Surgical Protocol for Confirmed or Suspected Cases of Ebola and Other Highly Transmissible Diseases

Badía, Josep M.; Rubio-Pérez, Inés; Díaz, Javier Arias; Garriga, Xavier Guirao; Serrablo, Alejandro; Navalón, José M. Jover

doi:10.1016/j.cireng.2015.05.018

Cited by 9 publications

(7 citation statements)

References 1 publication

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“…This increases the potential risk for infectious disease dissemination among patients and HCWs, since it was compounded by the lack of testing for Ebola and COVID-19 in most respondent hospitals. It is a good practice for each hospital providing surgery to have a separate operating room specific for confirmed or suspected COVID-19 or Ebola cases [ 14 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Health facilities’ readiness for safe surgical care provision in Uganda and the Eastern Democratic Republic of Congo during Ebola and COVID-19 era

Sikakulya

Ssebuufu

Longombe

et al. 2021

BMC Health Serv Res

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Objective This study aimed to assess health facilities’ readiness to provide safe surgical care during Ebola and COVID-19 era in Uganda and in the Eastern DR Congo. Methods A cross-sectional study was conducted in selected national, regional referral and general hospital facilities in Uganda and in the eastern part of DR Congo from 1st August 2020 to 30th October 2020. Data was analysed using Stata version 15. Results The participation rate was of 37.5 % (72/192) for both countries. None of the hospitals fulfilled the readiness criteria for safe surgical care provision in both countries. The mean bed capacity of participating health facilities (HF) was 184 in Eastern DR Congo and 274 in Uganda with an average surgical ward bed capacity of 22.3 % (41/184) and 20.4 % (56/274) respectively. The mean number of operating rooms was 2 and 3 in Eastern DR Congo and Uganda respectively. Nine hospitals (12.5 %) reported being able to test for Ebola and 25 (34.7 %) being able to test for COVID-19. Postponing of elective surgeries was reported by 10 (13.9) participating hospitals. Only 7 (9.7 %) hospitals reported having a specific operating room for suspect or confirmed cases of Ebola or COVID-19. Appropriate Personal Protection Equipment (PPE) was reported to be available in 60 (83.3 %) hospitals. Most of the staff had appropriate training on donning and doffing of PPE 40 (55.6 %). Specific teams and protocols for safe surgical care provision were reported to be present in 61 (84.7 %) and 56 (77.8 %) respectively in Uganda and Eastern DR Congo participating hospitals. Conclusions The lack of readiness to provide safe surgical care during Ebola and COVID-19 era across the participating hospitals in both countries indicate a need for strategies to enhance health facility supplies and readiness for safe surgical provision in resource-limited settings.

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Section: Discussionmentioning

confidence: 99%

Health facilities’ readiness for safe surgical care provision in Uganda and the Eastern Democratic Republic of Congo during Ebola and COVID-19 era

Sikakulya

Ssebuufu

Longombe

et al. 2021

BMC Health Serv Res

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“…This increases the potential risk for infectious disease dissemination among patients and HCWs, and is compounded by the lack of testing for Ebola and COVID-19 in most respondent hospitals. However, it has been proposed for each hospital providing surgical care to have a separate operating room specific for confirmed or suspected COVID-19 [14] or Ebola cases [31].…”

Section: Discussionmentioning

confidence: 99%

The Double Burden of Ebola and COVID-19 Viral Infections and the Readiness for Safe Surgical Care Provision in Uganda and the Eastern Democratic Republic of the Congo: an Online Cross-sectional Survey

Sikakulya¹,

Ssebuufu²,

Longombe

et al. 2021

Preprint

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Objective: This study aimed at highlighting the extent to which Uganda and the Eastern DR Congo are ready for safe surgical care provision during the double burden of Ebola and COVID-19. Methods: An online cross-sectional study was conducted in selected National, Regional Referral and General Hospital facilities of Uganda and in the Eastern part of D.R. Congo from 1st August 2020 to 30 October 2020. Data was analysed using Stata version 14.2. Results: A participation rate of 37.5% for both countries (72/192). The mean bed capacity of participating health facilities (HF) was 184 in Eastern DR. Congo and 274 in Uganda with an average surgical ward bed capacity of 22.3% (41/184) of the beds in the DR. Congo and 20.4% (56/274) in Uganda. The mean number of operating rooms was 2 and 3 in Eastern DR. Congo and Uganda respectively. Nine hospitals (12.5%) reported being able to test for Ebola and 25 (34.7%) being able to test for COVID-19. Only 7 (9.7%) hospitals reported having a specific operating room for suspect or confirmed cases of Ebola or COVID-19. Provision of appropriate Personal Protection Equipment to personnel were reported to be available in 60 (83.3%) hospitals. The mean of readiness score for provision of surgical care was 7.8/16 (SD: 2.3) or 60% in both countries with no statistical significance in multiple linear regression analysis (p>0.05). Conclusion: The majority of participating hospitals in both countries had a low level of readiness to provide safe surgical care due to lack of supplies to limit the exposure of Healthcare workers (HCW) to Ebola and Covid-19 viral infections, and poor funding. Governments and non-governmental organizations should work together to enhance health facility supplies and readiness for safe surgical provision in resource-limited settings.

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“…recomiendan accesos mínimamente invasivos para minimizar el contagio a miembros del equipo quirú rgico 10 . En el caso del COVID-19 el contagio se produce por vía aé rea y contacto, aunque no se ha descartado la vía fecal-oral.…”

Section: Vı´a De Abordajeunclassified

Manejo quirúrgico de pacientes con infección por COVID-19. Recomendaciones de la Asociación Española de Cirujanos

et al. 2020

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Debido a la actual pandemia de enfermedad respiratoria denominada enfermedad por coronavirus 2019 (COVID-19) causada por el virus denominado SARS-CoV-2, numerosos pacientes con confirmació n o sospecha de COVID-19 precisará n tratamiento quirú rgico electivo inaplazable o urgente. Estas situaciones requieren la adopció n de medidas especiales da cara a minimizar la posibilidad de contagio entre pacientes, la exposició n del personal sanitario y el desarrollo de complicaciones postoperatorias. En el presente documento se explican las principales medidas a tener en cuenta en caso de atenció n a pacientes COVID-19 o sospecha tanto durante su evaluació n como en caso de requerir tratamiento quirú rgico.

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Surgical Protocol for Confirmed or Suspected Cases of Ebola and Other Highly Transmissible Diseases

Cited by 9 publications

References 1 publication

Health facilities’ readiness for safe surgical care provision in Uganda and the Eastern Democratic Republic of Congo during Ebola and COVID-19 era

Health facilities’ readiness for safe surgical care provision in Uganda and the Eastern Democratic Republic of Congo during Ebola and COVID-19 era

The Double Burden of Ebola and COVID-19 Viral Infections and the Readiness for Safe Surgical Care Provision in Uganda and the Eastern Democratic Republic of the Congo: an Online Cross-sectional Survey

Manejo quirúrgico de pacientes con infección por COVID-19. Recomendaciones de la Asociación Española de Cirujanos

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