Modern Russian and Foreign Methods of Healthcare Personnel Protection from New Coronavirus Infection (COVID-19) Risks: Analytical Review
- Authors: Vosheva N.A.1, Kamynina N.N.1, Voshev D.V.1, Klimov Y.A.2
-
Affiliations:
- State-financed Institution of Moscow city "Scientific Research Institute of Healthcare Organization and Medical Management of Moscow Department of Healthcare"
- Research and Clinical Center of Pediatric psychoneurology Moscow Department of Public Health
- Issue: Vol 75, No 5S (2020)
- Pages: 386-394
- Section: INFECTIOUS DISEASES: CURRENT ISSUES
- URL: https://journals.rcsi.science/vramn/article/view/125691
- DOI: https://doi.org/10.15690/vramn1422
- ID: 125691
Cite item
Full Text
Abstract
Introduction. On December 31, 2019, the World Health Organization announced the coronavirus (COVID-19) outbreak and medical workers appeared on the frontline in combating the new threat. Daily interactions with infected patients, extended working hours and psychological overload: all this makes healthcare professionals extremely vulnerable to a new danger. Therefore, the actual priority is to prevent the nosocomial spread of the disease and the protection of medical personnel.
Aim — exploration and generalization of Russian and international experience of COVID-19 pandemic combating in terms of creating the most efficient system of health workers’ protection against the infection, caused by a new virus SARS-CoV-2.
Methods and materials. The systematic reviews and meta-analyzes reporting method (PRISMA) were used in the review. The search was carried out in the bibliographic databases Elibrary, PubMed, MEDLINE, Scopus, Google Scholar. Moreover, Russian and foreign methodological documents from the official websites of organizations were analyzed.
Results. Examination of epidemiologically safe space organizing models in different countries showed that the majority of the existing in the world community approaches to protect medical personnel from contracting a new coronavirus infection are based on five basic strategies of infection prevention and control to prevent or limit the transmission of COVID-19 proposed by the World Health Organization. The article proposes a sixth strategy in addition to the above: psychological support for health workers.
Conclusion. Effective use of the listed complex of six protective measures can minimize the risk of medical workers’ infection with coronavirus.
Full Text
##article.viewOnOriginalSite##About the authors
Nadezhda A. Vosheva
State-financed Institution of Moscow city "Scientific Research Institute of Healthcare Organization and Medical Management of Moscow Department of Healthcare"
Author for correspondence.
Email: VoshevaNA@zdrav.mos.ru
ORCID iD: 0000-0001-6546-3530
SPIN-code: 8004-8530
Analyst
Russian Federation, 9 Sharikopodshipnikovskaya str., 115088, MoscowNatalya N. Kamynina
State-financed Institution of Moscow city "Scientific Research Institute of Healthcare Organization and Medical Management of Moscow Department of Healthcare"
Email: KamyninaNN@zdrav.mos.ru
ORCID iD: 0000-0002-0925-5822
SPIN-code: 2031-6825
MD, PhD
Russian Federation, MoscowDmitriy V. V. Voshev
State-financed Institution of Moscow city "Scientific Research Institute of Healthcare Organization and Medical Management of Moscow Department of Healthcare"
Email: VoshevDV@zdrav.mos.ru
ORCID iD: 0000-0001-9216-6873
SPIN-code: 1599-9235
MD, PhD
Russian Federation, MoscowYuriy A. Klimov
Research and Clinical Center of Pediatric psychoneurology Moscow Department of Public Health
Email: yklimov@rambler.ru
ORCID iD: 0000-0001-5946-094X
SPIN-code: 1863-0335
MD, PhD
Russian Federation, MoscowReferences
- Who.int [Internet] World Health Organization. Rolling updates on coronavirus disease (COVID-19) [updated 2020 July 31; cited 2020 Aug 07]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen/
- Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:b2535. doi: https://doi.org/10.1136/bmj.b2535
- Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PloS One. 2012;7(4): e35797. doi: https://doi.org/10.1371/journal.pone.0035797
- Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. Interim Guidance. Geneva: World Health Organization; 2020.
- Standard precautions in health care. Geneva: World Health Organization; 2007.
- Infection prevention and control of epidemic-and pandemic-prone acute respiratory infections in health care. Geneva: World Health Organization; 2014.
- World Health Organization. Interim guidance: Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages. 6 April 2020. Available from: https://www.who.int/medical_devices/priority/COVID_19_PPE/en.
- Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19). Временные методические рекомендации Министерства здравоохранения Российской Федерации. 03.06.2020. Available from: https://minzdrav.gov.ru/ministry/med_covid19
- Ferioli M, Cisternino C, Leo V, et al. Protecting healthcare workers from SARS-CoV-2 infection: practical indications. European Respiratory Review. 2020;155:200068. doi: https://doi.org/10.1183/16000617.0068-2020
- Schwartz J, King C-C, Yen M-Y. Protecting healthcare workers during the coronavirus disease 2019 (COVID-19) outbreak: lessons from Taiwan’s severe acute respiratory syndrome response. Clinical Infectious Diseases. 2020;71(15)858–860. doi: https://doi.org/10.1093/cid/ciaa255
- Tang JW, Eames I, Li Y, et al. Door-opening motion can potentially lead to a transient breakdown in negative-pressure isolation conditions: the importance of vorticity and buoyancy airflows. J Hosp Infect. 2005;61(4):283–286. doi: https://doi.org/10.1016/j.jhin.2005.05.017
- Blachere FM, Lindsley WG, Pearce TA, et al. Measurement of airborne influenza virus in a hospital emergency department. Clin Infect Dis. 2009;48(4):438–440. doi: https://doi.org/10.1086/596478
- Guo Z-D, Wang Z-Y, Zhang S-F, et al. Aerosol and surface distribution of severe acute respiratory syndrome coronavirus 2 in hospital wards, Wuhan, China, 2020. Emerg Infect Dis. 2020;26. doi: https://doi.org/10.3201/eid2607.200885
- Ong SWX, Tan YK, Chia PY, et al. Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) from a symptomatic patient. JAMA. 2020;323(16):1610–1612. doi: https://doi.org/10.1001/jama.2020.3227
- Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. Engl J Med. 2020;382:1564–1567. doi: https://doi.org/10.1056/NEJMc2004973
- Hui DS, Chow BK, Chu L, et al. Exhaled air dispersion during coughing with and without wearing a surgical or N95 mask. PloS One. 2012;7(12):e50845. doi: https://doi.org/10.1371/journal.pone.0050845
- Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека. Правила профилактики коронавирусной инфекции. Available from: https://www.rospotrebnadzor.ru/region/korono_virus/koron_pnk.php?clear_cache=Y.
- Bahl P, Doolan C, Silva C, et al. Airborne or Droplet Precautions for Health Workers Treating Coronavirus Disease. The Journal of Infectious Diseases. 2020: jiaa189. doi: https://doi.org/10.1093/infdis/jiaa189
- Centers for disease control and prevention. Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html
- European center for disease control and prevention. Infection prevention and control and preparedness for COVID-19 in healthcare settings — second update. Available from: https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-and-preparedness-covid-19-healthcare-settings
- European center for disease control and prevention. Personal protective equipment (PPE) needs in healthcare settings for the care of patients with suspected or confirmed 2019-nCoV. Stockholm, ECDC; 2020.
- Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anaesth. 2020.;67(5):568–576. doi: https://doi.org/10.1007/s12630-020-01591-x
- Respiratory care committee of Chinese thoracic society. Expert consensus on preventing nosocomial transmission during respiratory care for critically ill patients infected by 2019 novel coronavirus pneumonia. Zhonghua jie he he hu xi za zhi. 2020;43(4):288–296. doi: https://doi.org/10.3760/cma.j.cn112147-20200304-00239
- Bartoszko JJ, Farooqi MAM, Alhazzani W, Loeb M. Medical masks vs N95 respirators for preventing COVID‐19 in healthcare workers: A systematic review and meta‐analysis of randomized trials. Influenza and Other Respiratory Viruses. 2020.;14(4): 365–373. doi: https://doi.org/10.1111/irv.12745
- MacIntyre CR, Wang Q, Cauchemez S, et al. A cluster randomized clinical trial comparing fit-tested and non-fit-tested N95 respirators to medical masks to prevent respiratory virus infection in healthcare workers. Influenza Other Respir Viruses. 2011;5(3):170–179. doi: https://doi.org/10.1111/j.1750-2659.2011.00198.x
- MacIntyre CR, Wang Q, Seale H, et al. A cluster randomized clinical trial of three options for N95 respirators and medical in health workers. Am J Respir Crit Care Med. 2013;187(9):960–966. doi: https://doi.org/10.1164/rccm.201207-1164OC
- Radonovich LJ, Simberkoff MS, Bessesen MT, et al. N95 respirators vs medical masks for preventing influenza among health care personnel. JAMA. 2019;322:824. doi: https://doi.org/10.1001/jama.2019.11645
- Gan WH, Lim JW, Koh D. Preventing intra-hospital infection and transmission of coronavirus disease 2019 in health-care workers. Safety and health at work. 2020;11(2):241–243. doi: https://doi.org/10.1016/j.shaw.2020.03.001
- cdc.gov [Internet]. Centers for disease control and prevention. Strategies for optimizing the supply for facemasks [updated 2020 June 28; cited 2020 Aug 07]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html
- Livingston E, Desai A, Berkwits M. Sourcing Personal Protective Equipment During the COVID-19 Pandemic. JAMA. 2020;323(19):1912–1914. doi: 10.1001/jama.2020.5317' target='_blank'>https://doi: 10.1001/jama.2020.5317.
- Chang D, Xu H, Rebasa A, et al. Protecting health-care workers from subclinical coronavirus infection. Lancet Respir Med. 2020;8(3):e13. doi: https://doi.org/10.1016/S2213-2600(20)30066-7
- Klompas M. Coronavirus disease 2019 (COVID-19): Protecting hospitals from the invisible. Annals of Internal Medicine. 2020;172(9):619–620. doi: https://doi.org/10.7326/M20-0751
- Carayon P, Hundt AS, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(1):i50-i58. doi: https://doi.org/10.1136/qshc.2005.015842
- Ran L, Chen X, Wang Y, et al. Risk factors of healthcare workers with corona virus disease 2019: a retrospective cohort study in a designated hospital of Wuhan in China. Clinical Infectious Diseases. doi: https://doi.org/10.1093/cid/ciaa287
- Li D, Wu S. Analysis on the health status and influencing factors of medical workers in a city of Fujian province. The Medical Forum. 2016:20(14):1893–1895.
- Weaver MD, Landrigan CP, Sullival JP, et al. The association between resident physician work hour regulations and physician safety and health. Am J Med. 2020;133(7):E313–E354. doi: https://doi.org/10.1016/j.amjmed.2019.12.053
- Информация с новостного сайта о коронавирусе – стопкоронавирус.рф. Available from: https://xn--80aesfpebagmfblc0a.xn--p1ai/news/20200517-1900.html
- Su TP, Lien TC, Yang CY, et al. Prevalence of psychiatric morbidity and psychological adaptation of nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. J Psychiatr Res. 2007;41(1):119–130. doi: https://doi.org/10.1016/j.jpsychires.2005.12.006
- Zhang Z, Liu S, Xiang M, et al. Protecting healthcare personnel from 2019-nCoV infection risks: lessons and suggestions. Front Med. 2020;14(2):229–231. doi: https://doi.org/10.1007/s11684-020-0765-x
- Huh S. How to train health personnel to protect themselves from SARS-CoV-2 (novel coronavirus) infection when caring for a patient or suspected case. J Educ Eval Health Prof. 2020;17:10. doi: https://doi.org/10.3352/jeehp.2020.17.10
- mos.ru [Internet]. Официальный сайт Мэра Москвы. [доступ от 12.07.2020]. Available from: https://www.mos.ru/news/item/76895073/
Supplementary files
