Experience of Military Medicine in the Fight against the New Coronavirus Infection

Kryukov, E. V.; Trishkin, D V; Салухов, В. В.; Ivchenko, E. V.

doi:10.1134/s1019331622040050

Cited by 8 publications

(2 citation statements)

References 17 publications

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“…В настоящее время проведена обширная ра бота, направленная на создание безопасных условий труда медицинского персонала при контакте с возбудителями особо опасных ин фекций и ликвидации ЧC биолого социального характера. Это касается принятия и реализа ции ряда законодательных и нормативных ак тов, определяющих порядок перепрофилиро вания медицинских организаций; разработку архитектурно планировочных решений, направ ленных на разделение потоков разной эпиде миологической опасности («заразная», «чистая» зона); классификацию профессио нальной де ятельности по степени риска инфицирования; обоснование применения комплектов СИЗ от биологических факторов, содержащих различ ное сочетание элементов защиты органов дыха ния, глаз и кожных покровов [7,9,10].…”

Section: Introductionunclassified

Safety of medical personnel when using personal protective equipment during the liquidation of a biological and social emergency

Batov,

Kuznetsov,

Logatkin

et al. 2024

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. According to scientific publications, preventive measures undertaken amid the COVID-19 pandemic failed to did reliably protect healthcare workers from the new coronavirus infection. The use of personal protective equipment (PPE) that protected against biological factors failed to protect HCWs from becoming infected and in most cases contributed to the functional disorders and impaired health. The objective is to provide evidence-based justification of preventive measures aimed at increasing healthcare workers’ (HCW) safety by using PPE during elimination of biological and social emergencies (based on the case of the COVID-19 pandemic).Methods. The study design included four consecutive stages: occupational morbidity assessment for COVID-19, assessment of HCWs’ working conditions; assessment of HCWs’ safety when using PPE sets in real setting and simulation, and justification of preventive measures to improve safety of HCWs.Results and discussion. The first year of the COVID-19 pandemic saw the incidence of 30.4 % among all HCWs working at the Military Medical Academy, suggesting a high risk of infection transmission. Morbidity was utmost among HCWs specializing in infections, followed by a significant number of HCWs who do not work in contaminated areas on a daily basis (surgeons, urologists, traumatologists). In addition to high incidence rate, the new coronavirus infection pandemic demanded enforcement of specific measures associated with the use of PPE at increased physical stress, including amid elevated ambient temperature. A sociological survey and experimental data allowed to assess the risk of functional and heat-injury related health disorders, as well as injuries in HCWs using PPEs. In order to reinforce occupational safety and minimize occupational risks of health deterioration in HCWs wearing PPEs at work, the research results allowed to develop a two-stage preventive action plan: stage 1 includes identification of dangerous factors, whereas stage 2 focuses on preventive measures to eliminate negative impact of hazards and associated risks.Conclusion. A set of preventive measures developed for the COVID-19 pandemic suggests practical tools to reinforce occupational safety for HCWs who use PPEs to deliver biological and social emergency response and elimination.

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Section: Introductionunclassified

Safety of medical personnel when using personal protective equipment during the liquidation of a biological and social emergency

Batov,

Kuznetsov,

Logatkin

et al. 2024

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

View full text Add to dashboard Cite

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“…Кроме того, медицинские работники, несмотря на принадлежность к профессиональной группе высокого эпидемиологического риска, могут инфи цироваться SARSCoV2и в других условиях, вне ра бочего места, повышая тем самым риск возникно вения внутрибольничных очагов COVID19 [12,13]. Поэтому приобретает особую важность соблюдение регламента использования СИЗ медицинскими ра ботниками не только при оказании медицинской помощи пациентам с COVID19, но и в быту.…”

Section: Introductionunclassified

Assessment of the Effectiveness of the Use of Personal Protective Equipment by Personnel of Medical Organizations of Various Profiles in the Provision of Medical Care to Patients with COVID-19

Kryukov,

Maryin,

Kuzin

et al. 2023

Epidemiology and Vaccinal Prevention

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Relevance. Violation of the regulations on the use of personal protective equipment (PPE) by medical workers when providing medical care to patients with COVID-19 (COVID-19) at their workplaces and in other situations requiring PPE is fraught with serious consequences for the health and life of medical personnel and patients. Aims. To assess the impact of violations in the use of PPE on the incidence of COVID-19 of personnel of medical organizations of various profiles, including when providing medical care to patients with COVID-19. Materials and methods. The study used the method of cross-sectional retrospective simultaneous online questionnaire to assess the effectiveness of preventive measures against the spread of COVID-19, conducted from January to March 2022. The results of an anonymous online survey of various categories of personnel of medical, scientific and educational medical organizations of the Russian Federation providing medical care to patients with COVID-19 (n = 6032 people) were analyzed. Results. The study showed the greatest epidemiological significance in the formation of the risk of SARS-COV-2 infection by the irregular use of masks and gloves in the workplace (when providing medical care). The results of the assessment of the strength of the connection of violations in the use of personal protective equipment with infection with SARS-CoV-2 of the studied groups of personnel are presented. It is shown that the irregular wearing of face masks in the workplace when providing medical care has the most pronounced association with the risk of infection of all the factors studied. It is noted that statistically significantly more often the irregular use of masks and gloves in the workplace was allowed by students and nursing staff. Conclusions. The importance of compliance with the regulations for the use of personal protective equipment by medical workers is shown, not only when providing medical care to patients with COVID-19, but also at home, as well as the impact on the incidence of COVID-19 of the irregularity of the use of PPE by medical personnel in various conditions, including when providing medical care to patients with COVID-19.

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Factors contributing to the new coronavirus infection, increased risk of complications and death from it in the armed forces of the Russian Federation

Bucenko

Sergoventsev

Kuznetsova

et al. 2023

Bulletin of the Russian Military Medical Academy

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Based on the assessment of factors that contribute to a new coronavirus infection, the risk of complications, mortality, and lethality from it in the Armed Forces of the Russian Federation were analyzed. A detailed timeline of the development of the coronavirus pandemic in the Russian Federation has been demonstrated, showing indicators of peak and overall morbidity and mortality and prevailing strains of a new coronavirus infection, depending on the waves of the pandemic. The study evaluated the features of the course of a new coronavirus infection in the Eurasian region using data from the international register Analysis of the dynamics of comorbid diseases in patients infected with severe acute respiratory syndrome-2 coronavirus. Modern ideas about the main pathogenetic mechanisms of involvement of the circulatory system, which underlie the development of a severe course, mortality, and lethal outcomes, are outlined. The study also presented the concept of metabolic and hemodynamic insufficiency, which justifies the inability of the desynchronized circulatory system and systems of vascular homeostasis and hemostasis to restore the previous level of functioning after a new coronavirus infection. The possibilities of carrying out differentiated anti-epidemiological measures, including the use of information technologies, aimed at reducing the spread of a new coronavirus infection, were evaluated. The mortality and mortality from a new coronavirus infection in the Armed Forces of the Russian Federation, including the effect of a new coronavirus infection on an increase in the incidence of non-communicable diseases in military personnel of different age groups, were presented. The study also considered issues of the need to introduce a rehabilitation strategy to correct conditions that occur after a new coronavirus infection, reduce the risk of subsequent mortality and lethality, and reduce it in the long term.

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Experience of Military Medicine in the Fight against the New Coronavirus Infection

Cited by 8 publications

References 17 publications

Safety of medical personnel when using personal protective equipment during the liquidation of a biological and social emergency

Safety of medical personnel when using personal protective equipment during the liquidation of a biological and social emergency

Assessment of the Effectiveness of the Use of Personal Protective Equipment by Personnel of Medical Organizations of Various Profiles in the Provision of Medical Care to Patients with COVID-19

Factors contributing to the new coronavirus infection, increased risk of complications and death from it in the armed forces of the Russian Federation

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