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1.
Pan Afr Med J ; 35(Suppl 2): 144, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33193959

RESUMEN

Introduction: since the first spread of the novel coronavirus (COVID-19) in Morocco in March 2020, the Moroccan Health System underwent an important pressure and remarkable efforts were spent to provide efficient reactions to this emergency. Public hospitals have set adapted strategies dedicated to overcoming the overload of COVID-19 patients, and our Oncology and Hematology Center (OHC) has implemented a flexible adapted strategy aiming to reduce the burden of COVID-19. We report our single-center experience on the detailed infection control measures undertaken to minimize virus transmission. Methods: we reviewed all patients treated at the OHC from March 2nd to April 20th, 2020 as measures were taken since the detection of the first COVID-19 case to ensure the protection of patients and healthcare providers, especially a screening zone for any patient entering the center. The patient's data were retrospectively collected and anonymized. Results: we notified a significant decrease in patients' admissions during the lockdown period at the different units of our center. The screening area received a total of 5267 patients during our study period, with an average of 105 patients per day. Interestingly, no healthcare professional was infected and only 8 patients showed symptoms of fever and cough, and all of them had a negative test for COVID-19 (RT-PCR). Thus, the OHC is considered as a COVID-19 free center with zero cases among patients and healthcare providers. Conclusion: by having a 0% rate of infection, the efficiency of our measures is proven, but efforts are still needed as we have to measure the impact of this pandemic in our cancer management.


Asunto(s)
Betacoronavirus , Instituciones Oncológicas/organización & administración , Infecciones por Coronavirus/epidemiología , Neoplasias/terapia , Pandemias , Neumonía Viral/epidemiología , Técnicas de Laboratorio Clínico , Continuidad de la Atención al Paciente , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/prevención & control , Manejo de la Enfermedad , Femenino , Accesibilidad a los Servicios de Salud , Departamentos de Hospitales/estadística & datos numéricos , Unidades Hospitalarias/estadística & datos numéricos , Humanos , Control de Infecciones/organización & administración , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Transmisión de Enfermedad Infecciosa de Profesional a Paciente/prevención & control , Masculino , Tamizaje Masivo/organización & administración , Persona de Mediana Edad , Marruecos , Pandemias/prevención & control , Neumonía Viral/diagnóstico , Neumonía Viral/prevención & control , Estudios Retrospectivos
2.
BMC Med Educ ; 20(1): 399, 2020 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-33138810

RESUMEN

BACKGROUND: COVID-19 is a global pandemic affecting all aspects of life in all countries. We assessed COVID-19 knowledge and associated factors among dental academics in 26 countries. METHODS: We invited dental academics to participate in a cross-sectional, multi-country, online survey from March to April 2020. The survey collected data on knowledge of COVID-19 regarding the mode of transmission, symptoms, diagnosis, treatment, protection, and dental treatment precautions as well as participants' background variables. Multilevel linear models were used to assess the association between dental academics' knowledge of COVID-19 and individual level (personal and professional) and country-level (number of COVID-19 cases/ million population) factors accounting for random variation among countries. RESULTS: Two thousand forty-five academics participated in the survey (response rate 14.3%, with 54.7% female and 67% younger than 46 years of age). The mean (SD) knowledge percent score was 73.2 (11.2) %, and the score of knowledge of symptoms was significantly lower than the score of knowledge of diagnostic methods (53.1 and 85.4%, P <  0.0001). Knowledge score was significantly higher among those living with a partner/spouse than among those living alone (regression coefficient (B) = 0.48); higher among those with PhD degrees than among those with Bachelor of Dental Science degrees (B = 0.48); higher among those seeing 21 to 30 patients daily than among those seeing no patients (B = 0.65); and higher among those from countries with a higher number of COVID-19 cases/million population (B = 0.0007). CONCLUSIONS: Dental academics had poorer knowledge of COVID-19 symptoms than of COVID-19 diagnostic methods. Living arrangements, academic degrees, patient load, and magnitude of the epidemic in the country were associated with COVD-19 knowledge among dental academics. Training of dental academics on COVID-19 can be designed using these findings to recruit those with the greatest need.


Asunto(s)
Competencia Clínica , Infecciones por Coronavirus/prevención & control , Odontología/organización & administración , Docentes de Odontología/organización & administración , Control de Infecciones/organización & administración , Pandemias/prevención & control , Neumonía Viral/prevención & control , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Internacionalidad , Modelos Lineales , Masculino , Análisis Multivariante , Pandemias/estadística & datos numéricos , Neumonía Viral/epidemiología
7.
Epilepsy Behav ; 112: 107483, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33181898

RESUMEN

INTRODUCTION: When the SARS-CoV-2 pandemic reached Europe in 2020, a German governmental order forced clinics to immediately suspend elective care, causing a problem for patients with chronic illnesses such as epilepsy. Here, we report the experience of one clinic that converted its outpatient care from personal appointments to telemedicine services. METHODS: Documentations of telephone contacts and telemedicine consultations at the Epilepsy Center Frankfurt Rhine-Main were recorded in detail between March and May 2020 and analyzed for acceptance, feasibility, and satisfaction of the conversion from personal to telemedicine appointments from both patients' and medical professionals' perspectives. RESULTS: Telephone contacts for 272 patients (mean age: 38.7 years, range: 17-79 years, 55.5% female) were analyzed. Patient-rated medical needs were either very urgent (6.6%, n = 18), urgent (23.5%, n = 64), less urgent (29.8%, n = 81), or nonurgent (39.3%, n = 107). Outpatient service cancelations resulted in a lack of understanding (9.6%, n = 26) or anger and aggression (2.9%, n = 8) in a minority of patients, while 88.6% (n = 241) reacted with understanding, or relief (3.3%, n = 9). Telemedicine consultations rather than a postponed face-to-face visit were requested by 109 patients (40.1%), and these requests were significantly associated with subjective threat by SARS-CoV-2 (p = 0.004), urgent or very urgent medical needs (p = 0.004), and female gender (p = 0.024). Telemedicine satisfaction by patients and physicians was high. Overall, 9.2% (n = 10) of patients reported general supply problems due to SARS-CoV-2, and 28.4% (n = 31) reported epilepsy-specific problems, most frequently related to prescriptions, or supply problems for antiseizure drugs (ASDs; 22.9%, n = 25). CONCLUSION: Understanding and acceptance of elective ambulatory visit cancelations and the conversion to telemedicine consultations was high during the coronavirus disease 2019 (COVID-19) lockdown. Patients who engaged in telemedicine consultations were highly satisfied, supporting the feasibility and potential of telemedicine during the COVID-19 pandemic and beyond.


Asunto(s)
Instituciones de Atención Ambulatoria/organización & administración , Atención Ambulatoria/organización & administración , Infecciones por Coronavirus/prevención & control , Epilepsia/terapia , Control de Infecciones/organización & administración , Pandemias/prevención & control , Neumonía Viral/prevención & control , Telemedicina/organización & administración , Adolescente , Adulto , Anciano , Atención Ambulatoria/métodos , Citas y Horarios , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Femenino , Alemania , Humanos , Masculino , Persona de Mediana Edad , Neumonía Viral/epidemiología , Derivación y Consulta , Teléfono , Adulto Joven
8.
MMWR Morb Mortal Wkly Rep ; 69(46): 1730-1735, 2020 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-33211679

RESUMEN

The coronavirus disease 2019 (COVID-19) pandemic has highlighted the vulnerability of residents and staff members in long-term care facilities (LTCFs) (1). Although skilled nursing facilities (SNFs) certified by the Centers for Medicare & Medicaid Services (CMS) have federal COVID-19 reporting requirements, national surveillance data are less readily available for other types of LTCFs, such as assisted living facilities (ALFs) and those providing similar residential care. However, many state and territorial health departments publicly report COVID-19 surveillance data across various types of LTCFs. These data were systematically retrieved from health department websites to characterize COVID-19 cases and deaths in ALF residents and staff members. Limited ALF COVID-19 data were available for 39 states, although reporting varied. By October 15, 2020, among 28,623 ALFs, 6,440 (22%) had at least one COVID-19 case among residents or staff members. Among the states with available data, the proportion of COVID-19 cases that were fatal was 21.2% for ALF residents, 0.3% for ALF staff members, and 2.5% overall for the general population of these states. To prevent the introduction and spread of SARS-CoV-2, the virus that causes COVID-19, in their facilities, ALFs should 1) identify a point of contact at the local health department; 2) educate residents, families, and staff members about COVID-19; 3) have a plan for visitor and staff member restrictions; 4) encourage social (physical) distancing and the use of masks, as appropriate; 5) implement recommended infection prevention and control practices and provide access to supplies; 6) rapidly identify and properly respond to suspected or confirmed COVID-19 cases in residents and staff members; and 7) conduct surveillance of COVID-19 cases and deaths, facility staffing, and supply information (2).


Asunto(s)
Instituciones de Vida Asistida , Infecciones por Coronavirus/epidemiología , Pandemias , Neumonía Viral/epidemiología , Anciano , Anciano de 80 o más Años , Instituciones de Vida Asistida/organización & administración , Infecciones por Coronavirus/mortalidad , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Femenino , Humanos , Control de Infecciones/organización & administración , Masculino , Pandemias/prevención & control , Neumonía Viral/mortalidad , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Estados Unidos/epidemiología
9.
Biomedica ; 40(Supl. 2): 159-165, 2020 10 30.
Artículo en Inglés, Español | MEDLINE | ID: mdl-33152199

RESUMEN

INTRODUCTION: Healthcare personnel plays an important role in the prevention of acute respiratory infections in hospital settings. OBJECTIVE: Our aim was to establish the level of knowledge about respiratory virus infections and the attitudes and practices among healthcare workers, leaders of infection control committees in hospitals of Bogotá, Colombia. MATERIALS AND METHODS: We used a self-administered questionnaire of 28 items during the monthly meeting sponsored by the local health authority. "Yes or no" and "true or false" questions were applied to measure knowledge. Attitudes and practices were measured with a Likert-type scale according to the agreement degree. RESULTS: We surveyed 70 healthcare workers. Respondents demonstrated a good level of knowledge as 80% of them answered correctly more than five questions. A total of 54.4% showed a low degree of agreement when asked if their institutions have the policy to stay home when they are sick with respiratory symptoms and 67.1% never or rarely remain at home under such conditions. CONCLUSION: Healthcare worker leaders of infection control committees in Bogotá's ospitals have adequate knowledge about the prevention of seasonal respiratory viruses. There is a need for implementing urgent sick leave policies as a measure to prevent the spread of potential coronavirus infections in hospitals.


Asunto(s)
Planificación en Desastres , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/psicología , Pandemias/prevención & control , Infecciones del Sistema Respiratorio/prevención & control , Absentismo , Adulto , Colombia/epidemiología , Estudios Transversales , Femenino , Humanos , Control de Infecciones/organización & administración , Masculino , Persona de Mediana Edad , Política Organizacional , Ausencia por Enfermedad , Encuestas y Cuestionarios
10.
World J Gastroenterol ; 26(38): 5749-5758, 2020 Oct 14.
Artículo en Inglés | MEDLINE | ID: mdl-33132632

RESUMEN

Since the outbreak of the coronavirus disease 2019 (COVID-19), various measures have been taken to protect against the infection. As droplet and contact transmission are the main routes of COVID-19 infection, endoscopy centers are considered to be high-risk areas for exposure to COVID-19. We have undertaken several countermeasures in our endoscopic center during the pandemic, and have gained significant experience in terms of prevention and control of COVID-19. We here present our experience and strategies adopted for preventing hospital infection in our endoscopy center during the COVID-19 pandemic. We describe our management of the environment, endoscope, patients, and medical staff, and our self-made masks.


Asunto(s)
Desinfección , Endoscopía Gastrointestinal/métodos , Planificación Ambiental , Control de Infecciones/organización & administración , Admisión y Programación de Personal , Betacoronavirus , China , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Humanos , Control de Infecciones/métodos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/transmisión
13.
Australas J Ageing ; 39(3): 283-286, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33051999

RESUMEN

OBJECTIVE: We developed interim guidance for the care of patients with cognitive impairment in hospital during the COVID-19 pandemic. METHODS: A Guidance Committee and Readers Group were recruited. The content was identified by the Committee and content-specific subgroups, resulting in a draft document, which was sent to the Readers for review. People with dementia and care partners were involved in all aspects of the process. RESULTS: Infection control measures can lead to an escalation of distress. In an environment where visiting bans are applied to care partners/advocates, hospitals need to ensure care partners can continue to provide decision-making support. Health-care professionals can proactively engage care partners using videoconferencing technologies. Developing models of care that proactively support best practice can minimise the risk of delirium, mitigate escalating symptoms and guide the use of non-pharmacological, pharmacological (start low, go slow) or physical restraint in managing behavioural and psychological symptoms.


Asunto(s)
Betacoronavirus , Disfunción Cognitiva/psicología , Disfunción Cognitiva/terapia , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Control de Infecciones/organización & administración , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Adulto , Australia , Infecciones por Coronavirus/transmisión , Hospitalización , Humanos , Neumonía Viral/transmisión
14.
Ann Ital Chir ; 91: 345-351, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33055390

RESUMEN

INTRODUCTION: The recent Sars-CoV2 pandemic has dramatically slowed patients' access to our clinic for vascular pathology when the contagion curve peaked. The need to restore the assistance activity has led us to adopt new individual prophylaxis and hygiene measures. METHODS: Doctors and staff must wear dedicated clothes. Mask and gloves are mandatory for patients. A visit is scheduled every 60 minutes to allow the sanitation of the rooms. The day before the visit patients are contacted by telephone for the Covid-19 risk triage. In the presence of symptoms the visit is postponed. In the presence of other risk factors a IgG/IgM Rapid Test for Covid-19 is performed on admission to the clinic. In the presence of fever, if an extraordinary rapid test cannot be performed, the visit must be postponed. Rapid test positive patients cannot be visited: they are placed in solitary confinement at their home waiting for a nasopharyngeal swab for Covid-19. When the rapid test is positive, immediate room sanitation also occurs. The rooms dedicated to the outpatient clinic as well as medical and not medical instruments are disinfected. CONCLUSION: The one adopted can be a useful management model for any type of care activity in order to guarantee the safety of patients and all the staff. KEY WORDS: COVID-19, Management, vascular, Outpatient clinic.


Asunto(s)
Betacoronavirus , Cardiología/organización & administración , Técnicas de Laboratorio Clínico , Infecciones por Coronavirus/prevención & control , Control de Infecciones/métodos , Servicio Ambulatorio en Hospital/organización & administración , Pandemias/prevención & control , Neumonía Viral/prevención & control , Anticuerpos Antivirales/sangre , Citas y Horarios , Betacoronavirus/inmunología , Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Desinfección , Formularios como Asunto , Hospitales Universitarios/organización & administración , Humanos , Higiene/normas , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Control de Infecciones/organización & administración , Control de Infecciones/normas , Italia/epidemiología , Nasofaringe/virología , Equipo de Protección Personal , Neumonía Viral/diagnóstico , Neumonía Viral/epidemiología , Guías de Práctica Clínica como Asunto , Evaluación de Síntomas , Termometría , Triaje/organización & administración
16.
Nephrol Nurs J ; 47(5): 423-427, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33107714

RESUMEN

In March 2020, the COVID-19 pandemic became an increasingly urgent issue of public health concern in the United States. Patients on dialysis are considered to be at increased risk for infection due to their medical comorbidities and need for continued face-to-face encounters in dialysis units. In our outpatient dialysis practice, 42 out of 269 patients (15.6%) were infected with COVID-19 during the first wave of the pandemic. In this retrospective report, we review issues of infection control, access to interventional procedures, and communication encountered in our practice. We discuss lessons learned in patient outcomes and the importance of transitioning patients to home modalities. Further planning for a potential second wave of COVID-19 may help ensure improved quality of care for patients in the dialysis program.


Asunto(s)
Atención Ambulatoria/organización & administración , Infecciones por Coronavirus/prevención & control , Control de Infecciones/organización & administración , Pandemias/prevención & control , Neumonía Viral/prevención & control , Diálisis Renal , Infecciones por Coronavirus/epidemiología , Humanos , Neumonía Viral/epidemiología , Estudios Retrospectivos , Estados Unidos/epidemiología
18.
Clin Lab Med ; 40(4): 587-601, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33121624

RESUMEN

SARS-CoV-2 (also known as COVID-19) has been an unprecedented challenge in many parts of the medical field with blood banking being no exception. COVID-19 has had a distinctly negative effect on our blood collection nationwide forcing blood banks, blood centers, and the US government to adopt new policies to adapt to a decreased blood supply as well as to protect our donors from COVID-19. These policies can be seen distinctly in patient blood management and blood bank operations. We are also faced with developing policies and procedures for a nontraditional therapy, convalescent plasma; its efficacy and safety is still not completely elucidated as of yet.


Asunto(s)
Bancos de Sangre , Transfusión Sanguínea/normas , Infecciones por Coronavirus , Control de Infecciones/organización & administración , Pandemias , Neumonía Viral , Betacoronavirus , Bancos de Sangre/métodos , Bancos de Sangre/tendencias , Donantes de Sangre/provisión & distribución , Seguridad de la Sangre , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Humanos , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Formulación de Políticas , Medicina Transfusional/normas , Medicina Transfusional/tendencias
19.
Isr Med Assoc J ; 22(10): 599-601, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33070480

RESUMEN

BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the pathogen that causes coronavirus disease-2019 (COVID-19), is thought to be transmitted via droplets and aerosols, and was detected in saliva of infected individuals. These droplets from the upper airway may infect the inhalation sedation mask and tubing. The authors determined the adequate measures needed to prevent the transmission of COVID-19 by nitrous-oxide (N2O) system during inhalation sedation in dentistry and provided evidence on mask and tubing sterilization. Additional measures to protect patients and healthcare workers from COVID-19 that may be transmitted by the inhalation sedation system are discussed. The authors recommend minimal use of a N2O system during inhalation sedation in dentistry. In case of need, the practitioners should have more than one scavenger kit and nasal masks for each N2O/O2 mixer. Biologic barriers should be mounted between the scavenger's tubing and the central evacuation system. Strict cleansing and sterilization should be performed for all parts of the N2O system. The use a disposable scavenger system and nasal mask should be considered as a viable option.


Asunto(s)
Anestesia Dental/métodos , Sedación Consciente/efectos adversos , Infecciones por Coronavirus/prevención & control , Brotes de Enfermedades/prevención & control , Óxido Nitroso/farmacología , Pandemias/prevención & control , Equipo de Protección Personal/estadística & datos numéricos , Neumonía Viral/prevención & control , Administración por Inhalación , Anestesia Dental/efectos adversos , Sedación Consciente/métodos , Infecciones por Coronavirus/epidemiología , Transmisión de Enfermedad Infecciosa/prevención & control , Testimonio de Experto , Femenino , Humanos , Control de Infecciones/organización & administración , Israel , Masculino , Salud Laboral , Seguridad del Paciente , Neumonía Viral/epidemiología
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