scholarly journals The significance of fast diagnostics of SARS-CoV-2, good health care organization and reasonable use of knowledge and resources in the fight against Covid-19

2020 ◽  
Vol 49 (3) ◽  
pp. 75-88
Author(s):  
Miha Skvarč ◽  
Valentina Arsić-Arsenijević
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Care Organization ◽  
Good Health ◽  
Care Organization ◽  
Care Workers ◽  
Novel Coronavirus ◽  
Respiratory Epithelial ◽  
Use Of Knowledge ◽  
Reasonable Use

In December 2019, a new disease appeared, that is, pneumonia of unknown cause, which was linked to a seafood market in Wuhan (China). Human respiratory epithelial cells were used to isolate a novel coronavirus, named according to the clinical picture "Severe Acute Respiratory Syndrome Coronavirus 2" (SARS-CoV-2), whereas the disease was named the coronavirus disease 2019 (Covid-19). This pandemic has proved to be a great challenge for all professionals dealing with microbiological diagnostics, as well as for all health care workers. The aim of this work is to present the significance of fast diagnostics of SARS-CoV-2, the significance of protection of health of health care workers, and the reasonable use of knowledge and resources in the fight against Covid-19. The previous research has confirmed that in the fight against the SARS-Cov-2 infection, fast diagnostics of SARS-CoV-2, protection of health of health care workers and reasonable use of knowledge and resources during the pandemic are of utmost importance. A special emphasis is put on the vaccination against seasonal influenza, as well as against the invasive pneumococcal disease because, with the help of these vaccines, the diagnosis of Covid-19 could be made easier in the future period, in which the efficient antiviral therapy for SARS-CoV-2 and the vaccine for Covid-19 are expected with great hopes.

Taking the Blame Off of Health Care Workers: Using a Systems Approach to Determine the Contributing Factors to Needlestick Injuries

1998 ◽  
Vol 42 (14) ◽  
pp. 1033-1037
Author(s):  
Krista R. McIntosh
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Structural Equation ◽  
Systems Approach ◽  
Health Care Organization ◽  
Organizational Factors ◽  
Care Organization ◽  
Needlestick Injuries ◽  
Contributing Factors ◽  
Care Workers

The purpose of this study was to determine what factors within a health care organization relate to the occurrence of needlestick injuries (NSIs) among Health care workers (HCW). To do this a systems approach was taken. The overall hypothesis was that factors external to the HCWs were related to the occurrence of NSIs and, therefore, the focus of NSI prevention should be taken off the individual. A mail-out questionnaire was completed by 209 Alberta nurses. From the data generated, a structural equation model was tested which examined factors at many levels of a health care organization as well as those associated with HCWs which may be predictive of the occurrence of NSIs. There was support for the hypothesis that organizational factors, not individual ones, account for the most variance in unsafe needle handling behaviours and NSIs. Discussion centers on the specific factors found to be most related to NSIs and possible human factors interventions.

scholarly journals The impact of novel COVID-19 initial pandemic on orthopedic healthcare: an experience from a single institution of South Korea

2021 ◽  
Vol 64 (11) ◽  
pp. 778-787
Author(s):  
Gun Woo Lee ◽  
Gi Beom Kim ◽  
In Jun Lee
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Medical Staff ◽  
Healthcare Workers ◽  
The Novel ◽  
Preventive Surgery ◽  
Care Workers ◽  
Cancellation Rate ◽  
Novel Coronavirus ◽  
The Impact

Background: This study was to investigate the cancellation rate and trend of orthopedic surgeries during the novel coronavirus disease 2019 (COVID-19) pandemic. Moreover, we assessed the psychologic status of orthopedic healthcare workers, and investigated the details of the preventive surgeries underwent in COVID-19-positive patients.Methods: For 3 months after January 20, 2020, cancellation rates of elective surgeries were investigated, and the number of elective surgeries conducted in the same period over the last two years was compared. Four different questionnaires were used to investigate psychologic status among the orthopedic health care workers. We compared the outcomes according to occupation (physician or nurse), and type of work (faculty staff or resident physician). Outcomes according to occupation and type of work were compared. Preventive surgeries underwent in patients who could not wait for the results of the COVID-19 diagnosis were investigated.Results: Spine and hip surgery had relatively lower cancellation rates, and elective surgeries were significantly reduced. During the initial pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year and was different for each subdivision depending on the degree of pain or disability. The psychological outcomes were within the normal range and there were no significant differences between groups. After preventive surgery, all medical staff involved in the operation tested negative.Conclusion: During the COVID-19 pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year. Orthopedic health care workers did not seem to have significant psychological distress. As a result of the preventive surgery in specialized facilities, all the medical staff who participated in the operation tested negative.

scholarly journals COVID-19: A 2020 update

2020 ◽  
Vol 72 ◽  
pp. 88-94 ◽  
Author(s):  
M. Nadir Bhuiyan ◽  
Ravindra Ganesh ◽  
Amit K. Ghosh
Keyword(s):  
Health Care ◽  
Global Health ◽  
Health Care Workers ◽  
Medical Literature ◽  
Digital Health ◽  
Shortness Of Breath ◽  
Care Workers ◽  
Increased Risk ◽  
Global Health Care ◽  
Novel Coronavirus

The 2019 COVID-19 pandemic has thrown the global health-care system into a chaotic flux. Consolidating and reviewing all available knowledge will be crucial to combating the spread of this novel coronavirus. Prevention is paramount, but health care workers are at increased risk, and protective supplies are being limited and being rationed. Common symptoms include fever, cough, and shortness of breath. Hospitalizations are estimated to occur in about 20% of cases and are mostly due to pneumonia.[1] While multiple promising treatments are being reported in the medical literature; there is limited, reliable clinical data are available. To minimize exposure of medical staff to contagious patients and to provide rapid escalation of care to these patients, a telehealth strategy could be leveraged. Such a strategy would entail the use of both telemedicine visits for communication and digital health platforms for monitoring.

Novel Coronavirus (COVID 19) Knowledge and Perception: A Survey of Healthcare workers

2021 ◽  
pp. 503-509
Author(s):  
Rashmi Negi ◽  
Arti Arti
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Geographical Location ◽  
Respiratory Illness ◽  
Cross Sectional Study ◽  
Survey Instrument ◽  
Cross Sectional ◽  
Care Workers ◽  
Novel Coronavirus ◽  
Global Threat

Background: Since December 2019, a novel coronavirus disease (COVID-19) began its journey around the world. The novel Coronavirus (2019-nCoV, officially known as SARS-CoV-2 or COVID-19) was first reported in December 2019, as a cluster of acute respiratory illness in Wuhan, Hubei Province, China, from where it spread rapidly to over 198 countries. It was declared as a global pandemic by WHO on 12th March 2020.Coronavirus disease (COVID-19) is a highly transmittable infection and India due to its geographical location is vulnerable to a worst outbreak. India is suddenly increasing its hike in number of positive cases including number of healthcare professionals (HCPs) also acquired infection. Therefore, the aim of study is to assess knowledge and perception among health care workers in Delhi NCR, a vulnerable region, regarding COVID-19. Method: A web-based, cross-sectional study was conducted using a survey instrument to obtain responses from health care workers in Delhi NCR region. A 45-item survey instrument was developed using course materials available on WHO’s website on emerging COVID-19. The survey covered health care workers socio demographic profile, awareness, information sources, and knowledge and perceptions related to COVID-19. Result: The study findings suggest that the level of knowledge was good among health care workers and overall a positive perception was found about COVID 19. Conclusion: As the global threat of COVID-19 continues to emerge, greater efforts through educational campaigns that target HCWs and the wider population beyond borders are needed.

scholarly journals Prevalence of positive COVID-19 among asymptomatic health care workers who care patients infected with the novel coronavirus: A retrospective study

2020 ◽  
Vol 57 ◽  
pp. 14-16
Author(s):  
Nabil A. Al-zoubi ◽  
Basil R. Obeidat ◽  
Mohammad A. Al-Ghazo ◽  
Wail A. Hayajneh ◽  
Abdelkarim H. Alomari ◽  
...  
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Health Care Workers ◽  
The Novel ◽  
Care Workers ◽  
Novel Coronavirus

scholarly journals Assessment of Potential Risk Factors for 2019-Novel Coronavirus (2019-nCov) Infection among Health Care Workers in a Tertiary Care Hospital, North India

2021 ◽  
Vol 12 ◽  
pp. 215013272110020
Author(s):  
Sugandhi Sharma ◽  
Ritin Mohindra ◽  
Kirtan Rana ◽  
Vikas Suri ◽  
Ashish Bhalla ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care Workers ◽  
Potential Risk ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Workers ◽  
Potential Risk Factors ◽  
Novel Coronavirus

Introduction Health care workers (HCWs) are at the forefront to fight against COVID-19 pandemic. They are at more risk of contracting the infection. This study was planned to assess potential risk factors of 2019-novel coronavirus infection among HCWs working in a health facility and to evaluate the effectiveness of infection prevention and control measures among them. Methods A study was conducted in a tertiary care hospital among HCWs who were directly or indirectly involved in the management of a confirmed or suspected case of COVID-19. The socio-demographic characteristics, history of exposure, IPC measures followed and clinical symptoms were compared between health care workers in COVID and non-COVID areas. Results Majority (45%) of HCWs were nurses, followed by hospital/sanitary/technical attendants (30%) and doctors (24%). Out of a total of 256 HCWs, 2% tested positive. Around 80% of HCWs had ever attended any IPC training. A statistically significant association was found between posting area of HCWs and their exposure to COVID patients (duration of exposure, PPE has worn by HCWs, direct contact of HCWs with the patient’s material) and COVID positivity ( P value <.001). Conclusion If health care workers were trained and take adequate precautions then the risk of getting an infection is minimized.

scholarly journals Vaccine effectiveness against hospital admission in South African health care workers who received a homologous booster of Ad26.COV2 during an Omicron COVID19 wave: Preliminary Results of the Sisonke 2 Study.

2021 ◽  
Author(s):  
Glenda E Gray ◽  
Shirley COLLIE ◽  
Nigel Garrett ◽  
Ameena Goga ◽  
Jared Champion ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Care Workers ◽  
Booster Dose ◽  
Hospital Admissions ◽  
Vaccine Effectiveness ◽  
Care Organization ◽  
African Health ◽  
Care Workers ◽  
Vaccine Booster

Following the results of the ENSEMBLE 2 study, which demonstrated improved vaccine efficacy of a two-dose regimen of Ad26.COV.2 vaccine given 2 months apart, we expanded the Sisonke study which had provided single dose Ad26.COV.2 vaccine to almost 500 000 health care workers (HCW) in South Africa to include a booster dose of the Ad26.COV.2. Sisonke 2 enrolled 227 310 HCW from the 8 November to the 17 December 2021. Enrolment commenced before the onset of the Omicron driven fourth wave in South Africa affording us an opportunity to evaluate early VE in preventing hospital admissions of a homologous boost of the Ad26.COV.2 vaccine given 6-9 months after the initial vaccination in HCW. We estimated vaccine effectiveness (VE) of the Ad26.COV2.S vaccine booster in 69 092 HCW as compared to unvaccinated individuals enrolled in the same managed care organization using a test negative design. We compared VE against COVID19 admission for omicron during the period 15 November to 20 December 2021. After adjusting for confounders, we observed that VE for hospitalisation increased over time since booster dose, from 63% (95%CI 31-81%); to 84% (95% CI 67-92%) and then 85% (95% CI: 54-95%), 0-13 days, 14-27 days, and 1-2 months post-boost. We provide the first evidence of the effectiveness of a homologous Ad26.COV.2 vaccine boost given 6-9 months after the initial single vaccination series during a period of omicron variant circulation. This data is important given the increased reliance on the Ad26.COV.2 vaccine in Africa.

scholarly journals Acceptance and preference for COVID-19 vaccination in health-care workers (HCWs)

2020 ◽  
Author(s):  
Chuanxi Fu ◽  
Zheng wei ◽  
Sen Pei ◽  
Shunping Li ◽  
Xiaohui Sun ◽  
...  
Keyword(s):  
Health Care ◽  
General Population ◽  
Health Care Workers ◽  
Social Acceptance ◽  
Vaccine Safety ◽  
Social Contacts ◽  
Care Workers ◽  
Potential Benefits ◽  
Novel Coronavirus ◽  
To Receive

AbstractThe objective of the present study is to reveal the acceptance and preference for the 2019 novel coronavirus disease (COVID-19) vaccination in health-care workers (HCWs). We performed an internet-based, region-stratified survey among 352 HCWs and 189 individuals in the general population enrolled on March 17th and 18th 2020 from 26 Chinese provinces. The HCWs developed a more in-depth understanding of SARS-Coronavirus-2 infection and showed a higher tolerance to the future vaccination than the general population. 76.4% of HCWs (vs. 72.5% in the general) showed their willingness to receive vaccination. Potential benefits from COVID-19 outbreak such as seeking influenza (65.3%) or pneumonia (55.7%) vaccination can be gained in HCWs. To estimate the relative effects of attributes influencing vaccination choice in the discrete choice experiment, 7 attributes (3 disease-relevant, 3 vaccine-relevant, and 1 of social acceptance) were identified as key determinants. Among them, disease trend (odds ratio, OR: 4.367 (95%CI, 3.721-5.126) for seasonal epidemic, OR: 3.069 (2.612-3.605) for persistent epidemic, with reference to disappearance in summer), social contacts’ decisions (0.398: 0.339-0.467 for refusal, 0.414: 0.353-0.487 for neutral, with reference to acceptance) and high possibility of being infected (2.076: 1.776-2.425 for infection probability of 30%+) were significantly associated with increased probability of choosing vaccination in the HCWs. In contrast, for the general population, vaccine safety and social contacts’ decisions were the most important predictors. For COVID-19 vaccination, education in HCWs should be taken as a priority, and further benefits of its recommendation to the general public will also be anticipated.

scholarly journals Epidemiological and clinical profile of novel coronavirus disease (COVID 19) in a hospital in Metropolitan India

2020 ◽  
Vol 8 (1) ◽  
pp. 254-262
Author(s):  
Priti Chowdhary ◽  
Ritesh Ranjan ◽  
Cecil C Khakha ◽  
Deepika Govil ◽  
Munesh Kasana ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Case Fatality ◽  
Clinical Profile ◽  
Family Welfare ◽  
Asymptomatic Patients ◽  
Care Workers ◽  
Single Centre Study ◽  
History Of ◽  
Novel Coronavirus

Context: To understand the epidemiological and clinical profile of COVID 19. Aims: To study the epidemiological and clinical profile of Novel Coronavirus disease with comorbidities and outcome. Settings and Design: In this single centre study, we included patients with suspected and confirmed cases of COVID 19 Methods and Material: We followed the testing criteria for COVID 19 laid down by Ministry of Health and Family Welfare (MoHFW), Government of India. COVID 19 positive patients were divided as mild, moderate and severe and followed till discharge or death. Data was collected through interview of patients and hospital records. Results: A total of 178 suspected cases of COVID 19 reported to our hospital in this duration. Out of these, confirmed positive cases were 66 in number. Among 66 COVID 19 positive patients 11 were Health Care Workers. The Median age of the patients was 37 years. Most of the confirmed COVID patients were young and middle aged between 15 to 49 years age (69.69 %). 66.66 % were males and 33.33% were females. Case fatality rate was 4.54%. In our study only 15.15% had history of contact with COVID 19 positive patients. Conclusions: Fever is the most common presenting symptom but fever should not be the exclusion criteria. Since there is silent spread of virus in the community among the asymptomatic patients there is need to increase the number of testing. Containment and mitigation strategy like Social distancing should be maintained. Routine screening of Health Care Workers should be done.

Frontline Health Care Workers’ Mental Workload During the COVID-19 Pandemic: A Cross-Sectional Study

2021 ◽  
pp. 101053952199725
Author(s):  
Meichen Du ◽  
Kaili Hu
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Mental Workload ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Mental Demand ◽  
Care Workers ◽  
Novel Coronavirus ◽  
High Level

Workload is an essential factor affecting the performance of health care workers (HCWs). High level of mental workload increased their risks of insomnia, anxiety, and depression. This study committed to investigate frontline HCWs’ mental workload and analyze its influencing factors during the novel coronavirus disease 2019 (COVID-19) pandemic. A total of 802 frontline HCWs completed the online questionnaires. Their total mental workload score was 69.7 ± 16.4. Frontline HCWs were satisfied with their performance (4.0 ± 3.3) and showed a low level of frustration (8.3 ± 5.7). The most important dimensions of mental workload were “effort” (16.4 ± 13.7), “physical demand” (15.7 ± 4.7), and “mental demand” (12.9 ± 5.2). Frontline nurses and HCWs who have higher education level, longer working years, and higher professional title perceived higher mental workload scores ( P < .05). In conclusion, frontline HCWs’ mental workload was not high as seen during the COVID-19 pandemic in China. They have made tremendous efforts and dedication to caring for COVID-19 patients. Job-related factors, some of which can be eliminated by proper management skills, increased frontline HCWs mental workload.

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