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10.1111/ans.16194

http://scihub22266oqcxt.onion/10.1111/ans.16194
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32671968!7404866!32671968
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suck abstract from ncbi


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pmid32671968      ANZ+J+Surg 2020 ; 90 (9): 1566-1572
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  • Personal protective equipment and evidence-based advice for surgical departments during COVID-19 #MMPMID32671968
  • Tan L; Kovoor JG; Williamson P; Tivey DR; Babidge WJ; Collinson TG; Hewett PJ; Hugh TJ; Padbury RTA; Langley SJ; Maddern GJ
  • ANZ J Surg 2020[Sep]; 90 (9): 1566-1572 PMID32671968show ga
  • BACKGROUND: Inconsistencies regarding the use of appropriate personal protective equipment (PPE) have raised concerns for the safety of surgical staff during the coronavirus disease 2019 (COVID-19) pandemic. This rapid review synthesizes the literature and includes input from clinical experts to provide evidence-based guidance for surgical services. METHODS: The rapid review comprised of targeted searches in PubMed and grey literature. Pertinent findings were discussed by a working group of clinical experts, and consensus recommendations, consistent with Australian and New Zealand Government guidelines, were formulated. RESULTS: There was a paucity of high-quality primary studies specifically investigating appropriate surgical PPE for healthcare workers treating patients possibly infected with COVID-19. SARS-CoV-2 is capable of aerosol, droplet and fomite transmission, making it essential to augment standard infection control measures with appropriate PPE, especially during surgical emergencies and aerosol-generating procedures. All biological material should be treated a potential source of SARS-COV-2. Staff must have formal training in the use of PPE and should be supervised by a colleague during donning and doffing. Patients with suspected or confirmed COVID-19 should wear a surgical mask during transfer to and from theatre. Potential solutions exist in the literature to extend the use of surgical P2/N95 respirators in situations of limited supply. CONCLUSION: PPE is advised for all high-risk procedures and when a patient's COVID-19 status is unknown. Surgical departments should facilitate staggered rostering, remote meeting attendance, and self-isolation of symptomatic staff. Vulnerable surgical staff should be identified and excluded from operations with a high risk of COVID-19 infection.
  • |*Betacoronavirus[MESH]
  • |*Pandemics[MESH]
  • |Australia/epidemiology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/epidemiology/*transmission[MESH]
  • |Disease Transmission, Infectious/*prevention & control[MESH]
  • |Health Personnel/*standards[MESH]
  • |Humans[MESH]
  • |Infection Control/*organization & administration[MESH]
  • |New Zealand/epidemiology[MESH]
  • |Personal Protective Equipment/*standards/supply & distribution[MESH]
  • |Pneumonia, Viral/epidemiology/*transmission[MESH]


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