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Kopuit P, Bier L, Abu-Gush S, Smadga H, David R, Shraga T, Dery I, Ezagui BS, Yinnon AM, Benenson S. How effective are monthly departmental tracer surveys? A 5-year retrospective study of 138 surveys in 96 departments. Am J Infect Control 2024; 52:872-877. [PMID: 38583776 DOI: 10.1016/j.ajic.2024.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 03/31/2024] [Accepted: 04/02/2024] [Indexed: 04/09/2024]
Abstract
BACKGROUND Repeat department-wide surveys are commonly employed for infection control. There remains debate concerning their cost-effectivess. The aim of the study was to measure the impact of repeat department-wide surveys in major in-patient departments (IPDs) and ambulatory facilities (AFs) in a tertiary care hospital. This was a retrospective study of 138 surveys condcuted in 96 departments over a 5-year period. METHODS Two itemized questionnaires were designed to assess the most frequently inadequately adhered to infection control measures: one for IPD (with 21 items) and the other for AF (with 17 items). RESULTS A total of 72 surveys were conducted in 49 IPDs, of which 39 (54%) were repeat surveys, and 66 surveys in 47 AFs, of which 33 (50%) were repeat surveys. The baseline rate of adherence/department was 71% ± 14 for the IPD, with an increase from the first to the last survey to 82% ± 13 (P = .037). In 15/21 measured infection control items, adherence improved. Adherence to infection control items was lower at baseline in the AFs than in the IPDs (63 ± 27), with an increase to 76 ± 20 (non significant). Although adherence improved for 9 items, it deteriorated in another 8, producing an overall statistically unchanged outcome. CONCLUSION Repeat whole-department surveys contribute moderately to increased adherence to infection control guidelines. AFs demonstrate lower rates of adherence to infection control guidelines and are less receptive to educational measures.
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Affiliation(s)
- Puah Kopuit
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Liora Bier
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Samar Abu-Gush
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Hanna Smadga
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Ruth David
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Tova Shraga
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Ilana Dery
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Bath Sheva Ezagui
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Amos M Yinnon
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel; Faculty of Medicine, Hebrew-University Hadassah Medical School, Jerusalem, Israel.
| | - Shmuel Benenson
- Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel; Faculty of Medicine, Hebrew-University Hadassah Medical School, Jerusalem, Israel
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Farag A, Pham RH, Dulaimy K. The Financial Impact of COVID on Radiology Health Systems. Semin Ultrasound CT MR 2024; 45:309-313. [PMID: 38527670 DOI: 10.1053/j.sult.2024.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/27/2024]
Abstract
The coronavirus pandemic of 2019 (COVID-19) was arguably the most pivotal global event that current generations have witnessed, with unprecedented global challenges, and colossal effects on health systems. The financial consequences, in particular, were profound and far-reaching. Staggering estimates of up to $50.7 billion dollars per month in lost revenue for the US health system were reported by the American Hospital Association (Kaye et al., 2021). The pandemic caused significant increases in cost of drugs, disruptions to medical supply chains, day-to-day workflow, and operations in all areas of medicine and various healthcare systems. Radiology experienced a significant burden of the damage, finding itself at the forefront of the pandemic's economic fallout (American Hospital Association).
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Affiliation(s)
- Ahmed Farag
- Department of Radiology, UMass Chan Medical School-Baystate Medical Center, Springfield, MA
| | - Richard H Pham
- B.S. Biology student, Class of 2025, University of Massachusetts-Amherst, Amherst, MA
| | - Kal Dulaimy
- Department of Radiology, UMass Chan Medical School-Baystate Medical Center, Springfield, MA.
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Hundah SN, Sibiya MN, Khoza TE. Lived experiences of radiology caregivers during a health crisis: A COVID-19 case analysis. Health SA 2024; 29:2532. [PMID: 39114335 PMCID: PMC11304130 DOI: 10.4102/hsag.v29i0.2532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 02/09/2024] [Indexed: 08/10/2024] Open
Abstract
Background Health crises have been linked with the exacerbation of pre-existing difficulties and the emergence of unique challenges, as evidenced by the impact of coronavirus disease 2019 (COVID-19) on health caregivers worldwide. Baseline data allow for reflection and preparation for any future health emergencies therefore giving impetus to phenomenological enquiries among the experiencers. Aim This study aimed to explore the lived experiences of the eThekwini district frontline radiology caregivers during the COVID-19 pandemic. Setting The study was conducted in public and private radiology departments in the eThekwini district of KwaZulu-Natal, South Africa. Methods A qualitative, interpretative phenomenological analysis methodology was adopted in a multi-method data-collection context comprising semi-structured interviews and focus group discussions (FGDs) among 24 radiologists, radiographers, and radiology nurses obtained by non-probability sampling. Data were transcribed verbatim and analysed using an interpretative phenomenological approach. Results Three superordinate themes emerged, namely: (1) duties and roles during the COVID-19 pandemic, (2) work-related challenges, (3) personal challenges. Conclusion Frontline radiology caregivers experienced increased workload, staff shortages, salary cuts, personal protective equipment (PPE) shortages, non-recognition, poor managerial support, disrupted social relations, and poor work-life balance. This necessitates the need for the radiology departments to address staffing, infection prevention and control deficits, and invest in support interventions to assist frontline radiology caregivers during health crises. Contribution The findings comprise baseline information that can be used for reflection and guiding radiology departments in preparing for any future health crises.
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Affiliation(s)
- Shillah N Hundah
- Department of Radiography, Faculty of Health Sciences, Durban University of Technology, Durban, South Africa
| | - Maureen N Sibiya
- Division of Research, Innovation and Engagement, Mangosuthu University of Technology, Umlazi Campus, Durban, South Africa
| | - Thandokuhle E Khoza
- Department of Radiography, Faculty of Health Sciences, Durban University of Technology, Durban, South Africa
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4
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Santos RC, Araújo LS, Junqueira RB, Costa ED, Pigatti FM, Kamburoğlu K, Carvalho PHB, Oliveira MLB, Aquino SN, Verner FS. Assessment of infection control in oral radiology during the COVID-19 outbreak: An international collaborative study. Imaging Sci Dent 2023; 53:365-373. [PMID: 38174034 PMCID: PMC10761298 DOI: 10.5624/isd.20230141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 09/29/2023] [Accepted: 10/06/2023] [Indexed: 01/05/2024] Open
Abstract
Purpose In the context of COVID-19, studies evaluating the adherence of dentists and dental students to infection control are relevant due to their high occupational exposure and risk, as well as their responsibility for disseminating information and good practices. This study evaluated the adherence of dentists and dental students to infection control in the oral radiology field in the setting of the COVID-19 pandemic on different continents. Materials and Methods This cross-sectional observational study involved individuals who performed intraoral radiographic examinations during the COVID-19 pandemic. The Questionnaire on Infection Control in Oral Radiology was administered virtually using a Google Form. Participants from different continents (the Americas, Africa, Europe, Asia, and Oceania) were recruited. Data were subjected to descriptive analysis and simple and multiple binary regression (5%). Results There were 582 valid answers, and 68.73% of the participants were from the Americas, 18.90% from Europe, and 12.37% from Asia. The median score for infection control protocols was 94 points for dental students and 104 points for dentists, and participants below the median were considered to have low adherence to infection control in oral radiology. Low access to infection control was found for 53.0% of dentists in the Americas, 34.0% from Europe, and 26.9% from Asia. Conclusion The adherence to infection control protocols in oral radiology was low even in the face of the COVID-19 pandemic. The results may help improve the awareness of students and professionals, since oral radiology routines have the potential for transmitting COVID-19.
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Affiliation(s)
- Rafaela C Santos
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
| | - Larissa S Araújo
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
| | - Rafael B Junqueira
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
- Health Applied Science Post-Graduate Program, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
| | - Eliana D Costa
- Department of Oral Diagnosis, School of Dentistry of Piracicaba, State University of Campinas, Piracicaba, São Paulo, Brazil
| | - Fernanda M Pigatti
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
| | - Kıvanç Kamburoğlu
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey
| | - Pedro HB Carvalho
- Health Applied Science Post-Graduate Program, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
- Department of Physical Education, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
| | - Manuela LB Oliveira
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
| | - Sibele N Aquino
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
- Health Applied Science Post-Graduate Program, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
| | - Francielle S Verner
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
- Health Applied Science Post-Graduate Program, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Minas Gerais, Brazil
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Khandaker MU, Abuzaid MM, Mohamed IA, Yousef M, Jastaniah S, Alshammari QT, Alghamdi SS, Osman H, Mohamed Ahmed A, Musa A, Ahmed Medani AM, Lam SE, Bradley DA. Investigation of the Radiographer's adherence and compliance with radiation protection and infection control practices during COVID-19 mobile radiography. Radiat Phys Chem Oxf Engl 1993 2023; 210:111023. [PMID: 37206369 PMCID: PMC10174468 DOI: 10.1016/j.radphyschem.2023.111023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 05/08/2023] [Accepted: 05/10/2023] [Indexed: 05/21/2023]
Abstract
Radiological staff, especially radiographers, work as front liners against the COVID-19 outbreak. This study aims to assess compliance with radiation protection and infection control practices during COVID-19 mobile radiography procedures. This cross-sectional study included 234 radiographers (females, 56%, n = 131; males, 44%, n = 103) who were asked to complete an online questionnaire consisting of demographic data, radiation protection and infection control practices during COVID-19 portable cases, and knowledge and awareness. After informed consent was completed, SPSS statistical software was used for the data analysis. The most common age group of participants ranged from 18 to 25 years old (30.3%, n = 71). Bachelor's degree holders were 74.4% (n = 174). Most radiographers (39.7%, n = 93) had a working experience of 1-5 years, followed by 27.8% (n = 65) with more than 16 years of experience. Most respondents (62.4%, n = 146) handled approximately 1-5 cases daily, the majority of them (56%, n = 131) stated affirmatively they had obtained special training to handle COVID-19, and when inquired if they had received any special allowances for handling COVID-19 suspected/confirmed cases most of them stated negative (73.9%, n = 173). Most participants stated that they always wear a TLD during portable cases (67.1%, n = 157) and a lead apron (51.7%, n = 121). Around 73% (n = 171) knew the latest information on COVID-19 and attended the COVID-19 awareness course. A significant association was found between the work experience of the radiographers and their responses to following the best practices (p = 0.018, α = 0.05). Radiographers who had COVID-19 training (μ = 48.78) tend to adhere more to best practices than those who have not (p = 0.04, α = 0.05). Further, respondents who handled more than 16/more COVID-19 suspected/confirmed cases followed the best practices more (μ = 50.38) than those who handled less (p = 0.04, α = 0.05). This study revealed detailed information on radiation protection and infection control practices during COVID-19 mobile radiography. It has been observed that the participants/radiographers have good knowledge and awareness of radiation protection and infection-control practices. The present results may be used to plan future requirements regarding resources and training to ensure patient safety.
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Affiliation(s)
- Mayeen Uddin Khandaker
- Research Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, 47500, Malaysia
- Department of General Educational Development, Faculty of Science and Information Technology, Daffodil International University, DIU Rd, Dhaka, 1341, Bangladesh
| | - Mohamed M Abuzaid
- University of Sharjah, College of Health Sciences, Department of Medical Diagnostic Imaging, Sharjah, United Arab Emirates
| | - Ikhlas A Mohamed
- Diagnostic Radiology Department, College of Medical Radiological Science, Sudan University of Science and Technology, Khartoum, Sudan
| | - Mohamed Yousef
- Radiologic Sciences Program, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Saddig Jastaniah
- Radiologic Sciences Program, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Qurain T Alshammari
- Diagnostic Radiology Department, College of Applied Medical Sciences, University of Hail, Hai'l, Saudi Arabia
| | - Salem Saeed Alghamdi
- Department of Applied Radiologic Technology, College of Applied Medical Sciences, University of Jeddah, Saudi Arabia
| | - Hamid Osman
- Department of Radiologic Sciences, College of Applied Medical Sciences, Taif University, Saudi Arabia
| | - Amna Mohamed Ahmed
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia
| | - Alamin Musa
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia
| | - Afaf Mohamed Ahmed Medani
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia
| | - S E Lam
- Research Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, 47500, Malaysia
| | - D A Bradley
- Research Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, 47500, Malaysia
- Department of Physics, University of Surrey, Guidlford, GU2 7XH, United Kingdom
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6
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Tang YN, Jiang D, Wang X, Liu Y, Wei D. Recent progress on rapid diagnosis of COVID-19 by point-of-care testing platforms. CHINESE CHEM LETT 2023; 35:108688. [PMID: 37362324 PMCID: PMC10266891 DOI: 10.1016/j.cclet.2023.108688] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Revised: 05/25/2023] [Accepted: 06/12/2023] [Indexed: 06/28/2023]
Abstract
The outbreak of COVID-19 has drawn great attention around the world. SARS-CoV-2 is a highly infectious virus with occult transmission by many mutations and a long incubation period. In particular, the emergence of asymptomatic infections has made the epidemic even more severe. Therefore, early diagnosis and timely management of suspected cases are essential measures to control the spread of the virus. Developing simple, portable, and accurate diagnostic techniques for SARS-CoV-2 is the key to epidemic prevention. The advantages of point-of-care testing technology make it play an increasingly important role in viral detection and screening. This review summarizes the point-of-care testing platforms developed by nucleic acid detection, immunological detection, and nanomaterial-based biosensors detection. Furthermore, this paper provides a prospect for designing future highly accurate, cheap, and convenient SARS-CoV-2 diagnostic technology.
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Affiliation(s)
- Ya-Nan Tang
- State Key Laboratory of Molecular Engineering of Polymers, Department of Macromolecular Science, Fudan University, Shanghai 200433, China
- Institute of Molecular Materials and Devices, Fudan University, Shanghai 200433, China
| | - Dingding Jiang
- State Key Laboratory of Molecular Engineering of Polymers, Department of Macromolecular Science, Fudan University, Shanghai 200433, China
- Institute of Molecular Materials and Devices, Fudan University, Shanghai 200433, China
| | - Xuejun Wang
- State Key Laboratory of Molecular Engineering of Polymers, Department of Macromolecular Science, Fudan University, Shanghai 200433, China
- Institute of Molecular Materials and Devices, Fudan University, Shanghai 200433, China
| | - Yunqi Liu
- Institute of Molecular Materials and Devices, Fudan University, Shanghai 200433, China
| | - Dacheng Wei
- State Key Laboratory of Molecular Engineering of Polymers, Department of Macromolecular Science, Fudan University, Shanghai 200433, China
- Institute of Molecular Materials and Devices, Fudan University, Shanghai 200433, China
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Caples M, McCarthy V, Wills T, Goodwin J, McCloskey S, Burton A, Forde M, Erlandsson T, Ryan E, Noonan B. Exploring the Use of an Electronic Competency Assessment Document Using iPad Minis to Assess Clinical Practice Competency in a Preregistration Nursing Program: A Cross-sectional Feasibility Study. Comput Inform Nurs 2023; 41:449-456. [PMID: 36455166 DOI: 10.1097/cin.0000000000000963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
The aim of this study was to explore the feasibility of using iPad minis as a method of completing competency assessment in clinical practice. Digital technology helps to revolutionize all aspects of our lives. The use of digital technologies in clinical practice can facilitate a move toward a more flexible learning environment and enable students to adapt in a rapidly changing, interconnected world. The introduction of electronic clinical booklets in practice placements could facilitate the sharing of clinical information through connected healthcare systems, thus improving the student experience. A cross-sectional design was used in this study. A sample of BSc nursing students (n = 53) and clinically based healthcare professionals (n = 27) (preceptors and clinical placement coordinators) participated in this study. Data were collected using a modified version of Garrett and colleagues' instrument, the System Usability Scale, a demographics questionnaire, and three open-ended questions. There was a significant difference between the students and preceptors/clinical placement coordinators across all items with higher proportions of students (ranging from 66% to 75.5%), indicating that they agreed or strongly agreed with the reliability, ease of use, and effectiveness of the device in assessing their clinical competency (ranging from 11.1% to 40.7%). In addition, the iPad minis were found to be smaller, lighter, and easier to carry than paper-based booklets and encouraged students to access timely online learning resources during placement to help augment their learning. The use of iPad mini to complete the electronic competency assessment document as a replacement for a paper-based system to assess clinical practice is feasible. The introduction of electronic assessment documents should incorporate a robust training plan and standard operating procedures.
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Affiliation(s)
- Maria Caples
- Author Affiliations: School of Nursing and Midwifery, University College Cork (Drs Caples, McCarthy, Wills, Goodwin, Burton, and Noonan and Mr McCloskey); Bons Secours Hospital (Dr Forde); and Marymount University Hospital and Hospice (Mr Erlandsson and Mr Ryan), Cork, Ireland
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Franco-Moreno A, Brown-Lavalle D, Rodríguez-Ramírez N, Muñoz-Roldán C, Rubio-Aguilera AI, Campos-Arenas M, Muñoz-Rivas N, Moya-Mateo E, Ruiz-Giardín JM, Pardo-Guimerá V, Ulla-Anes M, Pedrero-Tomé R, Torres-Macho J, Bustamante-Fermosel A. Clinical prediction model for pulmonary thrombosis diagnosis in hospitalized patients with SARS-CoV-2 infection. J Clin Transl Res 2023; 9:59-68. [PMID: 37034002 PMCID: PMC10075091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 12/14/2022] [Accepted: 01/12/2023] [Indexed: 04/11/2023] Open
Abstract
Background and Aim We aimed to develop a clinical prediction model for pulmonary thrombosis (PT) diagnosis in hospitalized COVID-19 patients. Methods Non-intensive care unit hospitalized COVID-19 patients who underwent a computed tomography pulmonary angiogram (CTPA) for suspected PT were included in the study. Demographic, clinical, analytical, and radiological variables as potential factors associated with the presence of PT were selected. Multivariable Cox regression analysis to develop a score for estimating the pre-test probability of PT was performed. The score was internally validated by bootstrap analysis. Results Among the 271 patients who underwent a CTPA, 132 patients (48.7%) had PT. Heart rate >100 bpm (OR = 4.63 [95% CI: 2.30-9.34]; P < 0.001), respiratory rate >22 bpm (OR = 5.21 [95% CI: 2.00-13.54]; P < 0.001), RALE score ≥4 (OR = 3.24 [95% CI: 1.66-6.32]; P < 0.001), C-reactive protein (CRP) >100 mg/L (OR = 2.10 [95% CI: 0.95-4.63]; P = 0.067), and D-dimer >3.000 ng/mL (OR = 6.86 [95% CI: 3.54-13.28]; P < 0.001) at the time of suspected PT were independent predictors of thrombosis. Using these variables, we constructed a nomogram (CRP, Heart rate, D-dimer, RALE score, and respiratory rate [CHEDDAR score]) for estimating the pre-test probability of PT. The score showed a high predictive accuracy (area under the receiver-operating characteristics curve = 0.877; 95% CI: 0.83-0.92). A score lower than 182 points on the nomogram confers a low probability for PT with a negative predictive value of 92%. Conclusions CHEDDAR score can be used to estimate the pre-test probability of PT in hospitalized COVID-19 patients outside the intensive care unit. Relevance for Patients Developing a new clinical prediction model for PT diagnosis in COVID-19 may help in the triage of patients, and limit unnecessary exposure to radiation and the risk of nephrotoxicity due to iodinated contrast.
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Affiliation(s)
- Anabel Franco-Moreno
- Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
- Corresponding author: Anabel Franco-Moreno Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre. Gran Via del Este Avenue, 80, 28031, Madrid, Spain.
| | - David Brown-Lavalle
- Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
- Corresponding author: Anabel Franco-Moreno Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre. Gran Via del Este Avenue, 80, 28031, Madrid, Spain.
| | | | - Candela Muñoz-Roldán
- Department of Radiology, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
| | - Ana Ignes Rubio-Aguilera
- Department of Radiology, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
| | - Maria Campos-Arenas
- Department of Radiology, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
| | - Nuria Muñoz-Rivas
- Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
| | - Eva Moya-Mateo
- Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
| | | | - Virginia Pardo-Guimerá
- Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
| | - Mariano Ulla-Anes
- Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
| | - Roberto Pedrero-Tomé
- EPINUT-UCM (Ref. 920325) Investigation Group, Universidad Complutense de Madrid, Madrid, Spain
- Fundación para la Investigación e Innovación Biomédica de los Hospitales Universitarios Infanta Leonor y del Sureste, Madrid, Spain
| | - Juan Torres-Macho
- Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
- Corresponding author: Anabel Franco-Moreno Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre. Gran Via del Este Avenue, 80, 28031, Madrid, Spain.
| | - Ana Bustamante-Fermosel
- Department of Internal Medicine, Hospital Universitario Infanta Leonor–Virgen de la Torre, Madrid, Spain
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Ho ML, Arnold CW, Decker SJ, Hazle JD, Krupinski EA, Mankoff DA. Institutional Strategies to Maintain and Grow Imaging Research During the COVID-19 Pandemic. Acad Radiol 2023; 30:631-639. [PMID: 36764883 PMCID: PMC9816088 DOI: 10.1016/j.acra.2022.12.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 12/23/2022] [Accepted: 12/24/2022] [Indexed: 01/09/2023]
Abstract
Understanding imaging research experiences, challenges, and strategies for academic radiology departments during and after COVID-19 is critical to prepare for future disruptive events. We summarize key insights and programmatic initiatives at major academic hospitals across the world, based on literature review and meetings of the Radiological Society of North America Vice Chairs of Research (RSNA VCR) group. Through expert discussion and case studies, we provide suggested guidelines to maintain and grow radiology research in the postpandemic era.
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Affiliation(s)
- Mai-Lan Ho
- Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio.
| | | | | | - John D. Hazle
- The University of Texas MD Anderson Cancer Center, Houston, Texas
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10
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Franco-Moreno A, Bustamante-Fermosel A, Ruiz-Giardin J, Muñoz-Rivas N, Torres-Macho J, Brown-Lavalle D. Utility of probability scores for the diagnosis of pulmonary embolism in patients with SARS-CoV-2 infection: A systematic review. Rev Clin Esp 2023; 223:40-49. [PMID: 36241500 PMCID: PMC9492501 DOI: 10.1016/j.rceng.2022.07.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 07/04/2022] [Indexed: 02/01/2023]
Abstract
BACKGROUND AND OBJECTIVE Clinical prediction models determine the pre-test probability of pulmonary embolism (PE) and assess the need for tests for these patients. Coronavirus infection is associated with a greater risk of PE, increasing its severity and conferring a worse prognosis. The pathogenesis of PE appears to be different in patients with and without SARS-CoV-2 infection. This systematic review aims to discover the utility of probability models developed for PE in patients with COVID-19 by reviewing the available literature. METHODS A literature search on the PubMed, Scopus, and EMBASE databases was carried out. All studies that reported data on the use of clinical prediction models for PE in patients with COVID-19 were included. Study quality was assessed using the Newcastle-Ottawa scale for non-randomized studies. RESULTS Thirteen studies that evaluated five prediction models (Wells score, Geneva score, YEARS algorithm, and PERC and PEGeD clinical decision rules) were included. The different scales were used in 1,187 patients with COVID-19. Overall, the models showed limited predictive ability. The two-level Wells score with low (or unlikely) clinical probability in combination with a D-dimer level <3000ng/mL or a normal bedside lung ultrasound showed an adequate correlation for ruling out PE. CONCLUSIONS Our systematic review suggests that the clinical prediction models available for PE that were developed in the general population are not applicable to patients with COVID-19. Therefore, their use is in clinical practice as the only diagnostic screening tool is not recommended. New clinical probability models for PE that are validated in these patients are needed.
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Affiliation(s)
- A.I. Franco-Moreno
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, Spain,Corresponding author
| | - A. Bustamante-Fermosel
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, Spain
| | - J.M. Ruiz-Giardin
- Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
| | - N. Muñoz-Rivas
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, Spain
| | - J. Torres-Macho
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, Spain
| | - D. Brown-Lavalle
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, Spain
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11
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Franco-Moreno A, Bustamante-Fermosel A, Ruiz-Giardin J, Muñoz-Rivas N, Torres-Macho J, Brown-Lavalle D. [Utility of probability scores for the diagnosis of pulmonary embolism in patients with SARS-CoV-2 infection: A systematic review]. Rev Clin Esp 2023; 223:40-49. [PMID: 35945950 PMCID: PMC9353599 DOI: 10.1016/j.rce.2022.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 07/04/2022] [Indexed: 01/06/2023]
Abstract
Background and objective Clinical prediction models determine the pre-test probability of pulmonary embolism (PE) and assess the need for tests for these patients. Coronavirus infection is associated with a greater risk of PE, increasing its severity and conferring a worse prognosis. The pathogenesis of PE appears to be different in patients with and without SARS-CoV-2 infection. This systematic review aims to discover the utility of probability models developed for PE in patients with COVID-19 by reviewing the available literature. Methods A literature search on the PubMed, Scopus, and EMBASE databases was carried out. All studies that reported data on the use of clinical prediction models for PE in patients with COVID-19 were included. Study quality was assessed using the Newcastle-Ottawa scale for non-randomized studies. Results Thirteen studies that evaluated five prediction models (Wells score, Geneva score, YEARS algorithm, and PERC and PEGeD clinical decision rules) were included. The different scales were used in 1,187 patients with COVID-19. Overall, the models showed limited predictive ability. The two-level Wells score with low (or unlikely) clinical probability in combination with a D-dimer level < 3000 ng/mL or a normal bedside lung ultrasound showed an adequate correlation for ruling out PE. Conclusions Our systematic review suggests that the clinical prediction models available for PE that were developed in the general population are not applicable to patients with COVID-19. Therefore, their use is in clinical practice as the only diagnostic screening tool is not recommended. New clinical probability models for PE that are validated in these patients are needed.
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Affiliation(s)
- A.I. Franco-Moreno
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, España,Autor para correspondencia
| | - A. Bustamante-Fermosel
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, España
| | - J.M. Ruiz-Giardin
- Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
| | - N. Muñoz-Rivas
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, España
| | - J. Torres-Macho
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, España
| | - D. Brown-Lavalle
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor - Hospital Virgen de la Torre, Madrid, España
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12
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The Responses of Radiology Professionals to the COVID-19 Pandemic. JOURNAL OF BASIC AND CLINICAL HEALTH SCIENCES 2022. [DOI: 10.30621/jbachs.992808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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13
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Luna C, Estanga I, Patricia Castillo R. Abbreviated Ultrasonography Examination Protocols for COVID-19 Patients: A Streamlined Process to Reduce Staff Exposure. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2022. [DOI: 10.1177/87564793221079805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: The primary goal of this article is to show that an abbreviated ultrasonography (US) examination protocols can decrease imaging time and staff exposure. Materials and Methods: This is a single-center institutional review board (IRB)-approved retrospective cohort study in which 39 patients, positive for 2019 coronavirus disease (COVID-19), underwent an abbreviated US examination protocol from April to May 2020. Radiologists, specializing in body imaging, created these protocols. Descriptive statistics were performed, including the mean duration of the abbreviated US protocols and the mean duration of the standard US protocols, as a control group. Results: The abbreviated US protocols resulted in a significant time reduction ( P < .05) compared with the regular protocol duration. Conclusion: As radiology services face this unprecedented pandemic, implementing reduced US protocols can result in safer practices decreasing staff exposure.
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Affiliation(s)
- Cibele Luna
- Department of Radiology, Jackson Memorial Hospital, University of Miami, Miami, FL, USA
| | - Indira Estanga
- Department of Radiology, Jackson Memorial Hospital, University of Miami, Miami, FL, USA
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14
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Andualem A, Tegegne B, Ademe S, Natnael T, Berihun G, Abebe M, Alemnew Y, Mulu A, Mezemir Y, Melaku A, Addis T, Belay E, Walle Z, Kumlachew L, Teym A, Adane M. COVID-19 infection prevention practices among a sample of food handlers of food and drink establishments in Ethiopia. PLoS One 2022; 17:e0259851. [PMID: 35073320 PMCID: PMC8786123 DOI: 10.1371/journal.pone.0259851] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 10/25/2021] [Indexed: 02/04/2023] Open
Abstract
Background Cases of coronavirus disease (COVID-19) are increasing at an alarming rate throughout the world, including Ethiopia. Food handlers in food and drink establishments are at high risk of exposure to the virus due to their many daily contacts with customers. Since there is a paucity of evidence about infection prevention practices and associated factors among this high-risk group in Ethiopia including in Dessie City and Kombolcha Town, this study was designed to address this gap. Method An institution-based cross-sectional study was conducted among 422 food handlers in Dessie City and Kombolcha Town food and drink establishments in July and August 2020. The study participants were selected using a simple random sampling technique. Data were collected by trained data collectors using a pretested structured questionnaire and an on-the-spot observational checklist. Data were entered into EpiData version 4.6 and exported to STATA version 14.0 for data cleaning and analysis. Data were analyzed using bivariable and multivariable logistic regression model at 95% confidence interval (CI). From the bivariable analysis, variables with a p-value <0.25 were retained into multivariable analysis. Finally, variables that had a p-value <0.05 were declared as factors significantly associated with good infection prevention practices of COVID-19 among food handlers. Main findings The overall rate of good practice in infection prevention among food handlers was 43.9% (95% CI: 39.2–48.4%). Among the total 401 food handlers, 79.8% had good knowledge and 58.4% had a favorable attitude about COVID-19 infection prevention. Factors significantly associated with good COVID-19 infection prevention practices were: educational status of college or above (AOR = 1.97; 95% CI: 1.32–3.75), food handling work experience greater than five years (AOR = 2.55; 95% CI: 1.43–5.77), availability of written guidelines within the food and drink establishment (AOR = 2.68; 95% CI: 1.52–4.75), and taking training about infection prevention (AOR = 3.26; 95% CI: 1.61–6.61). Conclusion Our findings showed that around one-third of food handlers had good infection prevention practices. Thus, to reduce COVID-19 transmission, integrated work is urgently needed to further improve food handlers’ good practices, knowledge and attitude about infection prevention through providing health education, training and by making written infection prevention guidelines available in food and drink establishments.
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Affiliation(s)
- Atsedemariam Andualem
- Department of Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Belachew Tegegne
- Department of Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Sewunet Ademe
- Department of Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Tarikuwa Natnael
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Gete Berihun
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Masresha Abebe
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Yeshiwork Alemnew
- Department of Biology, College of Natural Sciences, Wollo University, Dessie, Ethiopia
| | - Alemebante Mulu
- Faculty of Informatics, Department of Computer Science, St. Mary’s University, Addis Ababa, Ethiopia
| | | | - Abayneh Melaku
- Ethiopian Institute of Water Resources (EIWR), Addis Ababa University, Addis Ababa, Ethiopia
| | - Taffere Addis
- Ethiopian Institute of Water Resources (EIWR), Addis Ababa University, Addis Ababa, Ethiopia
| | - Emaway Belay
- Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Zebader Walle
- Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
| | - Lake Kumlachew
- Department of Environmental Health, Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
| | - Abraham Teym
- Department of Environmental Health, Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
| | - Metadel Adane
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
- * E-mail:
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15
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Omidiji OA, Atalabi OM, Idowu EA, Ishola A, Olowoyeye OA, Omisore AD, Eze KC, Ahmadu MS, Dim NR, Anas I, Ilo AC, Ayodele SAT, Daji FY, Yidi AM, Ajiboye OK, Jimoh KO, Toyobo OO, Onuwaje AM, Irurhe NK, Adeyomoye AO, Akinola RA, Arogundade RA. COVID-19: Challenges and coping strategies in radiology departments in Nigeria. Ann Afr Med 2022; 21:71-76. [PMID: 35313409 PMCID: PMC9020623 DOI: 10.4103/aam.aam_76_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Context: COVID-19 came suddenly, bringing to the fore the challenges inherent in the health system. In a developing country, such as Nigeria, which already had myriad problems with funds and equipment in the health sector. Aims: This study aims to examine the challenges encountered by the staff in Radiology facilities and how they combated the challenges. Settings and Design: A descriptive cross-sectional study of radiology facilities in Nigeria. Subjects and Methods: Radiologists from nine government and four private facilities who attended to COVID-19 patients were asked to fill questionnaires on challenges faced and their coping strategies. Responses were sent through E-mail. Statistical Analysis Used: Data from the responses were analyzed using Microsoft excel for Mac 2011 and presented as figures and tables. Results: Majority of the government 7 (77.8%) and private facilities 4 (100%) had no equipment dedicated only to COVID-19 patients. Seven (77.8%) government facilities complained of inadequate staff, poor availability of personal protective equipment (PPEs) 8 (88.9%), and lack of technology for remote viewing 7 (77.8%). Fear of cross-infection was a challenge in one of the facilities 1 (11.1%). Coping strategies adopted include ensuring less traffic in the department by discouraging walk-in patients and canceling non-emergent cases, booking suspected/confirmed cases for lighter times, using old film for face shields and cloth for facemasks, staff education on COVID-19 and preventive measures, and sending reports to physicians through E-mail. Conclusions: There were a lot of challenges during the COVID-19 crisis, with government hospitals experiencing more challenges than private facilities. The challenges included among others inadequate staff strength and lack of technology for remote viewing. Some were overcome using education and by production of facemasks/shields production using recycled materials.
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Affiliation(s)
- Olubukola A Omidiji
- Department of Radiation Biology, Radiotherapy and Radiodiagnosis, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Idi-Araba, Nigeria
| | | | - Elizabeth A Idowu
- Department of Radiology, University College Hospital, Ibadan, Oyo State, Nigeria
| | - Aderemi Ishola
- Department of Radiology, Federal Medical Centre, Asaba, Delta State, Nigeria
| | - Omodele A Olowoyeye
- Department of Radiation Biology, Radiotherapy and Radiodiagnosis, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Idi-Araba, Nigeria
| | - Adeleye Dorcas Omisore
- Department of Radiology, Faculty of Clinical Sciences, Obafemi Awolowo University Teaching Hospital, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria
| | - K C Eze
- Department of Radiology, Faculty of Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria
| | - Muhammad S Ahmadu
- Department of Radiology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
| | - Ngozi R Dim
- Department of Radiation Medicine, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku Ozalla Campus, Enugu, Nigeria
| | - Ismail Anas
- Department of Radiology, Aminu Kano Teaching Hospital, Bayero University, Kano, Nigeria
| | - Adaobi C Ilo
- Department of Radiation Medicine, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku Ozalla Campus, Enugu, Nigeria
| | - Sidikat A T Ayodele
- Department of Radiology, Lagos State University College of Medicine, Lagos State University Teaching Hospital, Idi-Araba, Nigeria
| | | | | | | | | | | | | | - Nicholas Kayode Irurhe
- Department of Radiation Biology, Radiotherapy and Radiodiagnosis, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Idi-Araba, Nigeria
| | - Adekunle O Adeyomoye
- Department of Radiation Biology, Radiotherapy and Radiodiagnosis, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Idi-Araba, Nigeria
| | - Rachael A Akinola
- Department of Radiology, Lagos State University College of Medicine, Lagos State University Teaching Hospital, Idi-Araba, Nigeria
| | - Rasheed Ajani Arogundade
- Department of Radiation Biology, Radiotherapy and Radiodiagnosis, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Idi-Araba, Nigeria
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16
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Borges LP, Martins AF, Silva BDM, Dias BDP, Gonçalves RL, Souza DRVD, Oliveira MGBD, Jesus PCD, Serafini MR, Quintans JSS, Coutinho HDM, Martins N, Júnior LJQ. Rapid diagnosis of COVID-19 in the first year of the pandemic: A systematic review. Int Immunopharmacol 2021; 101:108144. [PMID: 34607235 PMCID: PMC8440261 DOI: 10.1016/j.intimp.2021.108144] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 09/06/2021] [Accepted: 09/06/2021] [Indexed: 12/24/2022]
Abstract
BACKGROUND COVID-19 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global health threat and remains a challenge for modern medicine. Rapid and accurate diagnosis of COVID-19 is vital for proper disease and outbreak management. Our review aimed to analyze scientific articles published in the literature addressing the rapid tests available for COVID-19 diagnosis at the first year of the pandemic. METHODS A systematic review was performed from October 22 to 27, 2020, searching data published in PubMed and Google Scholar databases, using subject headings or keywords related to point of care and rapid test diagnostic for SARS-CoV-2 and COVID-19. RESULTS The first survey identified 403 articles, but only 23 met the defined criteria for the systematic analysis. The sensitivity and specificity parameters were assessed in 19 studies, and the data suggested that there was lower sensitivity in the period 1 to 7 days after the emergence of symptoms (∼38%) higher sensitivity at 8 to 14 days (∼90%), and the highest at 15 to 39 days (∼98%). Accuracy was reported in six studies, reporting values above 50%. Only three studies reported a possible cross-reaction. CONCLUSIONS Our findings indicate that the rapid tests used in the first year of the pandemic were tested with a small number of samples and not adequately validated. And the studies that described them were conducted with little scientific rigor.
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Affiliation(s)
- Lysandro Pinto Borges
- Department of Pharmacy, Federal University of Sergipe, São Cristóvão, CEP, 49100-000, Sergipe, Brazil
| | - Aline Fagundes Martins
- Department of Education and Health, Federal University of Sergipe, Lagarto, CEP, 49400-000 Sergipe, Brazil
| | - Breno de Mello Silva
- Department of Biological Science, Federal University of Ouro Preto, 35400-000, Ouro Preto, Brazil
| | - Bruna de Paula Dias
- Department of Biological Science, Federal University of Ouro Preto, 35400-000, Ouro Preto, Brazil
| | - Ricardo Lemes Gonçalves
- Department of Biological Science, Federal University of Ouro Preto, 35400-000, Ouro Preto, Brazil
| | | | | | - Pamela Chaves de Jesus
- Department of Pharmacy, Federal University of Sergipe, São Cristóvão, CEP, 49100-000, Sergipe, Brazil
| | - Mairim Russo Serafini
- Department of Pharmacy, Federal University of Sergipe, São Cristóvão, CEP, 49100-000, Sergipe, Brazil
| | | | - Henrique Douglas Melo Coutinho
- Laboratory of Microbiology and Molecular Biology (LMBM), Regional University of Cariri-URCA, Crato 63105-000, CE, Brazil.
| | - Natália Martins
- Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal; Institute for Research and Innovation in Health (i3S), University of Porto, 4200-135 Porto, Portugal; Institute of Research and Advanced Training in Health Sciences and Technologies (CESPU), Rua Central de Gandra, 1317, 4585-116 Gandra, Portugal
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17
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Akudjedu TN, Mishio NA, Elshami W, Culp MP, Lawal O, Botwe BO, Wuni AR, Julka-Anderson N, Shanahan M, Totman JJ, Franklin JM. The global impact of the COVID-19 pandemic on clinical radiography practice: A systematic literature review and recommendations for future services planning. Radiography (Lond) 2021; 27:1219-1226. [PMID: 34303601 PMCID: PMC8272968 DOI: 10.1016/j.radi.2021.07.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Revised: 06/29/2021] [Accepted: 07/03/2021] [Indexed: 12/12/2022]
Abstract
INTRODUCTION Worldwide, reports and experiences indicate that there has been extensive re-organisation within diagnostic imaging and radiotherapy departments in response to the COVID-19 pandemic. This was necessary due to changes in workload and working practice guidelines that have evolved during the pandemic. This review provides a comprehensive summary of the global impact of the COVID-19 pandemic on radiography practice, service delivery and workforce wellbeing. METHODS A systematic review methodology was adopted to obtain data from primary studies of qualitative, quantitative, and mixed methods designs from databases (PubMed, Science Direct, Cumulative Index of Nursing and Allied Health Literature [CINAHL], and SCOPUS: all 2020 to present). The included articles were subjected to information extraction and results-based convergent synthesis. RESULTS The electronic database search yielded 10,420 articles after removal of duplicates. Of these, 31 articles met the final inclusion criteria with some (n = 8) fully focussed on radiotherapy workforce and service delivery. The pandemic impact on radiography practice is broadly themed around: training, communication, and information dissemination; infrastructure, technology, and clinical workflow; and workforce mental health and well-being. CONCLUSION Globally, most radiographers received inadequate training for managing COVID-19 patients during the initial acute phase of the pandemic. Additionally, there were significant changes to clinical practice, working patterns and perceived increase in workload due to surges in COVID-19 patients and the consequent strict adherence to new infection protocols. These changes, coupled with fear emanating from the increased risk of the workforce to contracting the infection, contributed to anxiety and workplace-related stress during the pandemic. IMPLICATIONS FOR PRACTICE Local pandemic response strategies must be appropriately developed from standard protocols in readiness for safe clinical practice and well-being management training of practitioners.
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Affiliation(s)
- T N Akudjedu
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK.
| | - N A Mishio
- Department of Psychology, University of Ghana, Ghana
| | - W Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - M P Culp
- Department of Radiology, School of Medicine, The University of North Carolina at Chapel Hill, USA
| | - O Lawal
- Department of Allied Health Professions, Midwifery and Social Work, School of Health and Social Work, University of Hertfordshire, UK
| | - B O Botwe
- Department of Radiography, School of Biomedical & Allied Health Sciences, College of Health Sciences, University of Ghana, Ghana
| | - A-R Wuni
- Department of Imaging Technology & Sonography, University of Cape Coast, Ghana
| | - N Julka-Anderson
- Radiotherapy Department, Imperial College Healthcare NHS Trust, UK
| | - M Shanahan
- Faculty of Health, University of Canberra, Bruce, ACT, Australia
| | - J J Totman
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - J M Franklin
- Institute of Medical Imaging & Visualisation (IMIV), Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
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18
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Jin H, Chen Y, Fu Q, Qu Q. Occupational risk factors of contracting COVID-19 among health workers: A systematic review. Work 2021; 69:721-734. [PMID: 34180449 DOI: 10.3233/wor-210477] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND With the spread of COVID-19 and the worsening global prevention and control situation, the risk of infection faced by health workers has been unprecedented. It is necessary to fully understand the occupational risks of health workers to protect them and reduce their risk of infection. OBJECTIVE This study aimed to obtain comprehensive and detailed information on occupational risk factors of infectious diseases for HWs in different dimensions and to propose control strategies for three risk dimensions to protect HWs who are at high risk of infection during the pandemic. METHODS A total number of 619 articles published from 2010 to 2021 were searched to conduct bibliometric analysis, which were retrieved in the Web of Science database with defined search terms. There were 26 articles met the criteria, and they were screened to identify occupational risk factors. RESULTS We conducted an analysis of cited institutions, co-citation network analysis of journals, and references from bibliometric analysis. Nine risk factors were extracted, and they were classified and sorted into three dimensions. Infection control strategies for each dimension were proposed. CONCLUSIONS The risk of infection faced by HWs is unprecedented. Medical institutions should pay more attention to the nine risk factors that we identified and use the three risk dimensions to carry out risk identification and infection control to reduce the infection risk of HWs and protect them better.
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Affiliation(s)
- Haizhe Jin
- School of Business Administration, Northeastern University, Shenyang, China
| | - Yuxiao Chen
- School of Business Administration, Northeastern University, Shenyang, China
| | - Quanwei Fu
- Dongguan Kanghua Hospital, Dongguan, China
| | - Qingxing Qu
- School of Business Administration, Northeastern University, Shenyang, China
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19
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Sideris GA, Nikolakea M, Karanikola AE, Konstantinopoulou S, Giannis D, Modahl L. Imaging in the COVID-19 era: Lessons learned during a pandemic. World J Radiol 2021. [DOI: 10.4329/wjr.v13.i6.193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
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20
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Sideris GA, Nikolakea M, Karanikola AE, Konstantinopoulou S, Giannis D, Modahl L. Imaging in the COVID-19 era: Lessons learned during a pandemic. World J Radiol 2021; 13:192-222. [PMID: 34249239 PMCID: PMC8245753 DOI: 10.4329/wjr.v13.i6.192] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 04/02/2021] [Accepted: 06/15/2021] [Indexed: 02/07/2023] Open
Abstract
The first year of the coronavirus disease 2019 (COVID-19) pandemic has been a year of unprecedented changes, scientific breakthroughs, and controversies. The radiology community has not been spared from the challenges imposed on global healthcare systems. Radiology has played a crucial part in tackling this pandemic, either by demonstrating the manifestations of the virus and guiding patient management, or by safely handling the patients and mitigating transmission within the hospital. Major modifications involving all aspects of daily radiology practice have occurred as a result of the pandemic, including workflow alterations, volume reductions, and strict infection control strategies. Despite the ongoing challenges, considerable knowledge has been gained that will guide future innovations. The aim of this review is to provide the latest evidence on the role of imaging in the diagnosis of the multifaceted manifestations of COVID-19, and to discuss the implications of the pandemic on radiology departments globally, including infection control strategies and delays in cancer screening. Lastly, the promising contribution of artificial intelligence in the COVID-19 pandemic is explored.
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Affiliation(s)
- Georgios Antonios Sideris
- Department of Radiology, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, United States
- Radiology Working Group, Society of Junior Doctors, Athens 11527, Greece
| | - Melina Nikolakea
- Radiology Working Group, Society of Junior Doctors, Athens 11527, Greece
| | | | - Sofia Konstantinopoulou
- Division of Pulmonary Medicine, Department of Pediatrics, Sheikh Khalifa Medical City, Abu Dhabi W13-01, United Arab Emirates
| | - Dimitrios Giannis
- Institute of Health Innovations and Outcomes Research, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States
| | - Lucy Modahl
- Department of Radiology, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01199, United States
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21
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Tay YX, Kothan S, Kada S, Cai S, Lai CWK. Challenges and optimization strategies in medical imaging service delivery during COVID-19. World J Radiol 2021; 13:102-121. [PMID: 34141091 PMCID: PMC8188837 DOI: 10.4329/wjr.v13.i5.102] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Revised: 04/10/2021] [Accepted: 05/10/2021] [Indexed: 02/06/2023] Open
Abstract
In coronavirus disease 2019 (COVID-19), medical imaging plays an essential role in the diagnosis, management and disease progression surveillance. Chest radiography and computed tomography are commonly used imaging techniques globally during this pandemic. As the pandemic continues to unfold, many healthcare systems worldwide struggle to balance the heavy strain due to overwhelming demand for healthcare resources. Changes are required across the entire healthcare system and medical imaging departments are no exception. The COVID-19 pandemic had a devastating impact on medical imaging practices. It is now time to pay further attention to the profound challenges of COVID-19 on medical imaging services and develop effective strategies to get ahead of the crisis. Additionally, preparation for operations and survival in the post-pandemic future are necessary considerations. This review aims to comprehensively examine the challenges and optimization of delivering medical imaging services in relation to the current COVID-19 global pandemic, including the role of medical imaging during these challenging times and potential future directions post-COVID-19.
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Affiliation(s)
- Yi Xiang Tay
- Radiography Department, Singapore General Hospital, Singapore 169608, Singapore
| | - Suchart Kothan
- Center of Radiation Research and Medical Imaging, Department of Radiologic Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50000, Thailand
| | - Sundaran Kada
- Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen Postbox 7030, 5020 Bergen, Norway
| | - Sihui Cai
- Radiography Department, Singapore General Hospital, Singapore 169608, Singapore
| | - Christopher Wai Keung Lai
- Department of Health and Social Sciences, Singapore Institute of Technology, Singapore 138683, Singapore
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Soyfer V, Socol Y, Bragilovski D, Corn BW. The Theoretical Value of Whole-Lung Irradiation for COVID-19 Pneumonia: A Reasonable and Safe Solution until Targeted Treatments are Developed. Radiat Res 2021; 195:474-479. [PMID: 33725726 DOI: 10.1667/rade-20-00261.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 02/21/2021] [Indexed: 12/15/2022]
Abstract
In this work, we considered the theoretical role of low-dose radiation therapy (approximately 0.5-1.0 Gy) in the treatment of respiratory distress syndrome associated with COVID-19 infection. Monte Carlo calculations were performed to gauge the ability to deliver low-dose radiation to the thoracic mid-plane using an orthovoltage machine. In addition, the potential harm of a single dose of 0.75 Gy (whole-lung irradiation) was assessed based on the recommendations of the BEIR-VII committee of the U.S. National Research Council. Based on the results of this work, it was determined that an orthovoltage machine (minimum 300 kVp) can be used to deliver 0.75 Gy dose to the lungs while respecting cutaneous tolerance. Using data from the BEIR-VII Committee, it is evident that the apparent benefits of such radiation treatment for patients suffering from severe manifestations of the COVID-19 infectious syndrome outweigh the potential loss of life due to radiation-induced malignancy. Although the vaccination against COVID-19 has become a reality, the spread and mortality in severely ill patients remain unacceptably high. The risk of outbreaks in the future is unknown. We suggest herein that low-dose radiotherapy at the bedside should be rigorously considered as a therapeutic option since it appears to be feasible and safe in the short and long term.
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Elshami W, Akudjedu TN, Abuzaid M, David LR, Tekin HO, Cavli B, Issa B. The radiology workforce's response to the COVID-19 pandemic in the Middle East, North Africa and India. Radiography (Lond) 2021; 27:360-368. [PMID: 33032889 PMCID: PMC7510634 DOI: 10.1016/j.radi.2020.09.016] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 09/15/2020] [Accepted: 09/16/2020] [Indexed: 12/15/2022]
Abstract
INTRODUCTION This study aimed to investigate the response of the radiology workforce to the impact of the coronavirus disease 2019 (COVID-19) pandemic on professional practice in India and eight other Middle Eastern and North African countries. It further investigated the levels of fear and anxiety among this workforce during the pandemic. METHODS A quantitative cross-sectional study was conducted using an online survey from 22 May-2 June 2020 among radiology workers employed during the COVID-19 pandemic. The survey collected information related to the following themes: (1) demographic characteristics, (2) the impact of COVID-19 on radiology practice, and (3) fear and (4) anxiety emanating from the global pandemic. RESULTS We received 903 responses. Fifty-eight percent had completed training on infection control required for handling COVID-19 patients. A large proportion (79.5%) of the respondents strongly agreed or agreed that personal protective equipment (PPE) was adequately available at work during the pandemic. The respondents reported experiences of work-related stress (42.9%), high COVID-19 fear score (83.3%) and anxiety (10%) during the study period. CONCLUSION There was a perceived workload increase in general x-ray and Computed Tomography imaging procedures because they were the key modalities for the initial and follow-up investigations of COVID-19. However, there was adequate availability of PPE during the study period. Most radiology workers were afraid of being infected with the virus. Fear was predominant among workers younger than 30 years of age and also in temporary staff. Anxiety occurred completely independent of gender, age, experience, country, place of work, and work status. IMPLICATIONS FOR PRACTICE It is important to provide training and regular mental health support and evaluations for healthcare professionals, including radiology workers, during similar future pandemics.
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Affiliation(s)
- W Elshami
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates.
| | - T N Akudjedu
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - M Abuzaid
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - L R David
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - H O Tekin
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
| | | | - B Issa
- Department of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, United Arab Emirates
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Shedding Light on the Direct and Indirect Impact of the COVID-19 Pandemic on the Lebanese Radiographers or Radiologic Technologists: A Crisis within Crises. Healthcare (Basel) 2021; 9:healthcare9030362. [PMID: 33807020 PMCID: PMC8005091 DOI: 10.3390/healthcare9030362] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 03/14/2021] [Accepted: 03/21/2021] [Indexed: 02/07/2023] Open
Abstract
With the novel coronavirus disease 2019 (COVID-19) pandemic, the need for radiologic procedures is increasing for the effective diagnosis and follow-up of pulmonary diseases. There is an immense load on the radiographers’ shoulders to cope with all the challenges associated with the pandemic. However, amidst this crisis, Lebanese radiographers are also suffering from a socioeconomic crisis and record hyperinflation that have posed additional challenges. A cross-sectional study was conducted among registered Lebanese radiographers to assess the general, workplace conditions, health and safety, mental/psychologic, financial, and skill/knowledge development impacts. Despite applying an adapted safety protocol, institutions are neither providing free RT-PCR testing to their staff nor showing adequate support for infected staff members, thus causing distress about contracting the virus from the workplace. Aggravated by the deteriorating economic situation that affected the radiographers financially, they additionally suffer from severe occupational physical and mental burnout. Regardless of that, they used their free time during the lockdown for skill/knowledge development and have performed many recreational activities. This cross-sectional study highlighted the different ways the pandemic has impacted the radiographers: physically, psychologically, and financially. It aimed to shed light on what these frontline heroes are passing through in the midst of all these unprecedented crises.
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Almatari M, Alghamdi A, Alamri S, Otaibey M, Alghamdi AJ, Alasmari A, Alelyani M. Measuring Awareness of Infection Control Guidelines for Patients with COVID-19 in Radiology Departments in Saudi Arabia. Med Sci (Basel) 2021; 9:18. [PMID: 33809671 PMCID: PMC8006024 DOI: 10.3390/medsci9010018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 03/09/2021] [Accepted: 03/11/2021] [Indexed: 11/16/2022] Open
Abstract
Due to the contagious nature of the COVID-19 virus, healthcare workers are at a great risk of infection. Since medical imaging plays a significant part in the healthcare system and is often used in the diagnosis of potential COVID-19 patients, the radiology personnel are at a very high risk of becoming infected. PURPOSE This study aims to assess the enforcement of infection control guidelines for patients with COVID-19 during medical imaging procedures and raise awareness of infection control in different hospitals in Saudi Arabia. METHODS A total of 128 responses were collected from four hospitals across Saudi Arabia using a new structured questionnaire, which was created for health workers by the WHO specifically for this purpose. Data were collected during the COVID-19 pandemic in April 2020. RESULTS Most participants correctly followed the guidelines of the WHO and Centers for Disease Control and Prevention (CDC) on infection control in the X-ray and general radiology departments. Guideline awareness was higher among magnetic resonance imaging (MRI) and computerised tomography (CT) radiographers, which reduced the risk of future infections. Out of the total respondents, 98.4% stated that they had received formal training in hand hygiene. Only 40.6% of participants, however, knew that respiratory droplets are the primary mode of transmission of the virus from person to person. CONCLUSION The knowledge of healthcare professionals in the radiology department regarding infection control needs to be continually assessed. A focus on educational interventions on infection control is required in order to maintain well-informed medical staff.
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Affiliation(s)
- M. Almatari
- Department of Physics, Faculty of Sciences, Al-Balqa Applied University, Al-Salt 19117, Jordan;
| | - Ali Alghamdi
- Department of Radiological Sciences, Faculty of Applied Medical Sciences, Tabuk University, Tabuk 47713, Saudi Arabia;
| | - Sultan Alamri
- Department of Radiological Sciences, College of Applied Medical Sciences, Taif University, Taif 26521, Saudi Arabia;
| | - Mufeed Otaibey
- Department of Nuclear Medicine, King Abdullah Medical City, Makkah 24246, Saudi Arabia;
| | - Ahmad Joman Alghamdi
- Department of Radiological Sciences, College of Applied Medical Sciences, Taif University, Taif 26521, Saudi Arabia;
| | - Azah Alasmari
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha 62529, Saudi Arabia; (A.A.); (M.A.)
| | - Magbool Alelyani
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha 62529, Saudi Arabia; (A.A.); (M.A.)
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Brogna B, Bignardi E, Brogna C, Volpe M, Lombardi G, Rosa A, Gagliardi G, Capasso PFM, Gravino E, Maio F, Pane F, Picariello V, Buono M, Colucci L, Musto LA. A Pictorial Review of the Role of Imaging in the Detection, Management, Histopathological Correlations, and Complications of COVID-19 Pneumonia. Diagnostics (Basel) 2021; 11:437. [PMID: 33806423 PMCID: PMC8000129 DOI: 10.3390/diagnostics11030437] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Revised: 02/22/2021] [Accepted: 02/27/2021] [Indexed: 02/07/2023] Open
Abstract
Imaging plays an important role in the detection of coronavirus (COVID-19) pneumonia in both managing the disease and evaluating the complications. Imaging with chest computed tomography (CT) can also have a potential predictive and prognostic role in COVID-19 patient outcomes. The aim of this pictorial review is to describe the role of imaging with chest X-ray (CXR), lung ultrasound (LUS), and CT in the diagnosis and management of COVID-19 pneumonia, the current indications, the scores proposed for each modality, the advantages/limitations of each modality and their role in detecting complications, and the histopathological correlations.
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Affiliation(s)
- Barbara Brogna
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Elio Bignardi
- Radiology Unit, Cotugno Hospital, Naples, Via Quagliariello 54, 80131 Naples, Italy;
| | - Claudia Brogna
- Neuropsychiatric Unit ASL Avellino, Via Degli Imbimbo 10/12, 83100 Avellino, Italy;
| | - Mena Volpe
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Giulio Lombardi
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Alessandro Rosa
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Giuliano Gagliardi
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Pietro Fabio Maurizio Capasso
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Enzo Gravino
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Francesca Maio
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Francesco Pane
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Valentina Picariello
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Marcella Buono
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Lorenzo Colucci
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
| | - Lanfranco Aquilino Musto
- Department of Radiology, San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy; (M.V.); (G.L.); (A.R.); (G.G.); (P.F.M.C.); (E.G.); (F.M.); (F.P.); (V.P.); (M.B.); (L.C.); (L.A.M.)
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Srivastava S, Rai PVS, Jain A, Shenoy S. Perception and practice regarding infection control measures in Radiology department during pre-COVID and COVID times-A survey among radiologists and a review of current concepts and literature. Indian J Radiol Imaging 2021; 31:S139-S147. [PMID: 33814774 PMCID: PMC7996699 DOI: 10.4103/ijri.ijri_567_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 07/11/2020] [Accepted: 07/17/2020] [Indexed: 12/04/2022] Open
Abstract
AIM In this study, we aim to evaluate the perception and practice of IPC measures by Radiologists during pre-COVID and present COVID times, while conducting a thorough review of current concepts and literature, to provide a standard operating procedure (SOP) for radiology operations. METHODS This study was conducted by Department of Radiodiagnosis and Imaging, Kasturba Medical College, MAHE, Mangalore. After obtaining approval from the institutional ethics committee, and other required permissions, the Google form questionnaire was sent to 350 Radiologists via email and text during the period of May 2020. Data was collected by time-based sampling in the period of fifteen days during the end of the total lockdown time. RESULTS 54% (n = 152) reported never attending a training session on (Infection Prevention & Control) IPC prior to the COVID-19 outbreak. The perception regarding IPC were found to be good among radiologists as majority of the respondents were correctly able to answer questions regarding IPC. 86% (n = 152) of the respondents believed that their knowledge on IPC has improved during the COVID-19 pandemic. However, it was revealed that majority of the respondents only started to practice appropriate contact and droplet / procedural precautions only after the COVID-19 outbreak. CONCLUSION The present COVID-19 scenario coupled with the lack of knowledge and training regarding IPC amongst radiologists evident from the results of our survey, highlights the need for proper training and establishing standard operating procedures and best practices in IPC pertinent to modern radiology practice.
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Affiliation(s)
- Saubhagya Srivastava
- Department of Radiodiagnosis, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, India
| | - PV Santosh Rai
- Department of Radiodiagnosis, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, India
| | - Animesh Jain
- Department of Community Medicine, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, India
| | - Suchithra Shenoy
- Department of Microbiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, India
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Aljondi R, Alghamdi SS, Abdelaziz I, Bushara L, Alghamdi S, Aljehani A, Zailae A, Alghamdi JS, Feteih I, Mahmoud MZ, Tajaldeen A. Knowledge of COVID-19 infection control among healthcare workers in radiology departments in Saudi Arabia. JOURNAL OF RADIATION RESEARCH AND APPLIED SCIENCES 2020. [PMCID: PMC8760371 DOI: 10.1080/16878507.2020.1856587] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Radiological examinations have played a crucial role in the identification and management of COVID-19 patients. Therefore, knowledge and awareness of infection control among healthcare workers in radiology departments are important to prevent disease transmission. This study aimed to assess the knowledge and practice of infection control for COVID-19 among healthcare workers in radiology departments in Saudi Arabia. A cross-sectional, online questionnaire was administered among healthcare workers in radiology departments in Saudi Arabia in May 2020. The questionnaire consisted of demographic characteristics, profession, knowledge of infection control for COVID-19, and good practice of infection control measures for COVID-19 in radiology departments. A descriptive statistical analysis and chi-square test were performed using SPSS software. A total of 234 (91%) of healthcare workers replied that they have good knowledge about the precautions needed during the examination of positive COVID-19 cases in radiology departments, and 216 (84%) replied that they knew the necessary precautions when using portable X-ray machine. Moreover, 191 (>74%) of those surveyed agreed that wearing personal protective equipment and following the CDC sequence. There was significant association between profession and good clinical practices in radiology departments regarding COVID-19. Such knowledge could limit the spread of COVID-19 among the healthcare workers in radiology departments.
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Affiliation(s)
- Rowa Aljondi
- Department of Applied Radiologic Technology, Collage of Applied Medical Sciences, University of Jeddah, Jeddah, Saudi Arabia
| | - Salem Saeed Alghamdi
- Department of Applied Radiologic Technology, Collage of Applied Medical Sciences, University of Jeddah, Jeddah, Saudi Arabia
| | - Ikhlas Abdelaziz
- Department of Applied Radiologic Technology, Collage of Applied Medical Sciences, University of Jeddah, Jeddah, Saudi Arabia
| | - Lubna Bushara
- Department of Applied Radiologic Technology, Collage of Applied Medical Sciences, University of Jeddah, Jeddah, Saudi Arabia
| | - Somayah Alghamdi
- Radiology Department, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
| | | | - Ali Zailae
- Radiology Department, King Saud Medical City, Riyadh, Saudi Arabia
| | - Jamaan S. Alghamdi
- Diagnostic Radiology Technology Department, College of Applied Medical Science, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Iyad Feteih
- Collage of Medicine, University of Jeddah, Jeddah, Saudi Arabia
| | - Mustafa Z. Mahmoud
- Radiology and Medical Imaging Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
| | - Abdulrahman Tajaldeen
- Radiological Science Department, College of Applied Medical Science, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Lv J, Yang J, Xue J, Zhu P, Liu L, Li S. Detection of SARS-CoV-2 RNA residue on object surfaces in nucleic acid testing laboratory using droplet digital PCR. THE SCIENCE OF THE TOTAL ENVIRONMENT 2020; 742:140370. [PMID: 32619841 PMCID: PMC7303629 DOI: 10.1016/j.scitotenv.2020.140370] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 06/17/2020] [Accepted: 06/17/2020] [Indexed: 05/17/2023]
Abstract
The rapid development of global COVID-19 pandemic poses an unprecedented challenge to the safety and quality of laboratory diagnostic testing. Little is known about the laboratory surface areas and operation behaviors that may cause potential contamination in SARS-CoV-2 nucleic acid testing. This study aims to provide reference basis for the improvement of laboratory disinfection programs and personal operating protocols. In this study, we compared the qRT-PCR and ddPCR in detecting of residual virus that existed on the object surfaces from sample transportation and reception related facilities, testing related instruments, personal protective equipment and other facilities in nucleic acid testing laboratory. All samples were negative by qRT-PCR, in contrast, 13 of 61 samples were positive for SARS-CoV-2 by ddPCR. The areas with highest density of SARS-CoV-2 nucleic acid were the outer gloves of operator A (37.4 copies/cm2), followed by door handle of 4 °C refrigerator (26.25 copies/cm2), goggles of operator A (22.16 copies/cm2), outer cover of high speed centrifuge (19.95 copies/cm2), inner wall of high speed centrifuge (14.70 copies/cm2) and others. We found that all the positive objects were directly or indirectly contacted by the operator's gloved hands, suggesting that hands contact was the main transmission pathway that led to laboratory environmental contamination. In summary, ddPCR has an advantage over qRT-PCR in tracing laboratory contamination. We evaluated the risk areas and operation behaviors that may easily cause contamination, and provided recommendation for improving the laboratory disinfection programs and personal operating specifications.
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Affiliation(s)
- Jun Lv
- Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China
| | - Jin Yang
- Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China
| | - Juan Xue
- Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China
| | - Ping Zhu
- Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China
| | - Lanfang Liu
- Shiyan Center for Disease Control and Prevention, Shiyan, Hubei, China
| | - Shan Li
- Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China; College of Life Science and Technology, Huazhong Agriculture University, Wuhan, Hubei, China; College of Biomedicine and Health, Huazhong Agricultural University, Wuhan, Hubei, China.
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Phase 3 of COVID-19: Treat your patients and care for your radiographers. A designed projection for an aware and innovative radiology department. J Med Imaging Radiat Sci 2020; 51:531-534. [PMID: 33153930 PMCID: PMC7584413 DOI: 10.1016/j.jmir.2020.08.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 08/17/2020] [Accepted: 08/24/2020] [Indexed: 12/12/2022]
Abstract
2 pathways: negative, suspected/confirmed Covid-19. 2-radiographer scenario is recommended. Disinfection is crucial.
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A AS, Srivastava KC, Shrivastava D, Hosni HA, Khan ZA, Al-Johani K, Alzoubi IA, B S, Sghaireen MG, Alam MK. Recommendations, Practices and Infrastructural Model for the Dental Radiology Set-up in Clinical and Academic Institutions in the COVID-19 Era. BIOLOGY 2020; 9:biology9100334. [PMID: 33066032 PMCID: PMC7601194 DOI: 10.3390/biology9100334] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 10/08/2020] [Accepted: 10/10/2020] [Indexed: 12/31/2022]
Abstract
The pandemic of Coronavirus disease (COVID-19) has emerged as a global catastrophe that is plaguing mankind. In the past eight months since the world discovered about COVID-19, we learned a lot about server acute respiratory syndrome coronavirus 2 (SARS CoV-2) and perhaps there is much more to discover and understand about the virus. With the current understanding of the disease, we assume it will remain in an active state of transmission and progression among the community for a long time. Thus, it is advisable to adopt the disease's prevention protocol in our daily and work routine. During this pandemic patient requiring dental treatment cannot be neglected and the role of dental imaging is crucial in delivering treatment. Hence, this article attempts to provide an evidence-based compilation about the mode of transmission and clinical features of COVID-19. It also throws light on the potential source of disease transmission in the dental radiology setting. In addition, it suggests preventive measures to curb the infection and infrastructural model of the clinical setting that will assist in achieving control over the disease transmission. This article intends to project a strategy about protocols, infrastructure, and daily activities in a dental radiology office that institutions can adopt with modifications according to their local scenario.
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Affiliation(s)
- Anu Sushanth. A
- Department of Oral Medicine & Radiology, Educare Institute of Dental Sciences, Malappuram, Kerala 676504, India;
| | - Kumar Chandan Srivastava
- Oral Medicine & Radiology, Department of Oral and Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia
- Correspondence: ; Tel.: +966-53-621-7990
| | - Deepti Shrivastava
- Periodontics, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia; (D.S.); (I.A.A.)
| | - Hala A. Hosni
- Department of Oral and Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia; (H.A.H.); (Z.A.K.)
| | - Zafar Ali Khan
- Department of Oral and Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia; (H.A.H.); (Z.A.K.)
| | - Khalid Al-Johani
- Department of Oral diagnostic sciences, Faculty of Dentistry- King Abdulaziz University, Jeddah 80200, Saudi Arabia;
| | - Ibrahim A Alzoubi
- Periodontics, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia; (D.S.); (I.A.A.)
| | - Sasirekha B
- Department Oral Medicine & Radiology, JKKN Dental College & Hospital, Komarapalayam 638183, India;
| | - Mohammed Ghazi Sghaireen
- Prosthodontics, Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia;
| | - Mohammad Khursheed Alam
- Orthodontics, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia;
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Zervides C, Sassi M, Kefala-Karli P, Sassis L. Impact of COVID-19 pandemic on radiographers in the Republic of Cyprus. A questionnaire survey. Radiography (Lond) 2020; 27:419-424. [PMID: 33092995 PMCID: PMC7546182 DOI: 10.1016/j.radi.2020.10.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 10/04/2020] [Accepted: 10/05/2020] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Imaging is essential for the initial diagnosis and monitoring of the novel coronavirus, which emerged in Wuhan, China. This study aims to assess the insight of radiographers on how the COVID-19 pandemic has affected their work routine and if protective measures are applied. METHOD A prospective observational study was conducted among radiographers registered in the Cyprus Society of Registered Radiologic Technologists & Radiation Therapy Technologists. A questionnaire composed of 28 multiple choice questions was utilised, and the data analysis was performed using SPSS software with the statistical significance assumed as p-value < 0.05. RESULTS Out of 350 registered radiographers, 101 responses were received. The results showed that there are statistically significant differences regarding the working hours, the feeling of stress, the work effectiveness, the average examination time, the presence of a protocol used among the different workplaces of the participants; a private radiology centre, a private hospital or a public hospital, with a p-value 0.0022, 0.015, 0.027, 0.001, 0.0001 respectively. Also, statistically significant differences were observed in the decontamination methods used for equipment (p-value 0.007), for air (p-value 0.04) and when decontamination takes place (p-value 0.00032) among the different workplaces of the participants. Nonetheless, the majority of radiographers believe that their workplace is sufficiently provided with PPE, cleaning supplies, equipment, and with cleaning personnel and are optimistic regarding the adequacy of these provisions in the next three months. CONCLUSION This study showed that in the Republic of Cyprus, there are protocols regarding protective measures against COVID-19, and the radiographers are adequately trained on how to face an infectious disease outbreak. However, work is needed in order to develop protocols that reassure the safety of patients and medical personnel while managing the excess workload effectively. IMPLICATIONS FOR PRACTICE This study indicates the importance of applying protective measures and protocols in the radiology departments in order to minimise the spread of the virus.
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Affiliation(s)
- C Zervides
- University of Nicosia, School of Medicine, 21 Ilia Papakyriakou Street, 2414, Engomi, Nicosia, Cyprus.
| | - M Sassi
- Biotypos Medical Diagnostic Center, 2 Andrea Papandreou, 15127, Melissia, Athens, Greece
| | - P Kefala-Karli
- University of Nicosia, School of Medicine, 21 Ilia Papakyriakou Street, 2414, Engomi, Nicosia, Cyprus
| | - L Sassis
- University of Nicosia, School of Medicine, 21 Ilia Papakyriakou Street, 2414, Engomi, Nicosia, Cyprus
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Smith DL, Grenier JP, Batte C, Spieler B. A Characteristic Chest Radiographic Pattern in the Setting of the COVID-19 Pandemic. Radiol Cardiothorac Imaging 2020; 2:e200280. [PMID: 33778626 PMCID: PMC7605076 DOI: 10.1148/ryct.2020200280] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 08/13/2020] [Accepted: 08/24/2020] [Indexed: 01/12/2023]
Abstract
PURPOSE To determine the utility of chest radiography in aiding clinical diagnosis of coronavirus disease 2019 (COVID-19) utilizing reverse-transcription polymerase chain reaction (RT-PCR) as the standard of comparison. MATERIALS AND METHODS A retrospective study was performed of persons under investigation for COVID-19 presenting to this institution during the exponential growth phase of the COVID-19 outbreak in New Orleans (March 13-25, 2020). Three hundred seventy-six in-hospital chest radiographic examinations for 366 individual patients were reviewed along with concurrent RT-PCR tests. Two experienced radiologists categorized each chest radiograph as characteristic, nonspecific, or negative in appearance for COVID-19, utilizing well-documented COVID-19 imaging patterns. Chest radiograph categorization was compared against RT-PCR results to determine the utility of chest radiography in diagnosing COVID-19. RESULTS Of the 366 patients, the study consisted of 178 male (49%) and 188 female (51%) patients with a mean age of 52.7 years (range, 17 to 98 years). Of the 376 chest radiographic examinations, 37 (10%) exhibited the characteristic COVID-19 appearance; 215 (57%) exhibited the nonspecific appearance; and 124 (33%) were considered negative for a pulmonary abnormality. Of the 376 RT-PCR tests evaluated, 200 (53%) were positive and 176 (47%) were negative. RT-PCR tests took an average of 2.5 days ± 0.7 to provide results. Sensitivity and specificity for correctly identifying COVID-19 with a characteristic chest radiographic pattern was 15.5% (31/200) and 96.6% (170/176), with a positive predictive value and negative predictive value of 83.8% (31/37) and 50.1% (170/339), respectively. CONCLUSION The presence of patchy and/or confluent, bandlike ground-glass opacity or consolidation in a peripheral and mid to lower lung zone distribution on a chest radiograph obtained in the setting of pandemic COVID-19 was highly suggestive of severe acute respiratory syndrome coronavirus 2 infection and should be used in conjunction with clinical judgment to make a diagnosis.© RSNA, 2020.
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Affiliation(s)
- David L. Smith
- From the Department of Diagnostic Radiology, Louisiana State University Health Sciences Center, 1542 Tulane Ave, Room 343, New Orleans, LA 70112 (D.L.S., J.P.G., B.S.); and Department of Physics & Astronomy, Louisiana State University, Baton Rouge, La (C.B.)
| | - John-Paul Grenier
- From the Department of Diagnostic Radiology, Louisiana State University Health Sciences Center, 1542 Tulane Ave, Room 343, New Orleans, LA 70112 (D.L.S., J.P.G., B.S.); and Department of Physics & Astronomy, Louisiana State University, Baton Rouge, La (C.B.)
| | - Catherine Batte
- From the Department of Diagnostic Radiology, Louisiana State University Health Sciences Center, 1542 Tulane Ave, Room 343, New Orleans, LA 70112 (D.L.S., J.P.G., B.S.); and Department of Physics & Astronomy, Louisiana State University, Baton Rouge, La (C.B.)
| | - Bradley Spieler
- From the Department of Diagnostic Radiology, Louisiana State University Health Sciences Center, 1542 Tulane Ave, Room 343, New Orleans, LA 70112 (D.L.S., J.P.G., B.S.); and Department of Physics & Astronomy, Louisiana State University, Baton Rouge, La (C.B.)
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Beitzke D, Salgado R, Francone M, Kreitner KF, Natale L, Bremerich J, Gutberlet M, Mousseaux E, Nikolaou K, Peebles C, Velthuis B, Vliegenthart R, Loewe C, Emrich T, Luigi N, Matthias G, Rozemarijn V, Konstantin N, Marco F, Christian L, Brigitta V, Rodrigo S, Charles P, Ellie M. Cardiac imaging procedures and the COVID-19 pandemic: recommendations of the European Society of Cardiovascular Radiology (ESCR). Int J Cardiovasc Imaging 2020; 36:1801-1810. [PMID: 32451877 PMCID: PMC7247913 DOI: 10.1007/s10554-020-01892-8] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 05/18/2020] [Indexed: 12/22/2022]
Abstract
The severe acute respiratory syndrome coronavirus 2019 (SARS-CoV-2) pandemic currently constitutes a significant burden on worldwide health care systems, with important implications on many levels, including radiology departments. Given the established fundamental role of cardiovascular imaging in modern healthcare, and the specific value of cardiopulmonary radiology in COVID-19 patients, departmental organisation and imaging programs need to be restructured during the pandemic in order to provide access to modern cardiovascular services to both infected and non-infected patients while ensuring safety for healthcare professionals. The uninterrupted availability of cardiovascular radiology services remains, particularly during the current pandemic outbreak, crucial for the initial evaluation and further follow-up of patients with suspected or known cardiovascular diseases in order to avoid unnecessary complications. Suspected or established COVID-19 patients may also have concomitant cardiovascular symptoms and require further imaging investigations. This statement by the European Society of Cardiovascular Radiology (ESCR) provides information on measures for safety of healthcare professionals and recommendations for cardiovascular imaging during the pandemic in both non-infected and COVID-19 patients.
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Affiliation(s)
- Dietrich Beitzke
- Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Wien, Austria
| | - Rodrigo Salgado
- Department of Radiology, Antwerp University Hospital & Holy Heart Hospital, Antwerp/Lier, Belgium.
| | - Marco Francone
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University, Policlinico Umberto I, Rome, Italy
| | - Karl-Friedrich Kreitner
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Luigi Natale
- Department of Radiological and Haematological Sciences - Institute of Radiology, Catholic University of Rome, Fondazione Policlinico Universitario Gemelli - IRCCS, Rome, Italy
| | - Jens Bremerich
- Department of Radiology, University Hospital Basel, Basel, Switzerland
| | - Matthias Gutberlet
- Department of Radiology, Heart Center Leipzig, University of Leipzig, Leipzig, Germany
| | - Ellie Mousseaux
- Department of Radiology, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Paris, France
| | - Konstantin Nikolaou
- Department for Diagnostic and Interventional Radiology, University Hospital Tuebingen, Tuebingen, Germany
| | - Charles Peebles
- Department of Cardiothoracic Radiology, University Hospital Southampton, Southampton, UK
| | - Birgitta Velthuis
- Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | | | - Christian Loewe
- Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Wien, Austria
| | - Tilman Emrich
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
- Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, USA
- German Centre for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Germany
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Foust A, Johnston PR, Kasznia-Brown J, Chu WC, Garcia-Pena P, Daltro P, Das KM, Plut D, Kilborn T, Winant AJ, Lee EY. Perceived Impact of COVID-19 on Pediatric Radiology Departments Around the World: WFPI COVID-19 Task Force Survey Results from 6 Continents. Radiol Cardiothorac Imaging 2020; 2:e200422. [PMID: 33778631 PMCID: PMC7504684 DOI: 10.1148/ryct.2020200422] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
PURPOSE To investigate how COVID-19 has impacted pediatric radiology practice around the world at the present time. MATERIALS AND METHODS This study was based on a survey conducted by the World Federation of Pediatric Imaging (WFPI) COVID-19 task force. Pediatric radiology representatives from countries around the world were identified and asked to complete an electronic survey consisting of 17 questions related to the impact of, concerns surrounding, and education related to COVID-19 on pediatric radiology. For each outcome variable, a pair of 2-way frequency tables was constructed: one against COVID-19 prevalence, and another against region. Tests of independence of the tables' row and column factors were performed based on Fisher's exact test and odds ratios (OR) were estimated via logistic regression models corresponding to these 2-way tables. RESULTS The survey (response rate 87%, 72/83) comprised representatives from 71 countries and Hong Kong across 6 continents. 66/72 respondents (92%) indicated that COVID-19 has resulted in moderate (21/72, 29%), significant (36/72, 50%), or complete (9/72, 13%) change in radiology departments/practices in their countries. The two most frequent concerns over the next four months were personal/family health (54/72, 75%) and exposure (48/72, 67%). 79% (57/72) of respondents indicated some level of discomfort in identifying pediatric COVID-19 imaging manifestations. Changes in resident education were reported by 68/72 (94%) respondents, and 22/72 (31%) were concerned that the likelihood of current trainees pursuing a career in pediatric radiology will be impacted. CONCLUSION COVID-19 has had a substantial negative impact on pediatric radiology practice around the world.
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Affiliation(s)
- Alexandra Foust
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Patrick R. Johnston
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Joanna Kasznia-Brown
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Winnie C. Chu
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Pilar Garcia-Pena
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Pedro Daltro
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Karuna M. Das
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Domen Plut
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Tracy Kilborn
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Abbey J. Winant
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
| | - Edward Y. Lee
- From the Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d’Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa (T.K.)
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Chia AQX, Cheng LTE, Wijaya L, Png MA, Sim WY, Hong WL, Chen RC. Chest Radiographs and CTs in the Era of COVID-19: Indications, Operational Safety Considerations and Alternative Imaging Practices. Acad Radiol 2020; 27:1193-1203. [PMID: 32703648 PMCID: PMC7341971 DOI: 10.1016/j.acra.2020.06.022] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 06/18/2020] [Accepted: 06/19/2020] [Indexed: 12/14/2022]
Abstract
Coronavirus disease-19 (COVID-19) is a pathogen that has shown an ability for sustained community transmission. To ensure utmost safety, radiology services will need to adapt to this disease in the coming months and possibly years ahead. This will include learning how to perform radiographs and CT in a safe and sustainable manner. Due to the risk of nosocomial spread of disease, the judicious use and implementation of strict infection protocols is paramount to limit healthcare worker and patient transmission. Between 28 January 2020 and 8 June 2020, our institution performed 12,034 radiographs and 178 CT scans for suspected or confirmed COVID-19 patients. As of 8 June 2020, there have been no documented instances of healthcare staff acquiring COVID-19 during the course of work. In this article, we present the indications and operational considerations used by our institution to safely image patients with suspected or confirmed COVID-19. Alternative practices for imaging radiographs are also discussed.
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Affiliation(s)
- Audrey Qi Xin Chia
- Division of Radiological Sciences, Singapore General Hospital, Outram Road, Singapore 169039, Singapore
| | - Lionel Tim-Ee Cheng
- Division of Radiological Sciences, Singapore General Hospital, Outram Road, Singapore 169039, Singapore
| | - Limin Wijaya
- Department of Infectious Diseases, Singapore General Hospital, Singapore
| | - Meng Ai Png
- Division of Radiological Sciences, Singapore General Hospital, Outram Road, Singapore 169039, Singapore
| | - Wei Yow Sim
- Division of Radiological Sciences, Singapore General Hospital, Outram Road, Singapore 169039, Singapore
| | - Wei Liang Hong
- Division of Radiological Sciences, Singapore General Hospital, Outram Road, Singapore 169039, Singapore
| | - Robert Chun Chen
- Division of Radiological Sciences, Singapore General Hospital, Outram Road, Singapore 169039, Singapore.
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Mhango M, Dzobo M, Chitungo I, Dzinamarira T. COVID-19 Risk Factors Among Health Workers: A Rapid Review. Saf Health Work 2020; 11:262-265. [PMID: 32995051 PMCID: PMC7502606 DOI: 10.1016/j.shaw.2020.06.001] [Citation(s) in RCA: 98] [Impact Index Per Article: 24.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 06/01/2020] [Accepted: 06/01/2020] [Indexed: 12/28/2022] Open
Abstract
Coronavirus disease 2019 (Covid-19) poses an important occupational health risk to health workers (HWs) that has attracted global scrutiny. To date, several thousand HWs globally have been reported as infected with the severe acute respiratory syndrome coronavirus 2 virus that causes the disease. It is therefore a public health priority for policymakers to understand risk factors for this vulnerable group to avert occupational transmission. A rapid review was carried out on 20 April 2020 on Covid-19 risk factors among HWs in PubMed, Google Scholar, and EBSCOHost Web (Academic Search Complete, CINAHL Complete, MEDLINE with Full Text, CINAHL with Full Text, APA PsycInfo, Health Source-Consumer Edition, Health Source: Nursing/Academic Edition) and WHO Global Database. We also searched for preprints on the medRxiv database. We searched for reports, reviews, and primary observational studies (case control, case cross-over, cross-sectional, and cohort). The review included studies conducted among HWs with Covid-19 that reported risk factors irrespective of their sample size. Eleven studies met the inclusion criteria. Lack of personal protective equipment, exposure to infected patients, work overload, poor infection control, and preexisting medical conditions were identified as risk factors for Covid-19 among HWs. In the context of Covid-19, HWs face an unprecedented occupational risk of morbidity and mortality. There is need for rapid development of sustainable measures that protect HWs from the pandemic.
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Affiliation(s)
- Malizgani Mhango
- School of Public Health, University of Western Cape, Cape Town, South Africa
| | - Mathias Dzobo
- Department of Medical Laboratory Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Itai Chitungo
- Department of Medical Laboratory Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Tafadzwa Dzinamarira
- Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
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Carmelo JDC, Alves TKC, Khouri MS, da Mata Santos RP, Rodrigues LG, Alvarez-Leite ME, Manzi FR. Impact of COVID-19 on the daily routine of radiology clinics. Imaging Sci Dent 2020; 50:261-263. [PMID: 33005584 PMCID: PMC7506084 DOI: 10.5624/isd.2020.50.3.261] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 06/26/2020] [Accepted: 07/26/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Juliana de Carvalho Carmelo
- Department of Dentistry/Oral Radiology, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | - Tatielly Karine Costa Alves
- Department of Dentistry/Oral Radiology, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | - Micheline Salim Khouri
- Department of Dentistry/Oral Radiology, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | - Rafael Pereira da Mata Santos
- Department of Dentistry/Oral Radiology, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | - Lizandra Gonzaga Rodrigues
- Department of Dentistry/Oral Radiology, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | - Maria Eugenia Alvarez-Leite
- Department of Dentistry/Oral Radiology, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | - Flávio Ricardo Manzi
- Department of Dentistry/Oral Radiology, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
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Zember WF, Fishman EK, Chu LC. Scabs Versus Scars: Understanding the Impact of Coronavirus Disease 2019 (COVID-19) on Short- and Long-Term Behaviors. J Am Coll Radiol 2020; 17:1352-1354. [PMID: 32857983 PMCID: PMC7836872 DOI: 10.1016/j.jacr.2020.07.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 07/28/2020] [Accepted: 07/29/2020] [Indexed: 11/15/2022]
Affiliation(s)
| | - Elliot K Fishman
- Professor, Johns Hopkins Medicine, Department of Radiology and Radiological Science, Department of Oncology and Department of Surgery. He serves as Director of Diagnostic Imaging and Body CT at JohnsHopkins University School of Medicine, Baltimore, Maryland
| | - Linda C Chu
- Associate Professor The Russell H. Morgan, Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.
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AlOmran A, Almatawah Y, Al Sharit B, Alsadah Z, Mousa O. Infection Prevention and Control Challenges With First Pregnant Woman Diagnosed With COVID-19: A Case Report in Al Ahssa, Saudi Arabia. Cureus 2020; 12:e10035. [PMID: 32864280 PMCID: PMC7450901 DOI: 10.7759/cureus.10035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
This study report focuses on facts on a pregnant woman of COVID-19 who admitted to Al Ahsa Maternity and Children Hospital on March 2020, with suspicion of COVID-19 infection. The patient was complaining of labor pain prior to presentation. The objective of this study is to report the case and to describe the challenges that are faced while dealing with a case of COVID-19 pregnant patient, during labor, delivery, and surgical intervention. This case reports a patient in labor pain with suspicion of COVID-19 infection due to contact with a positive COVID-19 family member. With no clinical signs or symptoms consistent with the disease, and positive polymerase chain reaction (PCR) outcome for COVID-19 later on, the hospital main departments conducted an active contact tracing and reviewed the preparation and infection prevention control precautions. The most common problem with COVID-19 is the low level of awareness between healthcare workers related to infection prevention and transmission of the COVID-19 virus. The illness can be better handled and the medical team can be more secure by enhancing the education, case triage, proper guideline and protocols to be implemented appropriately.
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Stogiannos N, Fotopoulos D, Woznitza N, Malamateniou C. COVID-19 in the radiology department: What radiographers need to know. Radiography (Lond) 2020; 26:254-263. [PMID: 32532596 PMCID: PMC7269964 DOI: 10.1016/j.radi.2020.05.012] [Citation(s) in RCA: 57] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 05/20/2020] [Accepted: 05/23/2020] [Indexed: 12/12/2022]
Abstract
OBJECTIVES The aim is to review current literature related to the diagnosis, management, and follow-up of suspected and confirmed Covid-19 cases. KEY FINDINGS Medical Imaging plays an important auxiliary role in the diagnosis of Covid-19 patients, mainly those most seriously affected. Practice differs widely among different countries, mainly due to the variability of access to resources (viral testing and imaging equipment, specialised staff, protective equipment). It has been now well-documented that chest radiographs should be the first-line imaging tool and chest CT should only be reserved for critically ill patients, or when chest radiograph and clinical presentation may be inconclusive. CONCLUSION As radiographers work on the frontline, they should be aware of the potential risks associated with Covid-19 and engage in optimal strategies to reduce these. Their role in vetting, conducting and often reporting the imaging examinations is vital, as well as their contribution in patient safety and care. Medical Imaging should be limited to critically ill patients, and where it may have an impact on the patient management plan. IMPLICATIONS FOR PRACTICE At the time of publication, this review offers the most up-to-date recommendations for clinical practitioners in radiology departments, including radiographers. Radiography practice has to significantly adjust to these new requirements to support optimal and safe imaging practices for the diagnosis of Covid-19. The adoption of low dose CT, rigorous infection control protocols and optimal use of personal protective equipment may reduce the potential risks of radiation exposure and infection, respectively, within Radiology departments.
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MESH Headings
- COVID-19
- Coronavirus Infections/diagnosis
- Coronavirus Infections/diagnostic imaging
- Coronavirus Infections/epidemiology
- Female
- Humans
- Infection Control/methods
- Infectious Disease Transmission, Vertical/prevention & control
- Male
- Occupational Health
- Pandemics
- Patient Safety
- Patient-Centered Care/organization & administration
- Pneumonia, Viral/diagnosis
- Pneumonia, Viral/diagnostic imaging
- Pneumonia, Viral/epidemiology
- Radiography, Thoracic/methods
- Radiography, Thoracic/statistics & numerical data
- Radiologists/organization & administration
- Radiology Department, Hospital/organization & administration
- Safety Management
- Sensitivity and Specificity
- Severe Acute Respiratory Syndrome/diagnostic imaging
- Severe Acute Respiratory Syndrome/epidemiology
- Tomography, X-Ray Computed/methods
- Tomography, X-Ray Computed/statistics & numerical data
- Ultrasonography, Doppler/methods
- Ultrasonography, Doppler/statistics & numerical data
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Affiliation(s)
- N Stogiannos
- Department of Medical Imaging, Corfu General Hospital, Greece.
| | | | - N Woznitza
- Radiology Department, Homerton University Hospital, UK; School of Allied and Public Health Professions Canterbury Christ Church University, UK; NHS Nightingale Hospital London, UK.
| | - C Malamateniou
- Department of Radiography, School of Health Sciences, City, University of London, Northampton Square, London EC1V 0HB, UK; King's College, London, UK.
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Rosa BSPA, Ferreira MD, Moreira GC, Bastos MF, Pinto RR, Visconti MA, Junqueira RB, Verner FS. The COVID-19 post-pandemic scenario to Oral Radiology at Dental Schools. Oral Radiol 2020; 36:406-407. [PMID: 32683539 PMCID: PMC7368142 DOI: 10.1007/s11282-020-00466-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 07/10/2020] [Indexed: 12/03/2022]
Affiliation(s)
- Beatriz S P A Rosa
- Department of Pathology and Oral Diagnosis, School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Matheus Diniz Ferreira
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (FOP-UNICAMP), Avenida Limeira, 901, Areião, Piracicaba, São Paulo, 13414-903, Brazil.
| | - Gabrielle C Moreira
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV (UFJF-GV), Governador Valadares, Brazil
| | - Mayara F Bastos
- Department of Pathology and Oral Diagnosis, School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Rafael R Pinto
- Department of Pathology and Oral Diagnosis, School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Maria Augusta Visconti
- Department of Pathology and Oral Diagnosis, School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Rafael B Junqueira
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV (UFJF-GV), Governador Valadares, Brazil
| | - Francielle S Verner
- Department of Dentistry, Federal University of Juiz de Fora, Campus GV (UFJF-GV), Governador Valadares, Brazil
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The practice of oral and maxillofacial radiology during COVID-19 outbreak. Oral Radiol 2020; 36:400-403. [PMID: 32638200 PMCID: PMC7338339 DOI: 10.1007/s11282-020-00465-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Accepted: 06/30/2020] [Indexed: 12/21/2022]
Abstract
The current coronavirus disease 2019 (COVID-19) outbreak has brought substantial challenges to the world health system, including the practice of dental and maxillofacial radiology (DMFR). DMFR will carry on an imperative role in healthcare during this crisis. This rapid communication has collected and evaluated all the best current evidence and published guidelines as well as professional recommendations to help maxillofacial radiologists and dental practitioners for safer radiological and imaging examinations on healthy, suspected, or confirmed COVID-19 patients during outbreak. Some strategies have been depicted including procedural indications, infection control, and correct employment of personal protection equipment along with evoking the proper practice environment during and after the COVID-19 outbreak.
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Saki M, Haseli S, Iranpour P. Oral Radiology Center as a Potential Source of COVID-19 Transmission; Points to Consider. Acad Radiol 2020; 27:1047-1048. [PMID: 32418784 PMCID: PMC7205637 DOI: 10.1016/j.acra.2020.04.040] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Revised: 04/28/2020] [Accepted: 04/28/2020] [Indexed: 10/25/2022]
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Madhuripan N, Cheung HMC, Alicia Cheong LH, Jawahar A, Willis MH, Larson DB. Variables Influencing Radiology Volume Recovery During the Next Phase of the Coronavirus Disease 2019 (COVID-19) Pandemic. J Am Coll Radiol 2020; 17:855-864. [PMID: 32505562 PMCID: PMC7262523 DOI: 10.1016/j.jacr.2020.05.026] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 05/22/2020] [Accepted: 05/22/2020] [Indexed: 11/29/2022]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has reduced radiology volumes across the country as providers have decreased elective care to minimize the spread of infection and free up health care delivery system capacity. After the stay-at-home order was issued in our county, imaging volumes at our institution decreased to approximately 46% of baseline volumes, similar to the experience of other radiology practices. Given the substantial differences in severity and timing of the disease in different geographic regions, estimating resumption of radiology volumes will be one of the next major challenges for radiology practices. We hypothesize that there are six major variables that will likely predict radiology volumes: (1) severity of disease in the local region, including potential subsequent "waves" of infection; (2) lifting of government social distancing restrictions; (3) patient concern regarding risk of leaving home and entering imaging facilities; (4) management of pent-up demand for imaging delayed during the acute phase of the pandemic, including institutional capacity; (5) impact of the economic downturn on health insurance and ability to pay for imaging; and (6) radiology practice profile reflecting amount of elective imaging performed, including type of patients seen by the radiology practice such as emergency, inpatient, outpatient mix and subspecialty types. We encourage radiology practice leaders to use these and other relevant variables to plan for the coming weeks and to work collaboratively with local health system and governmental leaders to help ensure that needed patient care is restored as quickly as the environment will safely permit.
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Affiliation(s)
- Nikhil Madhuripan
- Department of Radiology, Stanford University School of Medicine, Stanford, California
| | - Helen M C Cheung
- Department of Radiology, Stanford University School of Medicine, Stanford, California
| | - Li Hsia Alicia Cheong
- Department of Radiology, Stanford University School of Medicine, Stanford, California
| | - Anugayathri Jawahar
- Department of Radiology, Stanford University School of Medicine, Stanford, California
| | - Marc H Willis
- Associate Chair of Quality Improvement, Department of Radiology, Stanford University School of Medicine, Stanford, California
| | - David B Larson
- Vice Chair of Education and Clinical Operations, Department of Radiology, Stanford University School of Medicine, Stanford, California.
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Use of a portable computed tomography scanner for chest imaging of COVID-19 patients in the urgent care at a tertiary cancer center. Emerg Radiol 2020; 27:597-600. [PMID: 32519294 PMCID: PMC7280689 DOI: 10.1007/s10140-020-01801-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 05/25/2020] [Indexed: 12/24/2022]
Abstract
To present a novel use of a portable computed tomography (CT) for evaluation of COVID-19 patients presenting to an urgent care center (UCC). Infection control is imperative for hospitals treating patients with COVID-19, even more so in cancer centers, where the majority of the patient population is susceptible to adverse outcomes from the infection. Over the past several weeks, our department has worked to repurpose a portable CT scanner from our surgical colleagues that operates with fixed-parameters to perform non-contrast, helical, thin-slice chest imaging to address the known pulmonary complications of COVID-19. Despite the technical limitations of the portable CT unit that was repurposed for the UCC, diagnostic-quality images in an acute care setting were successfully obtained. Repurposing of a portable CT scanner for use in COVID-19 patients offers a feasible option to obtain diagnostic quality images while minimizing the risk of exposing other patients and hospital staff to an infected patient.
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