Coronavirus Disease 2019 Infection Among Medical Staff in Wuhan

Gong, Hongyun; Feng, Hongyan; Yu, Lushi; Tu, Ning; Wang, Tao; Yao, Yi; Wei, Yuehua; Wang, Yi; Hu, Weiguo; Li, Xiangpan; Fu, Zhenming; Song, Xuhong; Song, Qibin; Bu, Lihong

doi:10.1016/j.chest.2020.05.529

Cited by 10 publications

(7 citation statements)

References 6 publications

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“…Most countries have adopted lockdown measures, such as banning social interaction, closing public places and taking isolation measures[ 9 ], which has been proved to be effective in controlling the spread of the virus. However, health care workers at the forefront are at high risk of occupational exposure due to inevitable close contact[ 10 , 11 ]. Therefore, three-grade prevention measures and personal protective equipment are essential for intensivists to avoid further infection in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Remote nursing training model combined with proceduralization in the intensive care unit dealing with patients with COVID-19

Wang

Kang

Gao

et al. 2021

WJCC

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The shortage of personal protective equipment and lack of proper nursing training have been endangering health care workers dealing with coronavirus disease 2019 (COVID-19). In our treatment center, the implementation of a holistic care model of time-sharing management for severe and critical COVID-19 patients has further aggravated the shortage of intensive care unit (ICU) professional nurses. Therefore, we developed a short-term specialized and targeted nursing training program to help ICU nurses to cope with stress and become more efficient, thus reducing the number of nurses required in the ICU. In order to avoid possible human-to-human spread, small teaching classes and remote training were applied. The procedural training mode included four steps: preparation, plan, implementation, and evaluation. An evaluation was conducted throughout the process of nursing training. In this study, we documented and shared experiences in transitioning from traditional face-to-face programs to remote combined with proceduralization nursing training mode from our daily work experiences during the COVID-19 pandemic, which has shown to be helpful for nurses working in the ICU.

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Section: Introductionmentioning

confidence: 99%

Remote nursing training model combined with proceduralization in the intensive care unit dealing with patients with COVID-19

Wang

Kang

Gao

et al. 2021

WJCC

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“…3 During the severe acute respiratory syndrome (SARS) epidemic in 2003, 21% (1706 / 8096) cases were HCWs. 4 In a single-center case series of 138 COVID-19 patients hospitalized in Wuhan, China, in January 2020, 29% (40/138) were HCWs. 5 One report states that about 10 000 HCWs were infected and 74 died in Italy.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Transmission and Clinical Features in Pediatric Intensive Care Health Care Workers

Uyar¹,

Öztürk²,

Şevketoğlu³

et al. 2021

Turk Arch Pediatrics

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Objective: This study aims to investigate modes of transmission and clinical features of coronavirus disease 2019 in healthcare workers in pediatric intensive care units. Materials and Methods:This multicenter descriptive study was conducted between March and November 2020. Patient demographics, clinical characteristics, origin of coronavirus disease 2019, treatment modalities, and loss of workdays were recorded.Results: Seven hundred and sixty-eight healthcare workers from 16 pediatric intensive care units were enrolled and 114 (14.8%) healthcare workers with a mean age of 29.7 ± 6.7 years became coronavirus disease 2019 patients. Seventy-six (66.7%) patients were female. Approximately half (54.3%) of the patients were physicians, 34.2% were nurses, and 11.4% were ancillary staff. Transmission was deemed to occur through patient contact in 54.3% of the patients. Comorbid illness was present 10.5% of the patients. Transmission occurred during endotracheal intubation in 21%, cardiopulmonary resuscitation in 9.6%, and non-invasive ventilation in 12.2% of patients, while transmission was a result of multiple possible procedures in 43.8%. Intensive care admission was needed for 13.1% of the patients. Five patients needed oxygen by cannula, 7 needed oxygen with a non-rebreathing mask, 5 needed high-flow nasal cannula support, 5 needed non-invasive ventilation, and 3 needed invasive mechanical ventilation. Fortunately, no infected healthcare workers died. Conclusion:Coronavirus disease 2019 in healthcare workers is a significant problem in pediatric intensive care units. Transmission seems to occur particularly frequently during patient care procedures such as intubation, ventilation and aerosol therapy, which highlights the importance of proper use of full sets of personal protective equipment during all procedures during care of coronavirus disease 2019 patients.

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“…For this update, 8 cross-sectional studies ( 3–10 ) were added. Two studies were done in Asia ( 7 , 9 ), 5 were done in Europe ( 4–6 , 8 , 10 ), and 1 was done in Oman ( 3 ).…”

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confidence: 99%

“…Severe acute respiratory syndrome coronavirus 2 seropositivity, reported in 5 new studies, ranged from 3.2% to 13.2% ( 4–6 , 8 , 10 ). Among HCWs with SARS-CoV-2 infection, 3 studies reported hospitalization rates of 0% to 14.4% ( 3 , 9 , 10 ), and 2 studies reported that 0.7% and 10.2% had severe disease ( 7 , 9 ). In 2 studies, mortality among HCWs with SARS-CoV-2 infection was 0% and 0.7% ( 7 , 9 ).…”

mentioning

confidence: 99%

“…Among HCWs with SARS-CoV-2 infection, 3 studies reported hospitalization rates of 0% to 14.4% ( 3 , 9 , 10 ), and 2 studies reported that 0.7% and 10.2% had severe disease ( 7 , 9 ). In 2 studies, mortality among HCWs with SARS-CoV-2 infection was 0% and 0.7% ( 7 , 9 ). Limitations of the studies included failure to adequately report demographic characteristics of HCWs, small sample sizes, unclear participation rates, and lack of information on clinical outcomes of SARS-CoV-2 infections.…”

mentioning

confidence: 99%

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Update Alert 6: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers

et al. 2021

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Coronavirus Disease 2019 Infection Among Medical Staff in Wuhan

Cited by 10 publications

References 6 publications

Remote nursing training model combined with proceduralization in the intensive care unit dealing with patients with COVID-19

Remote nursing training model combined with proceduralization in the intensive care unit dealing with patients with COVID-19

COVID-19 Transmission and Clinical Features in Pediatric Intensive Care Health Care Workers

Update Alert 6: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers

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