[Assessment of COVID-19 Risky Contact of Healthcare Workers in an University Hospital]

Healthcare staff are the group with the very best threat of COVID-19 transmission. The sickness of healthcare staff poses a threat to sufferers admitted to the hospital, colleagues and households in addition to their very own well being. On this examine, it was aimed to find out the chance evaluation and the elements related to threat standing of an college hospital healthcare staff after dangerous COVID-19 contact. The info of the descriptive examine have been obtained from 773 follow-up information of 555 healthcare staff who utilized with COVID-19 dangerous contact between 06.04-10.05.2020. With the bodily enchancment of the remaining areas of the staff and the association of the breaks, the dangerous contact between colleagues within the social areas shall be lowered.

Workers who have been optimistic for RT-PCR evaluated as “sufferers” and others as “dangerous contact”. Danger evaluation was labeled as no threat, low, medium and excessive threat contact in keeping with the “Algorithm of Evaluation of Well being Employees with COVID-19 Contact” of the Ministry of Well being. The connection between the chance ranges of the individuals and their demographic and office traits and their utilization of non-public safety have been evaluated. Imply, normal deviation, share, chi-square and ANOVA checks have been used within the evaluation of the information. The common age of the healthcare staff was decided as 34.4 ± 7.6 years. It was decided that 56.2% of those that had contact have been feminine, 62.9% have been married and 17.5% had a further illness.

It was decided that 45.6% of the dangerous contacts have been nurses, 18.4% have been supportive personnel and 16.9% have been medical doctors. Whereas 46.5% of the contacts have been discovered as medium, 28.0% low, 17.1% excessive threat and eight.4% threat free. 38.2% of dangerous contacts occurred whereas working in inner/surgical clinics. Whereas 66.0% of the staff had dangerous contact throughout affected person care and therapy, 25% had dangerous contact with colleagues in social settings. Excessive-risk contact was larger in social relations between workers. The supply of the contact was a colleague in 73.2% of the staff.

The common age of high-risk workers was smaller than these of low-risk. Whereas 54.5% of the staff wore surgical masks throughout contact, 67.8% of the sufferers didn’t have a masks. Of 555 workers adopted, 37 (6.7%) have been recognized as COVID-19; 48.6% of the sufferers have been nurses and 18.9% have been medical doctors. It was decided that 48.6% of the healthcare staff have been working within the COVID-19 service, outpatient clinic or intensive care unit on the time of analysis. The supply of the an infection was regarded as a colleague in 51.6% of the sufferers. COVID-19 was extra widespread in nurses and medical doctors.

It was decided that dangerous contact additionally occurred in companies apart from the models the place COVID-19 sufferers have been handled and dangerous contact usually passed off whereas offering healthcare to the sufferers and through social relations between the staff. Unprotected contact of the staff with one another within the office was recognized as an essential threat supply. Insufficient use of non-public protecting tools by healthcare staff led to a rise in medium and excessive threat contacts. The usage of masks by sufferers and their family members in the course of the well being service supply and the correct use of non-public protecting tools by healthcare professionals will scale back the chance.

Challenges for bronchial asthma models in response to COVID-19: a qualitative group dynamics evaluation

To develop a set of suggestions for the administration of extreme bronchial asthma throughout COVID-19 pandemic. Eleven pneumologists and allergologists who have been employees members of formally accredited bronchial asthma models in Catalonia (Spain) participated in a cross-section examine primarily based on three 2-hour digital workshops (first: brainstorming, second: identification of impacts and challenges summarized in 10 matters, third: institution of ultimate suggestions by consensus).

Impacts and challenges recognized have been enchancment of referral protocols between completely different ranges of care; evaluation of the minimal variety of perform checks to be carried out and promote the efficiency of spirometry in major care; implementation of videoconferencing, cellular apps, phone calls, or integral digital platforms for the follow-up of sufferers, and definition of the mannequin of care (face-to-face, telematics, combined) in keeping with the affected person’s particular person wants; self-administration of biologics for domiciliary therapy; and empowerment of the position of nursing and hospital pharmacy specifically for follow-up and self-administration of biologics.

The primary suggestions included coordination between major care and specialised care session, optimization of lung perform testing, implementation of telemedicine, and the position of nursing and hospital pharmacy. The precise proposals in response to the impact of COVID-19 pandemic centered on 4 areas of curiosity (coordination between major care and specialised care, optimization of lung perform testing, implementation of telemedicine, and empowerment of the position of nursing and hospital pharmacy) could also be generalized to different well being care settings, and assist to introduce new methods of caring bronchial asthma sufferers within the COVID-19 context.