General Practitioners' Practice premises and Risk of Viral Cross-Transmission: A French Observational Multicenter Study
| Autor: | Gregoire Gillet, Guillaume Daubert, Véronique Merle, Laurence Guet, Hélène Marini |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) Cross-sectional study Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Computer applications to medicine. Medical informatics viral cross-contamination R858-859.7 Premises General Practitioners Medicine Humans Original Research Community and Home Care general practice business.industry Transmission (medicine) SARS-CoV-2 Public Health Environmental and Occupational Health COVID-19 Cross-Sectional Studies Multicenter study Family medicine Communicable Disease Control viral respiratory diseases Observational study Public aspects of medicine RA1-1270 business |
| Zdroj: | Journal of Primary Care & Community Health Journal of Primary Care & Community Health, Vol 12 (2021) |
| ISSN: | 2150-1327 |
| Popis: | Background: The common areas of general practitioners’ practices (eg, reception, secretariat, waiting room, toilets) are places at risk of cross-transmission of viral diseases such as COVID-19, however risk is poorly documented. Aim: To evaluate the risks of viral cross-transmission in general practitioners’ practices based on the organization of the common areas of the premises. Design and setting: Cross-sectional multicenter observational study in randomly selected general practitioners’ practices in a French department (Seine-Maritime). The practices were included in 4 strata (1, 2, 3–5, or ≥6 general practitioners). Method: Each practice was visited and a questionnaire describing practice organization, cleaning of the premises, screening of high-risk patients was completed on site and observation of the premises). Results: Data collection started in December 2019 and was discontinued due to the national lockdown related to the global SARS-CoV-2 pandemic. Eighty-two practices were analyzed. A hydroalcoholic solution was available in 7.3% of practices and surgical masks in 1.2%. In a majority of waiting rooms, the minimum distance between chairs facing each other was >2 m (78.0%), but was more frequently 1 m for chairs at 90° (53.7%). Overall, 79.3% of waiting rooms could be properly ventilated and waste bins were present in 23.9% of cases. A cleaning protocol was reported in 39.2% of practices. Conclusion: The COVID-19 epidemic allowed the national dissemination of standard precautions. It will be interesting to monitor over the next few years whether the renewed consideration of standard precautions to prevent viral cross-contamination will be maintained over time. |
| Databáze: | OpenAIRE |
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