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1. COVID-19: guidance for stepdown of infection control precautions within hospitals and discharging COVID-19 patients from hospital to home settings

COVID-19: guidance for stepdown of infection control precautions within hospitals and discharging COVID-19 patients from hospital to home settings COVID-19: guidance for stepdown of infection control precautions within hospitals and discharging COVID-19 patients from hospital to home settings - GOV.UK Tell us whether you accept cookies We use about how you use GOV.UK. We use this information to make the website work as well as possible and improve government services. Accept all cookies You’ve (...) accepted all cookies. You can at any time. Hide Search Stay at home Only go outside for food, health reasons or work (but only if you cannot work from home) If you go out, stay 2 metres (6ft) away from other people at all times Wash your hands as soon as you get home Do not meet others, even friends or family. You can spread the virus even if you don’t have symptoms. Guidance COVID-19: guidance for stepdown of infection control precautions within hospitals and discharging COVID-19 patients from

2020 Public Health England

2. Coronavirus disease 2019 (COVID-19): Infection control in health care and home settings

Coronavirus disease 2019 (COVID-19): Infection control in health care and home settings UpToDate It seems to us that you have your JavaScript disabled on your browser. JavaScript is required in order for our site to behave correctly. Please enable JavaScript to use our site.

2020 UpToDate

3. Coronavirus disease 2019 (COVID-19): Anesthetic concerns, including airway management and infection control

Coronavirus disease 2019 (COVID-19): Anesthetic concerns, including airway management and infection control UpToDate It seems to us that you have your JavaScript disabled on your browser. JavaScript is required in order for our site to behave correctly. Please enable JavaScript to use our site.

2020 UpToDate

4. Viral genomics to inform infection control response in occupational COVID-19 transmission. Full Text available with Trip Pro

Viral genomics to inform infection control response in occupational COVID-19 transmission. Healthcare workers are at increased risk of occupational transmission of SARS-CoV-2. We report two instances of healthcare workers contracting SARS-CoV-2 despite no known breach of personal protective equipment. Additional specific equipment cleaning was initiated. Viral genomic sequencing supported this transmission hypothesis and our subsequent response.© The Author(s) 2020. Published by Oxford

2020 Clinical Infectious Diseases

5. Perioperative COVID-19 Defense: An Evidence-Based Approach for Optimization of Infection Control and Operating Room Management. Full Text available with Trip Pro

Perioperative COVID-19 Defense: An Evidence-Based Approach for Optimization of Infection Control and Operating Room Management. We describe an evidence-based approach for optimization of infection control and operating room management during the coronavirus disease 2019 (COVID-19) pandemic. Confirmed modes of viral transmission are primarily, but not exclusively, contact with contaminated environmental surfaces and aerosolization. Evidence-based improvement strategies for attenuation (...) . After induction of anesthesia, wipe down all equipment and surfaces with disinfection wipes that contain a quaternary ammonium compound and alcohol. Use a top-down cleaning sequence adequate to reduce bioburden. Treat operating rooms using UV-C. (3) Decolonize patients using preprocedural chlorhexidine wipes, 2 doses of nasal povidone-iodine within 1 hour of incision, and chlorhexidine mouth rinse. (4) Create a closed lumen IV system and use hub disinfection. (5) Provide data feedback

2020 Anesthesia and Analgesia

6. A Double Triage and Telemedicine Protocol to Optimize Infection Control in an Emergency Department in Taiwan During the COVID-19 Pandemic: Retrospective Feasibility Study. Full Text available with Trip Pro

A Double Triage and Telemedicine Protocol to Optimize Infection Control in an Emergency Department in Taiwan During the COVID-19 Pandemic: Retrospective Feasibility Study. Frontline health care workers, including physicians, are at high risk of contracting coronavirus disease (COVID-19) owing to their exposure to patients suspected of having COVID-19.The aim of this study was to evaluate the benefits and feasibility of a double triage and telemedicine protocol in improving infection control (...) % CI -5.7 to -3.5, P<.001), whereas the total evaluation time in the telemedicine group was 2.8 minutes longer than that in the conventional group (95% CI -1.6 to -4.0, P<.001). The mean scores of the patient questionnaire were high in both groups (4.5/5 to 4.7/5 points).The implementation of the double triage and telemedicine protocol in the ED during the COVID-19 pandemic has high potential to improve infection control.©Chien-Hao Lin, Wen-Pin Tseng, Jhong-Lin Wu, Joyce Tay, Ming-Tai Cheng, Hooi

2020 Journal of medical Internet research

7. Escalating infection control response to the rapidly evolving epidemiology of the coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in Hong Kong. Full Text available with Trip Pro

Escalating infection control response to the rapidly evolving epidemiology of the coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in Hong Kong. To describe the infection control preparedness measures undertaken for coronavirus disease (COVID-19) due to SARS-CoV-2 (previously known as 2019 novel coronavirus) in the first 42 days after announcement of a cluster of pneumonia in China, on December 31, 2019 (day 1) in Hong Kong.A bundled approach of active and enhanced laboratory surveillance (...) × 106 copies/mL (pooled nasopharyngeal and throat swabs) and 5.9 × 106 copies/mL (saliva), respectively. SARS-CoV-2 was identified in 1 of 13 environmental samples (7.7%) but not in 8 air samples collected at a distance of 10 cm from the patient's chin with or without wearing a surgical mask.Appropriate hospital infection control measures was able to prevent nosocomial transmission of SARS-CoV-2.

2020 Infection control and hospital epidemiology

8. The COVID-19 infection control arms race. Full Text available with Trip Pro

The COVID-19 infection control arms race. US hospitals are engaged in an infection control arms race. Hospitals, specialties, and professional groups are spurring one another on to adopt progressively more aggressive measures in response to COVID-19 that often exceed federal and international standards. Examples include universal masking of providers and patients; decreasing thresholds to test asymptomatic patients; using face shields and N95 respirators regardless of symptoms and test results (...) ; novel additions to the list of aerosol-generating procedures; and more comprehensive personal protective equipment including hair, shoe, and leg covers. Here, we review the factors underlying this arms race, including fears about personal safety, ongoing uncertainty around how SARS-CoV-2 is transmitted, confusion about what constitutes an aerosol-generating procedure, increasing recognition of the importance of asymptomatic infection, and the limited accuracy of diagnostic tests. We consider

2020 Infection control and hospital epidemiology

9. Patients' Anxiety, Fear and Panic for COVID-19 and Confidence in Hospital Infection Control Policy In Outpatient Departments: A Survey from Four Thai Hospitals. Full Text available with Trip Pro

Patients' Anxiety, Fear and Panic for COVID-19 and Confidence in Hospital Infection Control Policy In Outpatient Departments: A Survey from Four Thai Hospitals. The emergence of the COVID-19 pandemic has disrupted patient day-to-day life with limitations to social practices (e.g., physical distancing, mask wearing and frequent hand hygiene).1 These limitations together with widespread anxiety, stress have generated a mental health crisis among patients.2 Anxiety, fear and panic about COVID-19 (...) may result in strong emotions and reactions.1-3 Therefore, a survey was conducted to evaluate COVID-associated patient emotions, confidence in hospital infection prevention (IP) toward IP behaviors in outpatient departments.

2020 Infection control and hospital epidemiology

10. Anaesthesia and COVID-19: infection control. Full Text available with Trip Pro

Anaesthesia and COVID-19: infection control. The world is currently facing an unprecedented healthcare crisis caused by a pandemic novel beta coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The pathogen is spread by human-to-human transmission via droplets exposure and contact transfer, causing mild symptoms in the majority of cases, but critical illness, bilateral viral pneumonia, and acute respiratory distress syndrome (ARDS) in a minority. Currently, controlling (...) of SARS-CoV-2. We present suggestions for how personal protective equipment policies relate to the viral pandemic context and how the risk of transmission by and to anaesthetists, intensivists, and other healthcare workers can be minimised.Crown Copyright © 2020. Published by Elsevier Ltd. All rights reserved.

2020 British Journal of Anaesthesia

11. We must take a One Health approach to improve human pandemic infection control

We must take a One Health approach to improve human pandemic infection control We must take a One Health approach to improve human pandemic infection control - The BMJ ---> The covid-19 pandemic must serve as a wake-up call It is now clear that global and national preparedness and response to the covid-19 pandemic has been inadequate. Many of the basic principles which underpin public health and wellbeing have been transgressed whether through political hubris, narrowness of vision (...) , in veterinary medicine infectious diseases have always been of great significance and the accumulated experience of handling infections in populations of animals can contribute greatly to human pandemic infection control. The 2015-30 Sustainable Development Goals, ratified by 193 nations, recognised the value of an integrated and ethical approach to society and the environment. From a healthcare perspective, they emphasised the importance of a One Health approach which embraces human, animal

2020 The BMJ Blog

12. COVID-19 pandemic personal protective equipment (PPE): Guidance for intensive care

COVID-19 pandemic personal protective equipment (PPE): Guidance for intensive care COVID-19 pandemic personal protective equipment (PPE): Guidance for intensive care. IPS update: August 2020 First release: July 2020 Page 1 of 20 Endorsing organisations Page 2 of 20 COVID-19 pandemic personal protective equipment (PPE): Guidance for intensive care. Contents Endorsing organisations 1 Contents 2 List of contributors 3 Summary 4 Summary of PPE guidance 5 Suspected or proven COVID -19 6 COVID-19 (...) • Jennie Wilson • Julie Highfield • Julie Platten • Kathleen Ferguson • Colette Laws-Chapman • Patricia McCready • Paul Dean • Peter MacNaughton • Peter McCulloch • Richard Pugh • Rose Gallagher • Steve Mathieu • Stuart Dickson • Suman Shrestha • Will Ponsonby Page 4 of 20 COVID-19 pandemic personal protective equipment (PPE): Guidance for intensive care. Summary Infection Prevention & Control (IPC) guidance is developed on the best evidence available at any given time. It is for individual

2020 ICM Anaesthesia COVID-19

13. COVID-19: Personal Protective Equipment (PPE)

COVID-19: Personal Protective Equipment (PPE) Personal Protective Equipment (PPE) COVID-19 guidance for clinicians | Royal College of Psychiatrists This site uses cookies: Search Search Become a psychiatrist Choose Psychiatry Medical students Foundation doctors Help us promote psychiatry Training Curricula and guidance Your training Exams Neuroscience in training International Medical Graduates Members Supporting you Submitting your CPD Membership Your Faculties Devolved Nations English (...) Protective Equipment (PPE) COVID-19 guidance for clinicians COVID-19: Personal Protective Equipment (PPE) Page last updated: 3 April 2020 The government have released , for health and social care workers involved in receiving, assessing and caring for patients who are a possible or confirmed case of COVID-19. It is based on the best evidence available from previous pandemic and inter-pandemic periods and focuses on the infection prevention and control aspects of this disease only, recognising

2020 Royal College of Psychiatrists

14. COVID-19 personal protective equipment (PPE)

COVID-19 personal protective equipment (PPE) COVID-19 personal protective equipment (PPE) - GOV.UK Tell us whether you accept cookies We use about how you use GOV.UK. We use this information to make the website work as well as possible and improve government services. Accept all cookies You’ve accepted all cookies. You can at any time. Hide Search Stay at home Only go outside for food, health reasons or work (but only if you cannot work from home) If you go out, stay 2 metres (6ft) away from (...) other people at all times Wash your hands as soon as you get home Do not meet others, even friends or family. You can spread the virus even if you don’t have symptoms. Guidance COVID-19 personal protective equipment (PPE) Updated 7 April 2020 Contents © Crown copyright 2020 This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU

2020 Public Health England

15. COVID-19: Decontamination and Reprocessing of Personal Protective Equipment (PPE)

COVID-19: Decontamination and Reprocessing of Personal Protective Equipment (PPE) COVID-19: DECONTAMINATION AND REPROCESSING OF PERSONAL PROTECTIVE EQUIPMENT (PPE) A Rapid Guidance Summary from the Penn Medicine Center for Evidence-based Practice Last updated June 1, 2020 3:00 pm All links rechecked June 1 unless otherwise noted. This Rapid Guidance Summary is a description of existing guidance and evidence reviews from a variety of sources that was in effect at the time of publication (...) systems have different requirements regarding the number of times they can be used. • If any of the N95 FFRs are visibly soiled (e.g., blood, dried sputum, makeup, body fluids) they must be disposed of. • If a good seal cannot be maintained, the mask must be disposed of. • Any individual handling contaminated respirators must wear full personal protective equipment (PPE), including an N95 FFR and eye protection. CEP Rapid Guidance Summary: Decontamination of PPE June 1, 2020 3 ECDC May 13 Research

2020 Centre for Evidence-Based Practice, Penn Medicine

16. Updated guidance on Personal Protective Equipment (PPE) for clinicians

Updated guidance on Personal Protective Equipment (PPE) for clinicians Personal protective equipment (PPE) for clinicians — ICM Anaesthesia COVID-19 Open Menu Close Menu . The documents should be read by all healthcare professionals. Here, we summarise the key messages and changes. As usual, we emphasise that PPE is only one part of a wider system to reduce the risk of viral transmission during the coronavirus epidemic and is worn while treating patients who are confirmed to have or may have (...) COVID-19 positive, including where there is no clinical contact, and in other locations to protect vulnerable patients who would normally be isolated. Patients who are COVID-19 positive must wear surgical masks to reduce distribution of virus. Distance from the patient The distance from the patient at which precautions should be escalated has been changed from 1m to 2m. This is logical. Levels of PPE The document provides a table in which it attempts to describe each clinical area and what PPE

2020 ICM Anaesthesia COVID-19

17. Personal protective equipment: Use and availability during the COVID-19 pandemic

during the COVID-19 pandemic You are here: / / / Personal protective equipment: Use and availability during the COVID-19 pandemic Published: 18/04/2020 Publication code: 009 235 Please select Findings from the RCN's online survey of nursing staff on the issues relating to personal protective equipment (PPE) during the COVID-19 pandemic. pdf Some of our publications are also available in hard copy, but this may entail a small charge. For more information and to order a hard copy please call 0345 772 (...) Personal protective equipment: Use and availability during the COVID-19 pandemic Personal protective equipment use and availability during the COVID-19 pandemic | Publications | Royal College of Nursing We use cookies to ensure that we give you the best experience on our website. Continue submit Membership Employment & Pay Professional Development Clinical Library Get Involved Get Help News & Events About Quick links × × × × × × × × × × submit Personal protective equipment: Use and availability

2020 Royal College of Nursing

18. Covid-19: Extended Use and Layering of N95 Respirators and Use of Expired Personal Protective Equipment: Supplemental Information

://www.cdc.gov/coronavirus/2019- ncov/hcp/ppe-strategy/isolation-gowns.html xix U.S. Food and Drug Administration. FAQs on shortages of medical gloves [Internet]. Silver Springs (MD): The Administration; 2020 [cited 2020 Apr 4]. Available from: https://www.fda.gov/medical-devices/personal- protective-equipment-infection-control/faqs-shortages-medical-gloves xx Lin TH, Tseng CC, Huang YL, Lin HC, Lai CY, Lee SA. Effectiveness of N95 facepiece respirators in filtering aerosol following storage (...) they are covered with a visor. In such cases, reuse of the respirator/surgical mask may be considered as a last-resort option to economize on use of PPE. April 15, 2020 3 Extended Use and Layering of N95 Respirators and Use of Expired Personal Protective Equipment; updated April 15, 2020 Association for Professionals in Infection Control and Epidemiology i (APIC): “APIC Position Paper: Extending the Use and/or Reusing Respiratory Protection in Healthcare Settings During Disasters” • Extending the use

2020 Health Quality Ontario

19. Rational use of personal protective equipment for coronavirus disease (COVID-19)

Rational use of personal protective equipment for coronavirus disease (COVID-19) -1- Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages Interim guidance 6 April 2020 Background This document summarizes WHO’s recommendations for the rational use of personal protective equipment (PPE) in health care and home care settings, as well as during the handling of cargo; it also assesses the current disruption of the global supply (...) the spread of infection, it is only one of the IPC measures and should not be relied on as a primary prevention strategy. In the absence of effective administrative and engineering controls, PPE has limited benefit, as described in WHO’s Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. These controls are summarized here. Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages

2020 WHO Coronavirus disease (COVID-19) Pandemic

20. COVID-19: personal protective equipment use for non-aerosol generating procedures

if you cannot work from home) If you go out, stay 2 metres (6ft) away from other people at all times Wash your hands as soon as you get home Do not meet others, even friends or family. You can spread the virus even if you don’t have symptoms. Guidance COVID-19: personal protective equipment use for non-aerosol generating procedures Guidance on the use of personal protective equipment (PPE) for non-aerosol generating procedures (APGs). Published 10 January 2020 Last updated 24 March 2020 — From (...) COVID-19: personal protective equipment use for non-aerosol generating procedures COVID-19: personal protective equipment use for non-aerosol generating procedures - GOV.UK Tell us whether you accept cookies We use about how you use GOV.UK. We use this information to make the website work as well as possible and improve government services. Accept all cookies You’ve accepted all cookies. You can at any time. Hide Search Stay at home Only go outside for food, health reasons or work (but only

2020 Public Health England

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