CoVID - 19 in the O.R. was the impact on staff with the security protocol use?
DOI:
https://doi.org/10.19230/jonnpr.4153Keywords:
CoVID-19, safe surgery, checklistAbstract
Introduction. The Coronavirus pandemic originating in 2019 was recognized as highly contagious and different infection prevention measures were defined.
Aims. Was to assess its impact on acting health workers in operating rooms against non- suspend surgical pathologies.
Settings and Design. Prospective descriptive observational study with retrospective analysis in the surgical area from 1/July to 30/September/2020.
Methods and Material. A CoVID–19 checklist was implemented in patients to be operated on, suspected or confirmed with criteria of the Nation's Ministry of Public Health.
Results. 582 people surgically intervened in the operating room area for the assistance of 80 CoVID–19 positive patients. 74% of the procedures were performed in unscheduled emergencies. No reports of infection/contagion of participants in the health care of positive patients according to the daily survey carried out by the Infectology Division.
Conclusions. working in a coordinated manner with compliance, special protocols and adequate personal protection equipment manages defining the rules and procedures to certificate the non-contagiousness of workers in the care of CoVID-19 patients positive with surgical pathologies.
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References
Masters PS, Perlman S. Coronaviridae. In: Knipe DM, Howley PM, eds. Fields virology. 6th ed., 2020, Lippincott Williams & Wilkins.
Zhou, P, Yang, XL, Wang, XG, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020; 579:270-273.
Huang, C, Wang, Y, Li, X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497-506.
Pan, Y, Zhang, D, Yang, P, Poon, LLM, Wang, Q. Viral load of SARS-CoV-2 in clinical samples. Lancet Infect Dis. 2020;20:411-412., 2013: 825-58.
Zhou, Y, Hou, Y, Shen, J, Huang, Y, Martin, W, Cheng, F. Network-based drug repurposing for novel coronavirus 2019-nCoV/SARS-CoV 2. Cell Discov. 2020; 6:14.
Chen, N, Zhou, M, Dong, X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020; 395:507-513.
World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). Accessed April 8, 2020.
Ley 27541 de emergencia sanitaria. Boletín Oficial de la República Argentina, 2020.
https://www.aadinstrumentadores.org.ar/images/paginas/COVID- 19/Limpieza_Desinfeccion_Sala_Quirurgica.pdf.pdf.
Balibrea JM, Badia JM, Rubio Pérez I y col. Manejo quirúrgico de pacientes con infección por COVID-19. Recomendaciones de la Asociación Española de Cirujanos. Cir Esp 2020; 98 (5): 251–259.
OPS-OMS. Requerimientos para uso de equipos de protección personal (EPP) para el nuevo coronavirus (2019-nCoV) en establecimientos de salud. Versión sujeta a revisión. (06-02-2020).
Ramos A, de Anton R, Delor SM, Fraiz V, Arribalzaga EB, Sarotto LE. COVID-19: new checklist for safe surgery. JONNPR. 2020;5(7):721-5. DOI: 10.19230/jonnpr.3728.
Ministerio de Salud de la República Argentina. 20/Septiembre/2020: Definición y Criterios para caso sospechoso. https://www.argentina.gob.ar.coronavirus-COVID-19.definicion-de-caso
Zopatti DE, Sanchez Gelos D, Bourbotte J, Sosa J, Bernasconi K, Ithurralde P. Quinto Informe estadístico CoVID –19. Hospital de Clínicas “José de San Martín”. Dirección de Estadística, Archivo médico, Internaciones y Egresos. Período 01/03 al 30/09/2020.
Arribalzaga EB, Lupica L, Delor S, Ferraina P. Implementación del listado de verificación de cirugía segura. Rev Argent Cirug. 2012; 102(1-3):12-16.
Ramos A, de Anton R , Arribalzaga E , Sarotto L. Pandemia COVID-19. Planificación del área quirúrgica e implementación de nuevo listado de verificación para cirugía segura en un hospital universitario. Rev Argent Cirug 2020; 112(3):257-265. http://dx.doi.org/10.25132/raac.v112.n3.1527.es
AMERICAN COLLEGE OF SURGEONS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic, May 2020.
OPS-OMS. Requerimientos para uso de equipos de protección personal (EPP) para el nuevo coronavirus (2019-nCoV) en establecimientos de salud. Versión sujeta a revisión. (06-02-2020).
Manual de aplicación de la lista OMS de verificación de la seguridad de la cirugía 2009: la cirugía segura salva vidas. https://www.who.int/patientsafety/safesurgery/es/
Meng, L, Qiu, H, Wan, L, et al. Intubation and ventilation amid the COVID-19 outbreak: Wuhan’s experience [published online March 26, 2020.]. Anesthesiology. June 2020, Vol. 132, 1317–1332.
Chen, X, Liu, Y, Gong, Y, et al. Perioperative management of patients infected with the novel coronavirus: recommendation from the Joint Task Force of the Chinese Society of Anesthesiology and the Chinese Association of Anesthesiologists Anesthesiology 2020;132:1307–1316.
Wax, RS, Christian, MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J. Ann 2020;67:568-576.
Zhong Q, Liu YY, Luo Q, Zou YF, Jiang HX, Li H, Zhang JJ, Li Z, Yang X, Ma M, Tang LJ, Chen YY, Zheng F, Ke JJ, Zhang ZZ. Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single-centre, observational cohort study. Br J Anaesth. 2020;124:670–675.
Dinnes J, et al. Rapid, point‐of‐care antigen and molecular‐based tests for diagnosis of SARS‐CoV‐2 infection Cochrane Systematic Review, August 2020.
https://www.who.int/publications-detail/laboratory-testing-for-2019-novel- coronavirus-in-suspected-human-cases-20200117
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