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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Infect+Dis+Health
2020 ; 25
(4
): 227-232
Nephropedia Template TP
gab.com Text
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English Wikipedia
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]