Personal Protective Equipment: Current Best Practices for Orthopaedic Teams
Identifieur interne : 001391 ( Ncbi/Merge ); précédent : 001390; suivant : 001392Personal Protective Equipment: Current Best Practices for Orthopaedic Teams
Auteurs : Yale A. Fillingham [États-Unis] ; Matthew J. Grosso [États-Unis] ; Adolph J. Yates [États-Unis] ; Matthew S. Austin [États-Unis]Source :
- The Journal of Arthroplasty [ 0883-5403 ] ; 2020.
Abstract
The COVID-19 pandemic caused by the SARS-CoV-2 virus is challenging healthcare providers across the world. Current best practices for personal protective equipment (PPE) during this time are rapidly evolving and fluid due to the novel and acute nature of the pandemic and the dearth of high-level evidence. Routine infection control practices augmented by airborne precautions are paramount when treating the COVID-19 positive patient. Best practices for PPE use in patients who have unknown COVID-19 status are a highly charged and emotional issue. The variables to be considered include protection of patients and healthcare providers, accuracy and availability of testing, and responsible use of PPE resources. This article also explores the concerns of surgeons regarding possible transmission to their own family members as a result of caring for COVID-19 patients.
Url:
DOI: 10.1016/j.arth.2020.04.046
PubMed: NONE
PubMed Central: 7169903
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<front><div type="abstract" xml:lang="en"><p>The COVID-19 pandemic caused by the SARS-CoV-2 virus is challenging healthcare providers across the world. Current best practices for personal protective equipment (PPE) during this time are rapidly evolving and fluid due to the novel and acute nature of the pandemic and the dearth of high-level evidence. Routine infection control practices augmented by airborne precautions are paramount when treating the COVID-19 positive patient. Best practices for PPE use in patients who have unknown COVID-19 status are a highly charged and emotional issue. The variables to be considered include protection of patients and healthcare providers, accuracy and availability of testing, and responsible use of PPE resources. This article also explores the concerns of surgeons regarding possible transmission to their own family members as a result of caring for COVID-19 patients.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Arthroplasty</journal-id>
<journal-id journal-id-type="iso-abbrev">J Arthroplasty</journal-id>
<journal-title-group><journal-title>The Journal of Arthroplasty</journal-title>
</journal-title-group>
<issn pub-type="ppub">0883-5403</issn>
<issn pub-type="epub">1532-8406</issn>
<publisher><publisher-name>Elsevier Inc.</publisher-name>
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<article-id pub-id-type="doi">10.1016/j.arth.2020.04.046</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
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<title-group><article-title>Personal Protective Equipment: Current Best Practices for Orthopaedic Teams</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="au1"><name><surname>Fillingham</surname>
<given-names>Yale A.</given-names>
</name>
<degrees>MD</degrees>
<email>yale.fillingham@gmail.com</email>
<xref rid="aff1" ref-type="aff">1</xref>
<xref rid="cor1" ref-type="corresp">∗</xref>
</contrib>
<contrib contrib-type="author" id="au2"><name><surname>Grosso</surname>
<given-names>Matthew J.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author" id="au3"><name><surname>Yates</surname>
<given-names>Adolph J.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author" id="au4"><name><surname>Austin</surname>
<given-names>Matthew S.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
Department of Orthopaedic Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH</aff>
<aff id="aff2"><label>2</label>
Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA</aff>
<aff id="aff3"><label>3</label>
Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA</aff>
<author-notes><corresp id="cor1"><label>∗</label>
Corresponding author: Yale A. Fillingham, MD, Department of Orthopaedic Surgery, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756 USA Phone: 603-650-5133 Fax: 603-650-2097 <email>yale.fillingham@gmail.com</email>
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</author-notes>
<pub-date pub-type="pmc-release"><day>20</day>
<month>4</month>
<year>2020</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>20</day>
<month>4</month>
<year>2020</year>
</pub-date>
<history><date date-type="received"><day>15</day>
<month>4</month>
<year>2020</year>
</date>
<date date-type="rev-recd"><day>16</day>
<month>4</month>
<year>2020</year>
</date>
<date date-type="accepted"><day>16</day>
<month>4</month>
<year>2020</year>
</date>
</history>
<permissions><copyright-statement>© 2020 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder></copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010"><p>The COVID-19 pandemic caused by the SARS-CoV-2 virus is challenging healthcare providers across the world. Current best practices for personal protective equipment (PPE) during this time are rapidly evolving and fluid due to the novel and acute nature of the pandemic and the dearth of high-level evidence. Routine infection control practices augmented by airborne precautions are paramount when treating the COVID-19 positive patient. Best practices for PPE use in patients who have unknown COVID-19 status are a highly charged and emotional issue. The variables to be considered include protection of patients and healthcare providers, accuracy and availability of testing, and responsible use of PPE resources. This article also explores the concerns of surgeons regarding possible transmission to their own family members as a result of caring for COVID-19 patients.</p>
</abstract>
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