Personal protection equipment for orthopaedic and trauma surgery during the COVID-19 pandemic: The results of an EFORT survey initiative

Karachalios, Theofilos; Maasalu, Katre; Felländer‐Tsai, Li

doi:10.1530/eor-21-0120

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…It is known that PPE can negatively affect surgical performance due to the limitation of vision and communication, discomfort, and fatigue. For this reason, we think that PPE should be used only in cases of necessity [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Detection of SARS-CoV-2 in Cancellous Bone of Patients with COVID-19 Disease Undergoing Orthopedic Surgery: Laboratory Findings and Clinical Applications

Guazzoni

Castelli

Polizzi

et al. 2022

IJERPH

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An emerging issue for orthopedic surgeons is how to manage patients with active or previous COVID-19 disease, avoiding any major risks for the surgeons and the O.R. personnel. This monocentric prospective observational study aims to assess the prevalence of SARS-CoV-2 viral RT-PCR RNA in cancellous bone samples in patients with active or previous COVID-19 disease. We collected data about 30 consecutive patients from our institution from January 2021 to March 2021 with active or previous COVID-19 disease. The presence of SARS-CoV-2 in the samples was determined using two different PCR-based assays. Eighteen of the thirty patients included in the study had a positive nasopharyngeal swab at the time of surgery. Twelve patients had a negative nasopharyngeal swab with a mean days since negativization of 138 ± 104 days, ranging from 23 to 331 days. Mean days of positivity to the nasal swab were 17 ± 17. Twenty-nine out of thirty (96.7%) samples were negative for the presence of SARS-CoV-2 RNA. In one sample, low SARS-CoV-2 load (Cycle threshold (Ct) 36.6.) was detected but not confirmed using an additional confirmatory assay. The conducted study demonstrates the absence of the viral genome within the analyzed cancellous bone. We think that the use of personal protection equipment (PPE) to only protect from aerosol produced during surgery, both in active and recovered patients, is not strictly necessary. We think that the use of PPE should not be employed by surgeons and the O.R. personnel to protect themselves from aerosols produced from the respiratory tract. Moreover, we think that our results could represent a valid basis for further studies related to the possibility of bone donation in patients that suffered and recovered from COVID-19.

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Section: Discussionmentioning

confidence: 99%

Detection of SARS-CoV-2 in Cancellous Bone of Patients with COVID-19 Disease Undergoing Orthopedic Surgery: Laboratory Findings and Clinical Applications

Guazzoni

Castelli

Polizzi

et al. 2022

IJERPH

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“…Wear medical protective masks, disposable hats, protective clothing, protective face screens, double-layer latex gloves, waterproof isolation clothes, and shoe covers. [48][49][50][51][52][53] See Table 1.…”

Section: Personal Protectionmentioning

confidence: 99%

Biosafety protection and workflow of clinical microbiology laboratory under COVID-19: A review

et al. 2022

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This paper mainly discusses how to do a good job of daily biosafety protection measures in clinical microbiology laboratories during the epidemic of COVID-19, so as to ensure the safe development of routine clinical microbiology testing items. According to the microbiological and epidemiological characteristics of the novel coronavirus, this paper analyzed the potential risks of the laboratory from the perspective of personal protection before, during, and after testing. Combined with the actual work situation, the improved biosafety protection measures and optimized work flow are introduced to ensure the safety of medical staff and the smooth development of daily work. Danyang People’s Hospital of Jiangsu Province, clinical microbiology laboratory of clinical laboratory in strict accordance with the relevant laws and regulations, technical specifications and the expert consensus, combined with their own conditions, the biosafety measures to perfect the working process was optimized, effectively prevent the laboratory exposure, and maintain strict working condition for a long time, continue to improve. We found that the biosafety protection measures of clinical microbiology laboratory have good prevention and control effect on preventing infection of medical staff, which will greatly reduce the risk of infection of medical staff, form good working habits, and provide reference for biosafety protection of microbiology laboratory during the epidemic of COVID-19.

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Strategies for Surgical Practice during COVID-19 Epidemic

Hata

Saji

2022

Nihon Kankyou Kansen Gakkaishi

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The number of COVID-19 patients in Japan surpassed 7.8 million by the end of April 2022, and the opportunities for the surgical treatment of COVID-19 patients are increasing. The following is the sequence of surgical indications in patients with COVID-19. 1. Surgery should be delayed after seven weeks of infection due to the high incidence of postoperative complications. 2. Surgery should be performed after 10 days of infection to reduce the risk of infection to medical staff. 3. If alternative non-surgical treatment is difficult, emergency surgery with appropriate infection control measures is recommended. The indications for laparoscopic surgery do not need to change even in patients with COVID-19, but it is important to understand the risk of surgical smoke.

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Personal protection equipment for orthopaedic and trauma surgery during the COVID-19 pandemic: The results of an EFORT survey initiative

Cited by 4 publications

References 34 publications

Detection of SARS-CoV-2 in Cancellous Bone of Patients with COVID-19 Disease Undergoing Orthopedic Surgery: Laboratory Findings and Clinical Applications

Detection of SARS-CoV-2 in Cancellous Bone of Patients with COVID-19 Disease Undergoing Orthopedic Surgery: Laboratory Findings and Clinical Applications

Biosafety protection and workflow of clinical microbiology laboratory under COVID-19: A review

Strategies for Surgical Practice during COVID-19 Epidemic

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