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2.
Sante Publique ; 32(2): 239-246, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32985840

RESUMO

INTRODUCTION: Professional and Territorial Health Communities aim at organizing the coordination of health professionals of primary and specialty care, in order to better structure care pathways and improve healthcare access. The flow of patients to specialty care outlines territories whose scale and organization can serve as a basis to identify these communities’ territories. METHOD: The analysis of patient flows to specialty care professionals in Centre-Val de Loire region in 2015 (SNIIRAM data) made it possible to classify medical specialties according to their scale of attractiveness (i.e. regional, departmental and sub-departmental specialties). Among sub-departmental specialties, 5 have been merged to identify common poles of attraction. These empirical poles have been compared to health professionals’ perception of territories where they practice in order to refine the territorial subdivision of the region. Patient flows to the General Hospitals (PMSI date) were then defined to compare them with the private practice patient poles. RESULTS: In the region, twenty or so attraction poles can be identified in the six departments of the region. Local areas have been divided into 5 classes, according to their degree of attraction to a pole. Attraction poles seem to be consistent with health professionals’ habits. The concordance with hospital patient poles reinforced the relevance of this division. CONCLUSION: Patients flows respond to a real territorial logic which, confronted to health professionals’ real-life practices, draws territories relevant for a first approach of the Professional and Territorial Health Communities.


Assuntos
Redes Comunitárias/organização & administração , Assistência à Saúde/organização & administração , Pessoal de Saúde/organização & administração , França , Acesso aos Serviços de Saúde , Humanos
3.
Acta Biomed ; 91(3): ahead of print, 2020 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-32921743

RESUMO

During COVID-19 pandemic, the recruitment of new personnel was necessary to guarantee an adequate healthcare level to all patients affected by SARS-CoV-2 virus. In order to deal with the sanitary emergency, unusual selection procedures have been adopted inside the public health system by searching for new healthcare personnel. The recruitment of new candidates with a short self-introduction was very effective and permitted to select 65 nurses.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Pessoal de Saúde/organização & administração , Pneumonia Viral/epidemiologia , Gravação em Vídeo/métodos , Humanos , Pandemias
4.
Acta Biomed ; 91(3): e2020044, 2020 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-32921737

RESUMO

Coronavirus disease 2019 (COVID-19) pandemic is a global challenge. Several governments of the world have decided to take drastic actions in order to combat the spread of the disease, including the closing of air, maritime and land borders, as an extreme measure of isolation of each country/region. However, such measures had not prevented the disease from spreading globally; as COVID-19 has already spread in almost all countries. This virus's main victims are the healthcare personnel (HCP), who are physically and psychologically affected. The HCP serves as the first line of defense against this pandemic, what if we faced a significant loss in their number? And what if our HCP was going through a deep dark depression? The condition would be terrifying not only for now but also in the future. This raises the need for an intensified International collaboration, that mainly supports the HCP. We are throwing by challenging moments, and it is clear that social distancing, cooperation, hygiene awareness and abide by the recommendation and help of all governments, as well as obtaining the support of international organizations could be an excellent tool for preventing an increase in the number of cases, principally in countries and regions were COVID-19 is in the early stage of the epidemic. However, this is not the final solution for the current pandemic. An intensified global program, which mainly supports the HCP, then considers the other aspects of the COVID19 pandemic might bring this pandemic to a peaceful end.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Transmissão de Doença Infecciosa/prevenção & controle , Pessoal de Saúde/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Humanos
6.
Cien Saude Colet ; 25(9): 3555-3556, 2020 Sep.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32876280

RESUMO

We live in a global pandemic unprecedented in our generation. These are challenging times for healthcare workers. We are all in the same storm and join the same collective effort against COVID-19. However, we are not in the same boat. Inequality determines how each category of the health workforce is affected by the new coronavirus in Brazil. Exposed to the disease on the frontlines, nursing technicians and assistants suffer disproportionately the dire effects of the pandemic. More than 1.3 million technicians and almost 420 thousand nursing assistants provide essential care in health units and do not have the assistance and financial backing to mitigate the effects of COVID-19 on themselves and their families. Eight in every ten of these professionals are women, who are providers and also assume, in most cases, the role of primary caregivers for children, older adults, and the sick in their families. Low wages make hinder access to safer transportation and care alternatives for dependents, which is the reality of most professionals who keep the health system running throughout the pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Pessoal de Saúde/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Pneumonia Viral/epidemiologia , Brasil/epidemiologia , Cuidadores/estatística & dados numéricos , Infecções por Coronavirus/terapia , Assistência à Saúde/organização & administração , Feminino , Pessoal de Saúde/organização & administração , Humanos , Masculino , Pandemias , Pneumonia Viral/terapia
7.
BMJ Open Qual ; 9(3)2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32978176

RESUMO

INTRODUCTION: Effective implementation of standard precautions specific to COVID-19 is a challenge for hospitals within the existing constraints of time and resources. AIM: To rapidly design and operationalise personal protective equipment (PPE) donning and doffing areas required for a COVID-19 care facility. METHODS: Literature review was done to identify all issues pertaining to donning and doffing in terms of Donabedian's structure, process and outcome. Training on donning and doffing was given to hospital staff. Donning and doffing mock drills were held. 5S was used as a tool to set up donning and doffing areas. Instances of donning and doffing were observed for protocol deviations and errors. Plan-do-study-act cycles were conducted every alternate day for 4 weeks. The initiative was reported using Standards for QUality Improvement Reporting Excellence (SQUIRE) guidelines. RESULTS: Best practices in donning and doffing were described. Our study recommends a minimum area of 16 m2 each for donning and doffing rooms. Verbally assisted doffing was found most useful than visual prompts. DISCUSSION: Challenges included sustaining the structure and process of donning and doffing, varied supplies of PPE which altered sequencing of donning and/or doffing, and training non-healthcare workers such as plumbers, electricians and drivers who were required during emergencies in the facility. CONCLUSION: Our study used evidence-based literature and quality improvement (QI) tools to design and operationalise donning and doffing areas with focus on people, task and environment. Our QI will enable healthcare facilities to rapidly prototype donning and doffing areas in a systematic way.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde/organização & administração , Controle de Infecções/normas , Saúde do Trabalhador/normas , Pandemias/prevenção & controle , Equipamento de Proteção Individual/normas , Pneumonia Viral/prevenção & controle , Adulto , Betacoronavirus , Infecções por Coronavirus/transmissão , Feminino , Pessoal de Saúde/normas , Implementação de Plano de Saúde , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/transmissão , Roupa de Proteção/normas , Melhoria de Qualidade , Dispositivos de Proteção Respiratória/normas , Adulto Jovem
8.
S Afr Med J ; 110(6): 450-452, 2020 05 14.
Artigo em Inglês | MEDLINE | ID: mdl-32880548

RESUMO

It is likely that the SARS-CoV-2 pandemic will affect a large part of the world's population and will last for several years. Many critical ethical issues have arisen in the healthcare context. While response from healthcare professionals to participating in the care of patients in the era of COVID-19 has generally been positive, there have also been disturbing experiences on the ground. The practice of medicine is a social contract with humanity. Challenges have arisen because the patient is both a victim and a vector of the coronavirus. All humans should have a natural instinct to care for those in need. Ethically and legally, healthcare professionals cannot be expected to assume a significant and unreasonable risk of harm. While fear is understandable, altruism and interest in serving the sick exemplify the value of solidarity. Social harms like stigmatisation and discrimination can occur. Concerns have been raised regarding protection of privacy and respect for rights of infected individuals. In the era of COVID-19, fear, misinformation and a detachment from one's calling put professionalism strongly to the test.


Assuntos
Infecções por Coronavirus/terapia , Assistência à Saúde/organização & administração , Pessoal de Saúde/organização & administração , Pneumonia Viral/terapia , Altruísmo , Infecções por Coronavirus/epidemiologia , Assistência à Saúde/ética , Pessoal de Saúde/ética , Humanos , Pandemias/ética , Pneumonia Viral/epidemiologia , Profissionalismo
10.
New Jersey; BMJ Best Practice; Ago. 6, 2020. 194 p.
Monografia em Inglês | BIGG | ID: biblio-1116708

RESUMO

A potentially severe acute respiratory infection caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).[1] The clinical presentation is generally that of a respiratory infection with a symptom severity ranging from a mild common cold-like illness, to a severe viral pneumonia leading to acute respiratory distress syndrome that is potentially fatal. Characteristic symptoms include fever, cough, and dyspnea, although some patients may be asymptomatic. Complications of severe disease include, but are not limited to, multi-organ failure, septic shock, and blood clots.


Assuntos
Humanos , Masculino , Feminino , Gravidez , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Pneumonia Viral/complicações , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/diagnóstico por imagem , Grupos de Risco , Portador Sadio/transmissão , Pessoal de Saúde/organização & administração , Infecções por Coronavirus/complicações , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/diagnóstico por imagem , Transmissão Vertical de Doença Infecciosa/prevenção & controle , Pandemias/estatística & dados numéricos , Exacerbação dos Sintomas , Betacoronavirus/patogenicidade , Pneumonia Associada a Assistência à Saúde/diagnóstico , China/epidemiologia
11.
Washington; Organización Panamericana de la Salud; ago. 31, 2020. 9 p.
Não convencional em Espanhol | LILACS | ID: biblio-1118359

RESUMO

Ante el incremento de casos y defunciones por COVID-19 en personal de salud de los países y territorios de la Región de las Américas, la Organización Panamericana de la Salud / Organización Mundial de la Salud (OPS/OMS) a través de esta alerta insta a los Estados Miembros a fortalecer las capacidades de los servicios de salud en todos sus niveles y mantener a los profesionales de salud dotados de los recursos y capacitación, asegurando una respuesta adecuada y oportuna de los sistemas de salud ante la pandemia.


Assuntos
Humanos , Pneumonia Viral/epidemiologia , Sistemas de Saúde/organização & administração , Pessoal de Saúde/organização & administração , Infecções por Coronavirus/epidemiologia , Pandemias/estatística & dados numéricos , Betacoronavirus , América/epidemiologia
12.
PLoS One ; 15(8): e0237298, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32790708

RESUMO

OBJECTIVES: We aimed to model the impact of coronavirus (COVID-19) on the clinical academic response in England, and to provide recommendations for COVID-related research. DESIGN: A stochastic model to determine clinical academic capacity in England, incorporating the following key factors which affect the ability to conduct research in the COVID-19 climate: (i) infection growth rate and population infection rate (from UK COVID-19 statistics and WHO); (ii) strain on the healthcare system (from published model); and (iii) availability of clinical academic staff with appropriate skillsets affected by frontline clinical activity and sickness (from UK statistics). SETTING: Clinical academics in primary and secondary care in England. PARTICIPANTS: Equivalent of 3200 full-time clinical academics in England. INTERVENTIONS: Four policy approaches to COVID-19 with differing population infection rates: "Italy model" (6%), "mitigation" (10%), "relaxed mitigation" (40%) and "do-nothing" (80%) scenarios. Low and high strain on the health system (no clinical academics able to do research at 10% and 5% infection rate, respectively. MAIN OUTCOME MEASURES: Number of full-time clinical academics available to conduct clinical research during the pandemic in England. RESULTS: In the "Italy model", "mitigation", "relaxed mitigation" and "do-nothing" scenarios, from 5 March 2020 the duration (days) and peak infection rates (%) are 95(2.4%), 115(2.5%), 240(5.3%) and 240(16.7%) respectively. Near complete attrition of academia (87% reduction, <400 clinical academics) occurs 35 days after pandemic start for 11, 34, 62, 76 days respectively-with no clinical academics at all for 37 days in the "do-nothing" scenario. Restoration of normal academic workforce (80% of normal capacity) takes 11, 12, 30 and 26 weeks respectively. CONCLUSIONS: Pandemic COVID-19 crushes the science needed at system level. National policies mitigate, but the academic community needs to adapt. We highlight six key strategies: radical prioritisation (eg 3-4 research ideas per institution), deep resourcing, non-standard leadership (repurposing of key non-frontline teams), rationalisation (profoundly simple approaches), careful site selection (eg protected sites with large academic backup) and complete suspension of academic competition with collaborative approaches.


Assuntos
Betacoronavirus , Pesquisa Biomédica/métodos , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/virologia , Assistência à Saúde/métodos , Inglaterra/epidemiologia , Seguimentos , Pessoal de Saúde/organização & administração , Mão de Obra em Saúde/organização & administração , Humanos , Modelos Estatísticos , Pandemias , Pneumonia Viral/virologia , Estudos Prospectivos , Saúde Pública/métodos
13.
Artigo em Inglês | MEDLINE | ID: mdl-32785110

RESUMO

BACKGROUND: Since the beginning of SARS-CoV-2 outbreak, a large number of infections have been reported among healthcare workers (HCWs). The aim of this study was to investigate the occurrence of SARS-CoV-2 infection among HCWs involved in the first management of infected patients and to describe the measures adopted to prevent the transmission in the hospital. METHODS: This prospective observational study was conducted between February 21 and April 16, 2020, in the Padua University Hospital (north-east Italy). The infection control policy adopted consisted of the following: the creation of the "Advanced Triage" area for the evaluation of SARS-CoV-2 cases, and the implementation of an integrated infection control surveillance system directed to all the healthcare personnel involved in the Advance Triage area. HCWs were regularly tested with nasopharyngeal swabs for SARS-CoV-2; body temperature and suggestive symptoms were evaluated at each duty. Demographic and clinical data of both patients and HCWs were collected and analyzed; HCWs' personal protective equipment (PPE) consumption was also recorded. The efficiency of the control strategy among HCWs was evaluated identifying symptomatic infection (primary endpoint) and asymptomatic infection (secondary endpoint) with confirmed detection of SARS-CoV-2. RESULTS: 7595 patients were evaluated in the Advanced Triage area: 5.2% resulted positive and 72.4% was symptomatic. The HCW team was composed of 60 members. A total of 361 nasopharyngeal swabs were performed on HCWs. All the swabs resulted negative and none of the HCWs reached the primary or the secondary endpoint. CONCLUSIONS: An integrated hospital infection control strategy, consisting of dedicated areas for infected patients, strict measures for PPE use and mass surveillance, is successful to prevent infection among HCWs.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde/organização & administração , Controle de Infecções/organização & administração , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Adulto , Infecções Assintomáticas/epidemiologia , Betacoronavirus , Temperatura Corporal , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Surtos de Doenças , Feminino , Pessoal de Saúde/normas , Humanos , Controle de Infecções/normas , Itália/epidemiologia , Masculino , Equipe de Assistência ao Paciente/organização & administração , Equipamento de Proteção Individual/estatística & dados numéricos , Equipamento de Proteção Individual/provisão & distribução , Estudos Prospectivos , Triagem/organização & administração
14.
Washington; Organización Panamericana de la Salud; ago. 5, 2020. 4 p.
Não convencional em Espanhol | LILACS | ID: biblio-1116507

RESUMO

Con la intención de abordar la emergencia a nivel de los Territorios Indígenas, el Gobierno de la República convocó a un equipo de trabajo en asuntos indígenas y salud. El equipo está conformado por funcionarias y funcionarios del Ministerio de Salud, la Caja Costarricense de Seguro Social, la Comisión Nacional de Emergencia, la Comisión Nacional de Asuntos Indígenas, el Ministerio de Justicia y Paz y el Viceministerio de la Presidencia en Asuntos Políticos y Diálogo Ciudadano. Asimismo, cuenta con el apoyo de Sistema de Naciones Unidas en Costa Rica. A partir del trabajo de este equipo, se elabora el "Plan de acción para el abordaje del Covid19 en territorios indígenas", el cual considera como objetivo general implementar acciones estratégicas para la contención, prevención y atención de la emergencia del Covid-19, en los 24 territorios indígenas de Costa Rica, de acuerdo con los lineamientos técnicos para la prevención del Covid-19 en territorios indígenas. Para apoyar integralmente la implementación de este plan, la Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS), agencia técnica en las temáticas de salud del Sistema de Naciones Unidas, ha iniciado un proceso de contratación de profesionales comunitarios de salud que apoyen el abordaje de la Covid-19 en los territorios indígenas del país.


Assuntos
Humanos , Pneumonia Viral/epidemiologia , Pessoal de Saúde/organização & administração , Infecções por Coronavirus/epidemiologia , Serviços de Saúde Comunitária/organização & administração , Saúde de Populações Indígenas , Pandemias/prevenção & controle , Betacoronavirus , Costa Rica/epidemiologia
15.
Québec; INESSS; 6 juil. 2020.
Não convencional em Francês | BRISA/RedTESA | ID: biblio-1102690

RESUMO

CONTEXTE: Le présent document ainsi que les constats qu'il énonce ont été rédigés en réponse à une interpellation du ministère de la Santé et des Services sociaux dans le contexte de l'urgence sanitaire liée à la maladie à coronavirus (COVID-19) au Québec. L'objectif est de réaliser une recension sommaire des données publiées et de mobiliser les savoirs clés afin d'informer les décideurs publics et les professionnels de la santé et des services sociaux. Vu la nature rapide de cette réponse, les constats ou les positions qui en découlent ne reposent pas sur une recherche exhaustive des données publiées et une évaluation de sa qualité avec une méthode systématique ou sur un processus de consultation élaboré. Dans les circonstances d'une telle urgence de santé publique, l'INESSS reste à l'affût de toutes nouvelles données susceptibles de lui faire modifier cette réponse rapide. PRÉSENTATION DE LA DEMANDE La Direction générale des programmes dédiés aux personnes, aux familles et aux communautés du MSSS a sollicité la Direction des services sociaux de l'INESSS afin de répondre à la préoccupation du MSSS concernant la santé mentale du personnel du réseau de la santé et des services sociaux dans le contexte de l'actuelle pandémie. PRÉSENTATION DE LA DEMANDE: La Direction générale des programmes dédiés aux personnes, aux familles et aux communautés du MSSS a sollicité la Direction des services sociaux de l'INESSS afin de répondre à la préoccupation du MSSS concernant la santé mentale du personnel du réseau de la santé et des services sociaux dans le contexte de l'actuelle pandémie. MÉTHODOLOGIE: Revue de littérature Méthode de revue de littérature : Les constats de la présente réponse rapide sont basés sur une lecture partielle de certains documents (résumés) et une lecture complète des documents les plus pertinents. Recherche documentaire : Une stratégie documentaire visant à repérer tous les documents en lien avec la santé mentale, le coronavirus et d'autres situations susceptibles de soulever des enjeux similaires (p. ex., SRAS, Ebola, pandémie, épidémie, crise sanitaire, désastre) a été élaborée par la conseillère en information scientifique afin de créer une banque maîtresse pour la santé mentale. Cette banque a ensuite été interrogée afin de répondre aux questions d'intérêt abordées ici. SOMMAIRE DE LA LITTÉRATURE CONSULTÉE: Selon la littérature consultée, le personnel œuvrant dans le domaine de la santé et des services sociaux rapporte des inquiétudes et des craintes en lien au contexte de pandémie, dont : Inquiétudes par rapport à ses capacités physiques et mentales. Inquiétudes en lien à la santé de ses proches et au risque de contagion. Craintes de contracter la maladie et/ou de mourir. Craintes de manquer d'équipement de protection. Craintes que le système de santé ne puisse pas répondre aux besoins de la population. Des problèmes de santé mentale du personnel sont associés au contexte, notamment : Fatigue et stress . Aggravation des problèmes préexistants de santé physique ou mentale. Augmentation de la consommation d'alcool et autres substances psychoactives. Usure de compassion et sentiment d'impuissance. Souffrance morale et détresse psychologique en lien aux dilemmes éthiques associés aux décisions cliniques de priorisation d'accès aux soins. Perturbations du sommeil, de la concentration, et de l'appétit. Anxiété et dépression. État de stress post-traumatique. Le personnel œuvrant dans le domaine de la santé et des services sociaux, présentant certaines caractéristiques personnelles et familiales, serait plus susceptible d'expérimenter de la détresse psychologique ou des problèmes de santé mentale, dont : Ceux qui subissent des pressions de la part de leurs proches pour quitter leur travail. Ceux ayant de la difficulté à concilier les exigences professionnelles et familiales. Ceux dont les membres de la famille sont infectés ou suspectés de l'être ou gravement malades. Ceux récemment endeuillés. Ceux ayant des maladies chroniques ou des antécédents de troubles mentaux. CONSTATS DE L'INESSS: Basé sur la documentation scientifique et la littérature grise disponibles au moment de sa rédaction, malgré l'incertitude existante dans cette documentation et dans la démarche utilisée, l'INESSS émet les constats suivants: Le personnel œuvrant dans le domaine de la santé et des services sociaux rapporte des inquiétudes et des craintes en lien au contexte de pandémie. Il peut aussi vivre de la détresse psychologique et des problèmes de santé mentale. Certains facteurs liés à des caractéristiques personnelles et familiales, à des lieux de travail particuliers ou à des conditions organisationnelles, peuvent aggraver la détresse psychologique ou l'état de santé mentale. Des activités de communication publique, soulignant l'importance du rôle du personnel du réseau de la santé et des services sociaux, favorisent le soutien de leurs proches, ce qui en retour agit comme un facteur de protection pour contrer les effets néfastes de la pandémie sur leur santé mentale. Pour protéger l'ensemble du personnel du réseau de la santé et des services sociaux des effets négatifs du contexte pandémique sur la santé mentale, il importe d'accroître leurs capacités à remplir leur rôle. Ainsi, les mesures déployées par les établissements de santé doivent à la fois viser le renforcement des compétences (formations, webinaires…). Du temps doit être dégagé pour des rencontres d'équipe afin que des collègues partageant les mêmes défis professionnels puissent se soutenir moralement, valider leurs décisions et identifier des solutions créatives. Le jumelage entre professionnels (employé expérimenté avec un moins expérimenté, être accompagné pour les visites à domicile…) est une autre façon efficace de réduire le stress ou l'anxiété chez les professionnels. Malgré un contexte de travail rythmé par l'urgence d'agir, les professionnels doivent être sensibilisés à l'importance de prendre de courts moments d'arrêt et analyser leur propre état physique ou mental. Les gestionnaires doivent être formés afin de prévenir et détecter l'apparition de symptômes de détresse chez le personnel. Une vigilance particulière doit être portée auprès des travailleurs qui sont de retour de quarantaine, qui ont un proche infecté ou à risque de l'être ou qui sont atteints d'une maladie chronique ou qui ont un historique de problème de santé mentale. Les professionnels doivent éviter de se juger sévèrement; il est tout à fait normal dans un contexte pandémique de se sentir dépassé. L'expression des difficultés doit être favorisée et des mesures de soutien psychologique individuel doivent être offertes. Des mesures nécessitent d'être déployées par les établissements pour soutenir le personnel de la santé et des services sociaux ayant des décisions éthiquement difficiles à prendre.


Assuntos
Humanos , Saúde Mental/tendências , Pessoal de Saúde/organização & administração , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/epidemiologia , Avaliação da Tecnologia Biomédica , Avaliação em Saúde
17.
Therapie ; 75(4): 343-354, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32660776

RESUMO

Addictovigilance is a safety monitoring targeted at substances with potential for abuse and dependence. This vigilance was involved during the period of COVID-19 epidemic due to the significant changes in access to drugs and psychological disruption caused by the pandemic and lockdown. This article aims to present the different steps implemented by the French Addictovigilance network in collaboration with the French Health authorities from March to May 2020, including monitoring of potential harmful events, and scientific communication. The first events were identified through the continuity of the networking between the French addictovigilance centres and their partners: community pharmacies, general practitioners, specialized structures and emergency wards. As soon as the lockdown began, first cases of overdoses (lethal or not) were reported with opioids, mainly with methadone, and other opioids (heroin, oxycodone, tramadol or antitussive codeine). Lockdown-related noteworthy events consisted in clinical cases or other relevant information for which lockdown clearly played an important role: among the many substances identified at least once, pregabalin, benzodiazepines, cannabis, cocaine and nitrous oxide were the most significant in terms of prevalence, seriousness or particularly specific to the lockdown context. Despite significant decrease in the activity and travel limited to vital needs, community pharmacies continued to identify falsified prescriptions in this period, highlighting an increase in suspicious requests for pregabalin, codeine and tramadol. In parallel, the French addictovigilance network continued its communications efforts in the period, issuing a newsletter on tramadol, a press release on methadone and naloxone, and participating in the COVID-19 frequently asked questions (FAQs) of the French Society of Pharmacology and Therapeutic website (https://sfpt-fr.org/covid19). COVID-19 epidemic has been an important challenge for addictovigilance, and has proved that this monitoring is highly essential for alerting health professionals and health authorities to points of vigilance in the field of psychoactive substances.


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Quarentena , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Serviços Comunitários de Farmácia/organização & administração , Overdose de Drogas/epidemiologia , França/epidemiologia , Clínicos Gerais/organização & administração , Pessoal de Saúde/organização & administração , Humanos , Pandemias , Transtornos Relacionados ao Uso de Substâncias/complicações
18.
A A Pract ; 14(9): e01273, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32633929

RESUMO

In January 2020, a global pandemic was declared by the World Health Organization authorities for coronavirus disease 2019 (COVID-19). Since then, we have looked for ways to avoid transmission with mitigation measures and social distancing. However, areas with a high incidence of COVID-19 have struggled to maintain adequate supplies of personal protective equipment (PPE) essential for health workers. Many innovations have been proposed to assist providers including barriers to use during airway management. We present adaptations to previously described intubation or "aerosol" boxes.


Assuntos
Infecções por Coronavirus/terapia , Intubação Intratraqueal/métodos , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/terapia , Manuseio das Vias Aéreas/métodos , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Pessoal de Saúde/organização & administração , Humanos , Intubação Intratraqueal/instrumentação , México , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão
19.
Scand J Gastroenterol ; 55(8): 1005-1011, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32650675

RESUMO

While the COVID-19 pandemic evolves, we are beginning to understand the role the gastrointestinal tract plays in the disease and the impact of the infection on the care of patients with gastrointestinal (GI) and liver diseases. We review the data and understanding around the virus related to the digestive tract, impact of the pandemic on delivery of GI services and daily gastroenterology clinical practice, and the effects on patients with pre-existing GI diseases.


Assuntos
Infecções por Coronavirus/epidemiologia , Gastroenterologia/organização & administração , Acesso aos Serviços de Saúde/estatística & dados numéricos , Controle de Infecções/organização & administração , Pandemias/estatística & dados numéricos , Equipe de Assistência ao Paciente/organização & administração , Pneumonia Viral/epidemiologia , Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/prevenção & controle , Feminino , Gastroenteropatias/diagnóstico , Gastroenteropatias/epidemiologia , Gastroenteropatias/terapia , Pessoal de Saúde/organização & administração , Humanos , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Guias de Prática Clínica como Assunto , Estados Unidos
20.
Health Aff (Millwood) ; 39(9): 1597-1600, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32673086

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic presented unprecedented challenges to the New York City Health + Hospitals system. In addition to ramping up capacity and adapting operations quickly to handle the patient surge, NYC Health + Hospitals had to find new ways to provide emotional and psychological support for patients, families, and staff. To help families keep in touch, dedicated staff members provided daily updates by telephone and used tablets for virtual visits. An expanded palliative care team held virtual consultations with families to discuss advance care planning and end-of-life decisions. Bereavement hotlines were set up for families who lost loved ones. Enhanced staff support included one-on-one and group sessions with behavioral health specialists, a behavioral health hotline, a webinar series, and respite rooms, as well as complimentary lodging and child care. NYC Health + Hospitals created new rituals to celebrate recoveries and mourn losses. As regular operations resume, NYC Health + Hospitals plans to sustain and build on emotional and psychological support initiatives developed during the surge.


Assuntos
Esgotamento Profissional/epidemiologia , Doenças Transmissíveis Emergentes/epidemiologia , Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Pessoal de Saúde/organização & administração , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Adaptação Psicológica , Esgotamento Profissional/psicologia , Doenças Transmissíveis Emergentes/terapia , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Masculino , Mortalidade , Cidade de Nova Iorque , Relações Enfermeiro-Paciente , Saúde do Trabalhador , Pandemias/prevenção & controle , Relações Médico-Paciente , Pneumonia Viral/prevenção & controle
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