COVID-19 Testing, Personal Protective Equipment, and Staffing Strategies Vary at Obstetrics Centers across the Country
| Autor: | Brenna L. Hughes, Judette Louis, Mary E. Norton, Erika F. Werner, Sindhu K. Srinivas, Jasmine D. Johnson, Emilie Melvin, Christina S. Han |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Pneumonia Viral Clinical Sciences Staffing Paediatrics and Reproductive Medicine Betacoronavirus COVID-19 Testing Pregnancy Health care Pandemic Humans Medicine Viral Pregnancy Complications Infectious Obstetrics & Reproductive Medicine Letter to the Editor Pandemics Personal Protective Equipment Personal protective equipment Clinical Laboratory Techniques SARS-CoV-2 business.industry Infectious COVID-19 Obstetrics and Gynecology Pneumonia Community hospital Pregnancy Complications Good Health and Well Being Family medicine Pediatrics Perinatology and Child Health Female Observational study Coronavirus Infections business Asymptomatic carrier Cohort study |
| Zdroj: | American journal of perinatology, vol 37, iss 14 American Journal of Perinatology |
| ISSN: | 1098-8785 0735-1631 |
| DOI: | 10.1055/s-0040-1718401 |
| Popis: | The continued safety and preservation of the health care workforce is vital during the ongoing coronavirus disease 2019 (COVID-19) pandemic. Observational data show that appropriate personal protective equipment (PPE)—including masks and eyewear are paramount to slowing the spread.[1] Additionally, comprehensive screening strategies to help identify asymptomatic carriers will also protect the highest risk populations—including health care workers.[2] A recent systematic review of 16 cohort studies estimated that asymptomatic carriers accounted for approximately 40 to 45% of positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction tests, and this number is expected to rise as screening becomes more accessible.[3] Sutton et al wrote in their commentary in the New England Journal of Medicine that the use of universal SARS-CoV-2 testing in all pregnant patients presenting for delivery revealed that most of the patients who were positive for SARS-CoV-2 at delivery were asymptomatic, and more than one in eight asymptomatic patients who were admitted to the labor and delivery unit were positive for SARS-CoV-2 during a period of increased community transmission.[2] In an effort to characterize COVID-19 safety practices and resources at academic and community hospital obstetric units across the United States, the Society for Maternal-Fetal Medicine (SMFM) administered a national survey to designated state liaisons regarding generalized testing and access to PPE in obstetrical units from April 7 to April 14, 2020. Results from the initial survey (“Survey I”) found wide variation in universal testing policies and PPE use in obstetrical units across the United States.[5] To determine how practices changed as rates across the country increased, SMFM re-administered the same survey from May 1, 2020 to May 22, 2020 (“Survey II”). Received: 10 September 2020Accepted: 11 September 2020Publication Date:26 September 2020 (online) © 2020. Thieme. All rights reserved. Thieme Medical Publishers333 Seventh Avenue, New York, NY 10001, USA. |
| Databáze: | OpenAIRE |
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