelloso ◽  
Lander dos Santos ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Online Survey ◽  
Protective Equipment ◽  
Front Line ◽  
Cross Sectional ◽  
The Social ◽  
Proper Training ◽  
Level Of Concern ◽  
The Impact ◽  
Care Behavior

Brazil is in a critical situation due to the COVID-19 pandemic. Healthcare workers that are in the front line face challenges with a shortage of personal protective equipment, high risk of contamination, low adherence to the social distancing measures by the population, low coronavirus testing with underestimation of cases, and also financial concerns due to the economic crisis in a developing country. This study compared the impact of COVID-19 pandemic among three categories of healthcare workers in Brazil: physicians, nurses, and dentists, about workload, income, protection, training, feelings, behavior, and level of concern and anxiety. The sample was randomly selected and a Google Forms questionnaire was sent by WhatsApp messenger. The survey comprised questions about jobs, income, workload, PPE, training for COVID-19 patient care, behavior and feelings during the pandemic. The number of jobs reduced for all healthcare workers in Brazil during the pandemic, but significantly more for dentists. The workload and income reduced to all healthcare workers. Most healthcare workers did not receive proper training for treating COVID-19 infected patients. Physicians and nurses were feeling more tired than usual. Most of the healthcare workers in all groups reported difficulties in sleeping during the pandemic. The healthcare workers reported a significant impact of COVID-19 pandemic in their income, workload and anxiety, with differences among physicians, nurses and dentists.

scholarly journals Endodontic treatment during the COVID-19 pandemic – perception and behaviour of dental professionals

2021 ◽  
Vol 34 (1) ◽  
pp. 63-70
Author(s):  
Fabio de A Gomes ◽  
Eduarda Malhão ◽  
Cláudio Maniglia-Ferreira ◽  
Danilo Lima ◽  
Maísa Casarin ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Endodontic Treatment ◽  
Protective Equipment ◽  
Clinical Practices ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Virus Dissemination ◽  
The Impact ◽  
Dental Professionals ◽  
Dental Appointments

This study evaluated the impact of COVID-19 on the endodontic treatment routine. It was a cross-sectional study using an online questionnaire applied to endodontists to collect information about practical modifications during endodontic treatment to protect professionals and patients against the COVID-19 outbreak. A total 1105 participants from Brazil participated in the survey. More than 90% of respondents identify the high risk of COVID-19 infection to dentists and the need to change some clinical practices. Most respondents (60.1%) are partially following social isolation. The need for a change in Personal Protective Equipment (PPE) during dental appointments was mentioned by 97.1% of respondents. The use of minimal adequate PPE during the pandemic period was associated with the area of residence and marital status of participants. Only 30% of respondents say they use the minimal adequate PPE. Most respondents will change cavity access preparation to reduce virus dissemination. Other changes in endodontic appointments were described in the survey: greater attention to biosafety measures, duration of dental appointments, and duration of intervals between appointments. Endodontists still need to identify the best arrangement for performing their procedures safely during the COVID-19 pandemic. Specific guidelines require detailed information for each specialty and its procedures.

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