Médecine

Paramédical

Autres domaines


Suscribirse

Occupational exposure to SARS-CoV-2 in burns treatment during the COVID-19 epidemic: Specific diagnosis and treatment protocol - 30/05/20

Doi : 10.1016/j.biopha.2020.110176 
Zhifeng Huang a, c, b, Donglin Zhuang b, c, Bing Xiong a, , David Xingfei Deng d, Hanhua Li a, Wen Lai a
a Department of Burns and Wound Repair Surgery, Guangdong Provincial People’s Hospital, Guangdong Academy Medical Sciences, Guangzhou 510080, People’s Republic of China 
b Shantou University Medical College, Shantou 515063, People’s Republic of China 
c Guangdong Cardiovascular Institut, Guangdong Provincial People’s Hospital, Guangdong Academy Medical Sciences, Guangzhou 510080, People’s Republic of China 
d Guangzhou Ardent Clinical Laboratory,Guangzhou 510530, People’s Republic of China 

Corresponding authors.

Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
Artículo gratuito.

Conéctese para beneficiarse!

Graphical abstract




El texto completo de este artículo está disponible en PDF.

Highlights

Review of COVID-19 diagnosis and treatment of patients hospitalized with area≥50 % burns.
An algorithm developed to protect healthcare worker from COVID-19 during treatment.
This algorithm was followed for 4 patients in February 2020.
All healthcare worker were protected according to three-tiered protective measures.

El texto completo de este artículo está disponible en PDF.

Abstract

Epidemic prevention and control measures for the new coronavirus disease 2019 (COVID-19) has achieved significant results. As of 8 April 2020, 22,073 infection cases of COVID-19 among healthcare workers from 52 countries had been reported to WHO. COVID-19 has strong infectivity, high transmission speeds, and causes serious infection among healthcare worker. Burns are an acute-care condition, and burn treatment needs to be initiated before COVID-19 infection status can be excluded. The key step to infection prevention is to identify risk points of infection exposure, strengthen the protection against those risk points, and formulate an appropriate diagnosis and treatment protocol. Following an in-depth study of the latest literature on COVID-19 diagnosis and treatment, we reviewed the protocols surrounding hospitalization of patients with extensive burns (area≥50 %) in our hospital from February 2009 to February 2019 and, in accordance with the epidemiological characteristics of COVID-19, developed an algorithm for protection during diagnosis and treatment of burns. Therefore, the aspects of medical protection and the diagnosis and treatment of burns appear to be particularly important during the prevention and control of the COVID-19. This algorithm was followed for 4 patients who received emergency treatment in February 2020 and were hospitalized. All healthcare worker were protected according to the three-tiered protective measures, and there was no nosocomial infection. During the COVID-19 epidemic, the early stages of emergency treatment for patients with extensive burns requiring the establishment of venous access for rehydration, endotracheal intubation or tracheostomy, wound treatment, and surgery are the risk points for exposure to infection. The implementation of effective, appropriate-grade protection and formulation of practical treatment protocols can increase protection of healthcare worke and reduce the risk of COVID-19 infection exposure.

El texto completo de este artículo está disponible en PDF.

Abbreviations : ARDS, SARS-CoV-2, COVID-19, ICTV, RT-PCR, WHO, IgM, IgG, NGS

Keywords : Burns, COVID-19, Healthcare-associated infections, Epidemic prevention and control, Exposure risk, Protection


Esquema


© 2020  Publicado por Elsevier Masson SAS.
Añadir a mi biblioteca Eliminar de mi biblioteca Imprimir
Exportación

    Exportación citas

  • Fichero

  • Contenido

Vol 127

Artículo 110176- juillet 2020 Regresar al número
Artículo precedente Artículo precedente
  • The HOTTIP (HOXA transcript at the distal tip) lncRNA: Review of oncogenic roles in human
  • Soudeh Ghafouri-Fard, Sepideh Dashti, Mohammad Taheri
| Artículo siguiente Artículo siguiente
  • The effect of Berberine on weight loss in order to prevent obesity: A systematic review
  • Zahra Ilyas, Simone Perna, Salwa Al-thawadi, Tariq A. Alalwan, Antonella Riva, Giovanna Petrangolini, Clara Gasparri, Vittoria Infantino, Gabriella Peroni, Mariangela Rondanelli

Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.

Mi cuenta


Declaración CNIL

EM-CONSULTE.COM se declara a la CNIL, la declaración N º 1286925.

En virtud de la Ley N º 78-17 del 6 de enero de 1978, relativa a las computadoras, archivos y libertades, usted tiene el derecho de oposición (art.26 de la ley), el acceso (art.34 a 38 Ley), y correcta (artículo 36 de la ley) los datos que le conciernen. Por lo tanto, usted puede pedir que se corrija, complementado, clarificado, actualizado o suprimido información sobre usted que son inexactos, incompletos, engañosos, obsoletos o cuya recogida o de conservación o uso está prohibido.
La información personal sobre los visitantes de nuestro sitio, incluyendo su identidad, son confidenciales.
El jefe del sitio en el honor se compromete a respetar la confidencialidad de los requisitos legales aplicables en Francia y no de revelar dicha información a terceros.