A prospective clinical evaluation of a patient isolation hood during the COVID-19 pandemic

Quantifying the reduction of airborne infectious virus load using a ventilated patient hood

BACKGROUND

Healthcare workers treating SARS-CoV-2 patients are at risk of infection by respiratory exposure to patient-emitted, virus-laden aerosols. Source control devices such as ventilated patient isolation hoods have been shown to limit the dissemination of non-infectious airborne particles in laboratory tests, but data on their performance in mitigating the airborne transmission risk of infectious viruses are lacking.

AIM

We used an infectious airborne virus to quantify the ability of a ventilated hood to reduce infectious virus exposure in indoor environments.

METHODS

We nebulized 10⁹ plaque forming units (pfu) of bacteriophage PhiX174 virus into a ∼30-m³ room when the hood was active or inactive. The airborne concentration of infectious virus was measured by BioSpot-VIVAS and settle plates using plaque assay quantification on the bacterial host Escherichia coli C. The airborne particle number concentration (PNC) was also monitored continuously using an optical particle sizer.

FINDINGS

The median airborne viral concentration in the room reached 1.41 × 10⁵ pfu/m³ with the hood inactive. When active, the hood reduced infectious virus concentration in air samples by 374-fold. The deposition of infectious virus on the surface of settle plates was reduced by 87-fold. This was associated with a 109-fold reduction in total airborne particle number escape rate.

CONCLUSION

A personal ventilation hood significantly reduced airborne particle escape, considerably lowering infectious virus contamination in an indoor environment. Our findings support the further development of source control devices to mitigate nosocomial infection risk among healthcare workers exposed to airborne viruses in clinical settings.

A COVID-19 Search Engine (CO-SE) with Transformer-based architecture

Coronavirus disease (COVID-19) is an infectious disease, which is caused by the SARS-CoV-2 virus. Due to the growing literature on COVID-19, it is hard to get precise, up-to-date information about the virus. Practitioners, front-line workers, and researchers require expert-specific methods to stay current on scientific knowledge and research findings. However, there are a lot of research papers being written on the subject, which makes it hard to keep up with the most recent research. This problem motivates us to propose the design of the COVID-19 Search Engine (CO-SE), which is an algorithmic system that finds relevant documents for each query (asked by a user) and answers complex questions by searching a large corpus of publications. The CO-SE has a retriever component trained on the TF–IDF vectorizer that retrieves the relevant documents from the system. It also consists of a reader component that consists of a Transformer-based model, which is used to read the paragraphs and find the answers related to the query from the retrieved documents. The proposed model has outperformed previous models, obtaining an exact match ratio score of 71.45% and a semantic answer similarity score of 78.55%. It also outperforms other benchmark datasets, demonstrating the generalizability of the proposed approach.

Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations

This document provides an update to the recommendations for physiotherapy management for adults with coronavirus disease 2019 (COVID-19) in the acute hospital setting. It includes: physiotherapy workforce planning and preparation; a screening tool for determining requirement for physiotherapy; and recommendations for the use of physiotherapy treatments and personal protective equipment. New advice and recommendations are provided on: workload management; staff health, including vaccination; providing clinical education; personal protective equipment; interventions, including awake proning, mobilisation and rehabilitation in patients with hypoxaemia. Additionally, recommendations for recovery after COVID-19 have been added, including roles that physiotherapy can offer in the management of post-COVID syndrome. The updated guidelines are intended for use by physiotherapists and other relevant stakeholders caring for adult patients with confirmed or suspected COVID-19 in the acute care setting and beyond.