Personal protective equipment and evidence-based advice for surgical departments during COVID-19

ANZ Journal of Surgery
Lorwai TanGuy J Maddern

Abstract

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. 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. 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 C...Continue Reading

References

Jun 21, 1990·The New England Journal of Medicine·J L GerberdingW P Schecter
Apr 1, 1988·American Industrial Hygiene Association Journal·T J StobbeM A Watkins
Mar 20, 2004·Emerging Infectious Diseases·Joseph T F LauAugustine Cheng
Jun 18, 2004·Emerging Infectious Diseases·Yee-Chun ChenUNKNOWN SARS Research Group of National Taiwan University College of Medicine and National Taiwan University Hospital
Jun 19, 2004·Journal of Occupational and Environmental Hygiene·Christopher C CoffeyPaul A Jensen
Feb 24, 2006·American Journal of Infection Control·Anna BałazySergey A Grinshpun
May 4, 2006·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Marianna Ofner-AgostiniAndrew Simor
May 3, 2007·Journal of Occupational and Environmental Hygiene·Chun-Chieh Tseng, Chih-Shan Li
Oct 11, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A ShigayevaUNKNOWN SARS Hospital Investigation Team
Dec 11, 2007·American Journal of Infection Control·Jane D SiegelUNKNOWN Health Care Infection Control Practices Advisory Committee
Apr 11, 2008·International Journal of Technology Assessment in Health Care·Amber WattGuy Maddern
Oct 31, 2008·ANZ Journal of Surgery·Amber WattGuy Maddern
Apr 14, 2009·American Journal of Infection Control·Miki NagaoSatoshi Ichiyama
Oct 6, 2009·Applied and Environmental Microbiology·Evanly VoRonald Shaffer
Jan 23, 2010·Critical Care Medicine·Jan Gralton, Mary-Louise McLaws
Jan 25, 2011·American Journal of Infection Control·Elizabeth L BeamPhilip W Smith
May 17, 2012·Systematic Reviews·Sara KhanguraDavid Moher
Feb 16, 2013·American Journal of Respiratory and Critical Care Medicine·C Raina MacIntyreDominic E Dwyer
Oct 13, 2015·JAMA Internal Medicine·Myreen E TomasCurtis J Donskey
Jun 14, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jennie H KwonErik R Dubberke
Jul 22, 2018·American Journal of Infection Control·Abrar Ahmad ChughtaiChandini Raina Macintyre
Jan 25, 2020·The New England Journal of Medicine·Na ZhuUNKNOWN China Novel Coronavirus Investigating and Research Team
Feb 18, 2020·The Lancet. Respiratory Medicine·De ChangCharles S Dela Cruz
Feb 20, 2020·The New England Journal of Medicine·Marc LipsitchLyn Finelli
Feb 23, 2020·JAMA : the Journal of the American Medical Association·Yan BaiMeiyun Wang
Mar 4, 2020·Nature Microbiology·UNKNOWN Coronaviridae Study Group of the International Committee on Taxonomy of Viruses
Mar 7, 2020·Gastroenterology·Fei XiaoHong Shan
Mar 8, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Lian Kah TiBryan Su Wei Ng
Mar 10, 2020·JAMA : the Journal of the American Medical Association·Joshua M SharfsteinMichelle M Mello
Mar 13, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jolin WongChai Rick Soh
Mar 17, 2020·Clinical Chemistry and Laboratory Medicine : CCLM·Giuseppe LippiMario Plebani
Mar 18, 2020·JAMA : the Journal of the American Medical Association·Edward Livingston, Karen Bucher
Mar 18, 2020·The New England Journal of Medicine·Neeltje van DoremalenVincent J Munster
Mar 27, 2020·Annals of Surgery·Mary Elizabeth Brindle, Atul Gawande
Mar 29, 2020·The New England Journal of Medicine·Xiaodong Zhang
Mar 29, 2020·The New England Journal of Medicine·David L SwerdlowMarc Lipsitch
Mar 30, 2020·JAMA : the Journal of the American Medical Association·Edward LivingstonMichael Berkwits
Apr 6, 2020·Journal of the American College of Surgeons·Joseph D ForresterMary T Hawn
Apr 11, 2020·PDA Journal of Pharmaceutical Science and Technology·Richard M Johnson
Aug 1, 2020·The Medical Journal of Australia·Sarah ZamanRavinay Bhindi

❮ Previous
Next ❯

Citations

Sep 15, 2020·ANZ Journal of Surgery·Guy J Maddern
Aug 10, 2020·ANZ Journal of Surgery·Joshua G KovoorGuy J Maddern
Mar 4, 2021·ANZ Journal of Surgery·Joshua G KovoorMark Frydenberg
Sep 17, 2021·The American Journal of Hospice & Palliative Care·Tan Seng BengNik Nathasha Hani Nik Isahak
Sep 15, 2021·Disaster Medicine and Public Health Preparedness·Isra Asma Ahmad, Ernest Osei

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.