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10.1016/j.idh.2020.05.008

http://scihub22266oqcxt.onion/10.1016/j.idh.2020.05.008
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suck abstract from ncbi


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pmid32631682
      Infect+Dis+Health 2020 ; 25 (4 ): 227-232
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  • Concerns for low-resource countries, with under-prepared intensive care units, facing the COVID-19 pandemic #MMPMID32631682
  • Elhadi M ; Msherghi A ; Alkeelani M ; Alsuyihili A ; Khaled A ; Buzreg A ; Boughididah T ; Abukhashem M ; Alhashimi A ; Khel S ; Gaffaz R ; Ben Saleim N ; Bahroun S ; Elharb A ; Eisay M ; Alnafati N ; Almiqlash B ; Biala M ; Alghanai E
  • Infect Dis Health 2020[Nov]; 25 (4 ): 227-232 PMID32631682 show ga
  • BACKGROUND: Low-resource countries with fragile healthcare systems lack trained healthcare professionals and specialized resources for COVID-19 patient hospitalization, including mechanical ventilators. Additional socio-economic complications such as civil war and financial crisis in Libya and other low-resource countries further complicate healthcare delivery. METHODS: A cross-sectional survey evaluating hospital and intensive care unit's capacity and readiness was performed from 16 leading Libyan hospitals in March 2020. In addition, a survey was conducted among 400 doctors who worked in these hospitals to evaluate the status of personal protective equipment. RESULTS: Out of 16 hospitals, the highest hospital capacity was 1000 in-patient beds, while the lowest was 25 beds with a median of 200 (IQR 52-417, range 25-1000) hospital beds. However, a median of only eight (IQR 6-14, range 3-37) available functioning ICU beds were reported in these hospitals. Only 9 (IQR 4.5-14, range 2-20) mechanical ventilators were reported and none of the hospitals had a reverse transcription-polymerase chain reaction machine for COVID-19 testing. Moreover, they relied on one of two central laboratories located in major cities. Our PPE survey revealed that 56.7% hospitals lacked PPE and 53% of healthcare workers reported that they did not receive proper PPE training. In addition, 70% reported that they were buying the PPE themselves as hospitals did not provide them. CONCLUSION: This study provides an alarming overview of the unpreparedness of Libyan hospitals for detecting and treating patients with COVID-19 and limiting the spread of the pandemic.
  • |Betacoronavirus/isolation & purification [MESH]
  • |COVID-19 [MESH]
  • |COVID-19 Testing [MESH]
  • |Clinical Laboratory Techniques/statistics & numerical data [MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology/*therapy [MESH]
  • |Cross-Sectional Studies [MESH]
  • |Delivery of Health Care/statistics & numerical data [MESH]
  • |Health Facilities/statistics & numerical data/supply & distribution [MESH]
  • |Health Personnel/statistics & numerical data [MESH]
  • |Health Resources/*supply & distribution [MESH]
  • |Hospitals/statistics & numerical data/supply & distribution [MESH]
  • |Humans [MESH]
  • |Intensive Care Units/statistics & numerical data/*supply & distribution [MESH]
  • |Libya/epidemiology [MESH]
  • |Pandemics [MESH]
  • |Personal Protective Equipment/statistics & numerical data/supply & distribution [MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology/*therapy [MESH]
  • |SARS-CoV-2 [MESH]
  • |Surveys and Questionnaires [MESH]
  • |Ventilators, Mechanical/supply & distribution [MESH]


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