Escalation of Standard Precautions during COVID-19 Pandemic : Review of Electronic Literature and Position Paper
Notice bibliographique
Résumé
Introduction: It has been proven that COVID- 19 asymptomatic carriers and presymptomatic patients do transmit the virus and potentially infect their contacts and caregivers International medical and scientific societies, as well as governmental and public health bodies, from all over the globe, have issued recommendations about infection prevention and control measures that should be taken, in addition to the general standard precautions measures, while dealing with hospital patients during this pandemic In this article, we did an electronic review of the published and posted recommendations in different medical scenarios Accordingly, we put a position set of recommendations about the precautions that are needed to be taken with all patients when the virus is still circulating in the community from an Infectious Disease specialist perspective Methods: This is a narrative electronic review of the available and latest interim guidelines recommendations, position statements, expert commentaries and opinions issued by international scientific societies, international organizations, governmental bodies and public health authorities from different medical specialties in the United States of America, Canada, United Kingdom, Europe, France, Italy, China, Australia, and Asia Pacific region We searched PubMed and Google Scholar for articles and written material published in English and French between January 1, 2020, and April 25, 2020 Results: Recommendations were retrieved from around 50 documents We endorse the general recommendations that appear in all reviewed specialties From an infectious disease specialist perspective, the following should be applied to all patients in healthcare settings: • Triage based on a checklist with the timely updated case definition at the entrance and admission to any health facility ward or service • Aerosol generating procedures to all patients like tracheal intubation for medical reasons or anesthesia, gastrointestinal endoscopy is preferably done under airborne/contact precautions • Areas of the hospital where patients potentially would undergo aerosol generating procedures should be adequately ventilated and with negative pressure • All staff should be trained for donning and doffing personal protective equipment, and well trained regarding infection prevention measures in their respective departments • Face-to-face consultations especially in the vulnerable at risk population, like immunocompromised patients and pregnant women, should be reasonably minimized along with prioritization and deferral of care as much as possible •Workforce and personal protective equipment management should become a priority in the planning of care Conclusion: The COVID pandemic has become a turning point in the standard of care in healthcare settings At least, until the availability of universal vaccination or mortality-reducing therapies, healthcare settings will have to apply additional measures to the classical standard precautions, not only to those infected, but to asymptomatic patients, healthcare personnel and visitors
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,017 | 0,088 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,004 | 0,004 |
| Bibliométrie | 0,019 | 0,016 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,004 | 0,006 |
| Science ouverte | 0,003 | 0,003 |
| Intégrité de la recherche | 0,003 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».