Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 361
Filtrar
1.
Nurs Adm Q ; 45(3): 226-233, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33935212

RESUMO

New York City quickly became the epicenter of coronavirus disease-2019 (COVID-19) in early March of 2020. While hospitals were aware of the potential of COVID-19, the volume of critically ill patients that flooded the hospitals in the New York City area was clearly not anticipated. Hospital staff worked quickly to create COVID-19-free areas, but were overcome with the volume of COVID-positive critically ill patients. Many newly admitted patients required respiratory support with mechanical ventilation. As Governor Cuomo issued executive orders to stay at home in mid-March, some patients were afraid to go into hospitals despite symptoms of respiratory distress. Once these patients came to the hospital, they were often critically ill. Emergency departments and intensive care units filled rapidly, overwhelming staff and equipment needs with such things as pumps, dialysis machines, medications, and personal protective equipment. Plans for the day were disrupted with frequent rapid response calls and the need for additional beds. Key issues that confronted the COVID-19 response in critical care units at NYU Langone Health included communication, patient and staff safety.


Assuntos
COVID-19/enfermagem , Enfermagem de Cuidados Críticos/tendências , Enfermeiras e Enfermeiros/psicologia , Enfermagem de Cuidados Críticos/métodos , Humanos , New York , Enfermeiras e Enfermeiros/estatística & dados numéricos , Segurança do Paciente/normas , Equipamento de Proteção Individual/normas , Equipamento de Proteção Individual/provisão & distribuição
2.
Turk J Gastroenterol ; 32(2): 113-115, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33960933

RESUMO

In the midst of Coronavirus-19 (COVID-19) pandemic, endoscopic procedures have been separated for only urgent and semi-urgent cases for the last few months to prevent transmission in endoscopy units. This approach will perhaps resolve the burden of elective procedures in the months ahead of us. As we observe a downtrend in new cases of COVID-19 in Turkey, a strategy for reopening endoscopy units is required. We are stepping into a time period where we should not only re-provide the essential services to our patients but also maintain the safety of healthcare workers and preserve the valuable personal protective equipment as well. Herein, we aim to share the available knowledge in performing endoscopy during the pandemic and the set-up plan of a tertiary center in Istanbul for reopening the endoscopy unit in the era of the COVID-19 pandemic.


Assuntos
COVID-19/prevenção & controle , Endoscopia/normas , Controle de Infecções/normas , Centros de Atenção Terciária/normas , Pessoal de Saúde/normas , Humanos , Controle de Infecções/métodos , Equipamento de Proteção Individual/normas , Equipamento de Proteção Individual/provisão & distribuição , SARS-CoV-2 , Turquia
3.
Rev Gaucha Enferm ; 42(spe): e20200150, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34037178

RESUMO

OBJECTIVE: To summarize the knowledge about recommendations for the use of personal protective equipment necessary for the provision of care by health professionals to patients suspected or infected by the new coronavirus. METHOD: Scoping review with search for primary studies, reviews and preprints articles in English, Portuguese and Spanish, in the last 20 years on the bases WOS/ISI, SCOPUS, MEDLINE/PuBMed, CINAHL, LILACS and SciELO. Unpublished studies in journals were surveyed on bioRxiv and SciELO preprints. RESULTS: 23 studies were eligible. Experiences with coronavirus prior to SARS-CoV-2 revealed that the equipment was an essential barrier in preventing transmission and followed the recommendations for standard precautions, contact, droplet and aerosol. In 13 (57%) studies, this equipment complied international recommendations and in 10 (45%) local recommendations. CONCLUSION: The personal protective equipment used does not follow global standardization according to type, quality and adequate provision, exposing these professionals to the risk of contamination.


Assuntos
COVID-19/terapia , COVID-19/transmissão , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Equipamento de Proteção Individual/normas , Guias de Prática Clínica como Assunto/normas , Infecções por Coronavirus/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Exposição Ocupacional/prevenção & controle , Exposição Ocupacional/normas
4.
A A Pract ; 15(4): e01449, 2021 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-33905378

RESUMO

Snorkel masks have become an option for personal protective equipment (PPE) due to the shortage of air filtration at least 95% of airborne particle (N95) masks as a result of the coronavirus disease 2019 (COVID-19) pandemic. We developed a 3D design of a triheaded adapter that connects a snorkel mask to 3 different National Institute for Occupational Safety and Health (NIOSH)-approved air filtration at least 99% of airborne particles (N99) filters with the aim of improving wearer comfort. We measured the resistance of the new triheaded adapter to be one-third the resistance of the single adapter. Interdepartmental survey of anesthesiologists showed an improvement in perceived comfort when using the triheaded adapter as compared to the single adapter.


Assuntos
Anestesiologistas/tendências , COVID-19/prevenção & controle , Desenho de Equipamento/tendências , Máscaras/tendências , Exposição Ocupacional/prevenção & controle , Equipamento de Proteção Individual/tendências , Anestesiologistas/normas , COVID-19/epidemiologia , Desenho de Equipamento/normas , Humanos , Máscaras/normas , Equipamento de Proteção Individual/normas
5.
J Vis Exp ; (169)2021 03 18.
Artigo em Inglês | MEDLINE | ID: mdl-33818564

RESUMO

Light-weight, protective armor systems typically consist of high modulus (>109 MPa) and high-strength polymeric fibers held in place with an elastic resin material (binder) to form a non-woven, unidirectional laminate. While significant efforts have focused on improving the mechanical properties of the high-strength fibers, little work has been undertaken to improve the properties of the binder materials. To improve the performance of these elastomeric polymer binders, a relatively new and simple fabrication process, known as solution blow spinning, was used. This technique is capable of producing sheets or webs of fibers with average diameters ranging from the nanoscale to the microscale. To achieve this, a solution blow spinning (SBS) apparatus has been designed and built in the laboratory to fabricate non-woven fiber mats from polymer elastomer solutions. In this study, a commonly used binder material, a styrene-butadiene-styrene block-co-polymer dissolved in tetrahydrofuran, was used to produce nanocomposite fiber mats by adding metallic nanoparticles (NPs), such as iron oxide NPs, that were encapsulated with silicon oil and thus incorporated in the fibers formed via the SBS process. The protocol described in this work will discuss the effects of the various critical parameters involved in the SBS process, including the polymer molar mass, the selection of the thermodynamically appropriate solvent, the polymer concentration in solution, and the carrier gas pressure to assist others in performing similar experiments, as well as provide guidance to optimize the configuration of the experimental setup. The structural integrity and morphology of the resultant non-woven fiber mats were examined using scanning electron microscopy (SEM) and elemental X-ray analysis via energy-dispersive X-ray spectroscopy (EDS). The goal of this study is to evaluate the effects of the various experimental parameters and material selections to optimize the structure and morphology of the SBS fiber mats.


Assuntos
Nanocompostos/química , Equipamento de Proteção Individual/normas , Humanos
6.
Rom J Intern Med ; 59(2): 166-173, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33826812

RESUMO

Introduction. An on-going coronavirus disease 2019 (COVID-19) has become a challenge all over the world. Since an endoscopy unit and its staff are at potentially high risk for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, we conducted a survey for the management of the gastrointestinal endoscopic practice, personal protective equipment (PPE), and risk assessment for COVID-19 during the pandemic at multiple facilities.Methods. The 11-item survey questionnaire was sent to representative respondent of Department of Gastroenterology, Osaka City University Hospital, and its 19 related facilities.Results. A total of 18 facilities submitted valid responses and a total of 373 health care professionals (HCPs) participated. All facilities (18/18: 100%) were screening patients at risk for SARS-CoV-2 infection before endoscopy. During the pandemic, we found that the total volume of endoscopic procedures decreased by 44%. Eleven facilities (11/18: 61%) followed recommendations of the Japan Gastroenterological Endoscopy Society (JGES); consequently, about 35%-50% of esophagogastroduodenoscopy and colonoscopy were canceled. Mask (surgical mask or N95 mask), face shield/goggle, gloves (one or two sets), and gown (with long or short sleeves) were being used by endoscopists, nurses, endoscopy technicians, and endoscope cleaning staff in all the facilities (18/18: 100%). SARS-CoV-2 infection risk assessment of HCPs was conducted daily in all the facilities (18/18: 100%), resulting in no subsequent SARS-CoV-2 infection in HCPs.Conclusion. COVID-19 has had a dramatic impact on the gastrointestinal endoscopic practice. The recommendations of the JGES were appropriate as preventive measures for the SARSCoV-2 infection in the endoscopy unit and its staff.


Assuntos
COVID-19 , Endoscopia Gastrointestinal , Controle de Infecções , Exposição Ocupacional/prevenção & controle , Medição de Risco , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/transmissão , Endoscopia Gastrointestinal/métodos , Endoscopia Gastrointestinal/normas , Pesquisas sobre Serviços de Saúde , Humanos , Controle de Infecções/instrumentação , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Japão/epidemiologia , Equipamento de Proteção Individual/classificação , Equipamento de Proteção Individual/normas , Equipamento de Proteção Individual/provisão & distribuição , SARS-CoV-2 , Gestão da Segurança/tendências
8.
Int J Occup Med Environ Health ; 34(2): 239-249, 2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-33847307

RESUMO

OBJECTIVES: To evaluate the effectiveness of safety guidelines in the workplace, the authors analyzed the work-related exposure to SARS-CoV-2 and the source of COVID­19 infections among healthcare workers (HCWs), together with the use of personal protective equipment (PPE). MATERIAL AND METHODS: A cross-sectional prospective study was conducted in tertiary hospitals in the Uusimaa region, Finland, with 1072 volunteers being enrolled in the study from among the HCWs at the Helsinki University Hospital. Overall, 866 (80.8%) HCWs (including 588 nurses, 170 doctors, and 108 laboratory and medical imaging nurses) completed the questionnaire by July 15, 2020, with 52% of the participants taking care of COVID­19 patients. The participants answered a structured questionnaire regarding their use of PPE, the ability to follow safety guidelines, exposure to COVID­19, and the source of potential COVID­19 infections. The participants with COVID­19 symptoms were tested with the SARS-CoV-2 realtime polymerase chain reaction method. All infected participants were contacted, and their answers were confirmed regarding COVID­19 exposure. RESULTS: In total, 41 (4.7%) participants tested positive for SARS-CoV-2, with 22 (53.6%) of infections being confirmed or likely occupational, and 12 (29.3%) originating from colleagues. In 14 cases (63.6%), occupational infections occurred while using a surgical mask, and all infections originating from patients occurred while using a surgical mask or no mask at all. No occupational infections were found while using an FFP2/3 respirator and following aerosol precautions. The combined odds ratio for working at an intensive care unit, an emergency department, or a ward was 3.4 (95% CI: 1.2-9.2, p = 0.016). CONCLUSIONS: A high infection rate was found among HCWs despite safety guidelines. Based on these findings, the authors recommend the use of FFP2/3 respirators in all patient contacts with confirmed or suspected COVID­19, along with the use of universal masking, also in personnel rooms. Int J Occup Med Environ Health. 2021;34(2):239-49.


Assuntos
COVID-19/epidemiologia , Transmissão de Doença Infecciosa/prevenção & controle , Pessoal de Saúde , Equipamento de Proteção Individual/normas , SARS-CoV-2 , Adulto , COVID-19/transmissão , Estudos Transversais , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Estudos Prospectivos
10.
Epidemiol Infect ; 149: e77, 2021 03 25.
Artigo em Inglês | MEDLINE | ID: mdl-33762038

RESUMO

Control of the novel COronaVIrus Disease-2019 (COVID-19) in a hospital setting is a priority. A COVID-19-infected surgeon performed surgical activities before being tested. An exposure risk classification was applied to the identified exposed subjects and high- and medium-risk contacts underwent active symptom monitoring for 14 days at home. All healthcare professionals (HCPs) were tested for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) at the end of the quarantine and serological tests were performed. Three household contacts and 20 HCPs were identified as high- or medium-risk contacts and underwent a 14-day quarantine. Fourteen HCPs and 19 patients were instead classified as low risk. All the contacts remained asymptomatic and all HCPs tested negative for SARS-CoV-2. About 25-28 days after their last exposure, HCPs underwent serological testing and two of them had positive IgM but negative confirmatory swabs. In a low COVID-19 burden area, the in-hospital transmission of SARS-CoV-2 from an infectious doctor did not occur and, despite multiple and frequent contacts, a hospital outbreak was avoided. This may be linked to the adoption of specific recommendations and to the use of standard personal protective equipment by HCPs.


Assuntos
COVID-19/diagnóstico , Cirurgiões , COVID-19/etiologia , COVID-19/psicologia , Busca de Comunicante/instrumentação , Busca de Comunicante/métodos , Epidemiologia , Humanos , Controle de Infecções/normas , Pandemias/prevenção & controle , Equipamento de Proteção Individual/normas
11.
Sensors (Basel) ; 21(5)2021 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-33668141

RESUMO

Size- and time-dependent particle removal efficiency (PRE) of different protective respiratory masks were determined using a standard aerosol powder with the size of particles in the range of an uncoated SARS-CoV-2 virus and small respiratory droplets. Number concentration of particles was measured by a scanning mobility particle sizer. Respiratory protective half-masks, surgical masks, and cotton washable masks were tested. The results show high filtration efficiency of FFP2, FFP3, and certified surgical masks for all sizes of tested particles, while protection efficiency of washable masks depends on their constituent fabrics. Measurements showed decreasing PRE of all masks over time due to transmission of nanoparticles through the mask-face interface. On the other hand, the PRE of the fabric is governed by deposition of the aerosols, consequently increasing the PRE.


Assuntos
COVID-19/prevenção & controle , Filtração , Máscaras/normas , Aerossóis , Humanos , Pandemias , Tamanho da Partícula , Equipamento de Proteção Individual/normas
12.
Fertil Steril ; 115(4): 831-839, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33750621

RESUMO

The coronavirus disease 2019 pandemic has resulted in many changes in how we interact in society, requiring that we protect ourselves and others from an invisible, airborne enemy called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Until a vaccine is developed, and it reaches high levels of distribution, everyone must continue to be diligent to limit the viral spread. The practice of assisted reproduction during this pandemic presents unique challenges in addition to the risks identified in general clinical care. The established good tissue practices employed in laboratories are not designed to protect gametes and embryos from an airborne virus, particularly one that may be shed by an asymptomatic staff member. Armed with theoretical risks but lacking direct evidence, assisted-reproduction teams must examine every aspect of their practice, identify areas at a risk of exposure to SARS-CoV-2, and develop a mitigation plan. Several professional fertility societies have created guidelines for the best practices in patient care during the coronavirus disease 2019 pandemic. As we learn more about SARS-CoV-2, updates have been issued to help adapt infection-control and -prevention protocols. This review discusses what is currently known about SARS-CoV-2 infection risks in assisted reproductive centers and recommends the implementation of specific mitigation strategies.


Assuntos
COVID-19/prevenção & controle , Pessoal de Saúde/normas , Controle de Infecções/normas , Equipamento de Proteção Individual/normas , Guias de Prática Clínica como Assunto/normas , Técnicas de Reprodução Assistida/normas , COVID-19/epidemiologia , COVID-19/transmissão , Humanos , Controle de Infecções/métodos , Medição de Risco/métodos , Medição de Risco/normas , Síndrome Respiratória Aguda Grave/epidemiologia , Síndrome Respiratória Aguda Grave/prevenção & controle , Síndrome Respiratória Aguda Grave/transmissão
14.
Simul Healthc ; 16(2): 153-154, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33780966

RESUMO

SUMMARY STATEMENT: In light of the COVID-19 pandemic, protocols to reduce risk of exposure to healthcare teams have been implemented. The use of an acrylic box during intubation and cardiopulmonary resuscitation has been adopted worldwide. A study was conducted to assess the effectiveness of an acrylic box in limiting contamination. The findings indicate that healthcare workers are still vulnerable to exposure despite the use of personal protective equipment (PPE) and an acrylic box. The causes of contamination were related to improper PPE donning and doffing and incomplete coverage by the acrylic box. Institutions should focus on ensuring proper donning and doffing of PPE and incorporating high-fidelity simulation training to prepare teams to resuscitate COVID-19 patients.


Assuntos
COVID-19/epidemiologia , Reanimação Cardiopulmonar/métodos , Treinamento com Simulação de Alta Fidelidade/organização & administração , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Equipamento de Proteção Individual/normas , Líquidos Corporais , Pessoal de Saúde/educação , Humanos , Controle de Infecções/normas , Pandemias , SARS-CoV-2
17.
BMJ Case Rep ; 14(2)2021 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-33597165

RESUMO

Placement of a double-lumen tube to achieve one lung ventilation is an aerosol-generating procedure. Performing it on a patient with COVID-19 will put healthcare workers at high risk of contracting the disease. We herein report a case of its use in a patient with traumatic diaphragmatic rupture, who was also suspected to have COVID-19. This article aims to highlight the issues, it presented and ways to address them as well as the perioperative impact of personal protective equipment.


Assuntos
COVID-19/prevenção & controle , Pessoal de Saúde/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Ventilação Monopulmonar/normas , Equipamento de Proteção Individual/normas , Acidentes de Trânsito , Adulto , COVID-19/diagnóstico , COVID-19/transmissão , Diafragma/lesões , Diafragma/cirurgia , Humanos , Masculino , Ventilação Monopulmonar/instrumentação , Guias de Prática Clínica como Assunto , Síndrome do Desconforto Respiratório/diagnóstico , Síndrome do Desconforto Respiratório/etiologia , Síndrome do Desconforto Respiratório/terapia , Ruptura/etiologia , Ruptura/terapia
18.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200657, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33605363

RESUMO

OBJECTIVE: To reflect on the safe care exercised by the pre-hospital care team by emergency ambulance in times of coronavirus infection. METHOD: A reflection and description of how to provide safe care to the patient and the professional during pre-hospital care in times of coronavirus infection. RESULTS: To ensure the health of all those involved in the care, health professionals who work in pre-hospital care by emergency ambulance should use the recommended Personal Protective Equipment (PPE), such as the use of surgical masks and N95, N99, N100, PFF2 or PFF3, the use of an apron or overall, goggles and face shield, gloves and a hat. The entire team must receive training and demonstrate the ability to use PPE correctly and safely. FINAL CONSIDERATIONS: The professional working in the pre-hospital care by ambulance is exposed to a series of occupational risks that need to be discussed and minimized through professional training.


Assuntos
Ambulâncias/normas , COVID-19/prevenção & controle , Serviços Médicos de Emergência/normas , Auxiliares de Emergência/normas , Segurança do Paciente/normas , Equipamento de Proteção Individual/normas , Guias de Prática Clínica como Assunto , Transporte de Pacientes/normas , Adulto , Ambulâncias/estatística & dados numéricos , Brasil , Feminino , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Masculino , Pessoa de Meia-Idade , Segurança do Paciente/estatística & dados numéricos , Equipamento de Proteção Individual/estatística & dados numéricos , SARS-CoV-2 , Transporte de Pacientes/estatística & dados numéricos
19.
Guatemala; MSPAS; 3 feb. 2021. 28 p. graf.
Não convencional em Espanhol | LILACS, LIGCSA | ID: biblio-1224546

RESUMO

En los antecedentes, brinda detalles técnicos de enfermedades previas al COVID-19 y sigue esta consigna internacional: "Sin embargo, a la luz de la posible introducción de un caso sospechoso relacionado con el 2019-nCoV en la Región de las Américas, la Organización Panamericana de la Salud / Organización Mundial de la Salud (OPS / OMS) recomienda a los Estados Miembros garantizar su identificación oportuna, el envío de las muestras a laboratorios Nacionales o de referencia y la implementación del protocolo de detección molecular para 2019-nCoV, según la capacidad del laboratorio." Aborda las tres mutaciones del virus conocidas hasta la fecha del documento y las tres variantes conocidas: Reino Unido e Irlanda del Norte, República de Sudáfrica y Brasil, siendo la de mayor transmisibilidad, según el documento, la del Reino Unido. El primero de los objetivos del documento es: "Brindar los lineamientos generales para la toma de muestra, conservación, transporte y diagnóstico del SARS-Cov-2 en los laboratorios descentralizados bajo la técnica de Reacción en Cadena de la Polimerasa (PCR) en tiempo Real, en atención a pacientes que cumplen con la definición de caso y se tipifica como "sospechoso inusitado"." Incluye como anexo 2 el documento: "Lineamientos para el abordaje de casos positivos para SARS-COV-2 de viajeros que ingresan al país por el aeropuerto internacional "La Aurora" (AILA)"


Assuntos
Humanos , Masculino , Feminino , Pneumonia Viral/diagnóstico , Manejo de Espécimes/normas , Infecções por Coronavirus/diagnóstico , Betacoronavirus , Contenção de Riscos Biológicos/métodos , Monitoramento Epidemiológico , Equipamento de Proteção Individual/normas , Guatemala , Indicadores e Reagentes/administração & dosagem , Laboratórios/normas
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...