Infection Prevention and Control in the Podiatric Medical Setting: Challenges to Providing Consistently Safe Care

Wise, Matthew E.; Bancroft, Elizabeth; Clement, Ernest J.; Hathaway, Susan J.; High, Patricia; Kim, Moon J.; Lutterloh, Emily; Perz, Joseph F.; Sehulster, Lynne M.; Tyson, Clara; White-Comstock, Mary Beth; Montana, Barbara

doi:10.7547/13-031.1

Cited by 3 publications

(11 citation statements)

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“…FFP1. FFP2 and FFP3 types, to a lesser extent than other simpler surgical masks, which may allow that more particles pass into the respiratory system of physicians, likely to cause illness (2). We hypothesized that surgical masks may be the most common used mask type by physicians and these types of surgical masks and others used by physicians in clinical settings could present a lower filtration factor (fit factor) than FFP3 filtering respirators, allowing the passage of more particles which could later be inhaled by the professional.…”

Section: Ivyspringmentioning

confidence: 99%

“…According to the study aim, the fit factor of the surgical and other types masks commonly used by physicians in clinical settings was determined and compared with FFP3 filtering respirators (2).…”

Section: Mask Typesmentioning

confidence: 99%

“…Primary care may be considered as the most common interventions performed by physicians in clinical setting. In to carry out this treatment, electric drills are used to polish the patient's nails or skin, generating large amounts of dust and organic aerosols with high infectious potential risk, which are susceptible to be inhaled by the professional who may consequently suffer from different diseases (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

“…According to most medical specialties, public health investigations and Centers for Disease Control and Prevention have detailed unsafe practices, including medical settings patients, who could be at risk to suffer from bacterial, fungal and viral infections. Thus, all healthcare providers, such as physicians, should consider infection prevention as a priority in any clinical setting (2).…”

Section: Introductionmentioning

confidence: 99%

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Fit factor of masks used by Physicians in Clinical Settings

De-Yñigo-Mojado¹,

Madera-García²,

Becerro‐de‐Bengoa‐Vallejo³

et al. 2020

Int. J. Med. Sci.

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Background: Usually, physicians use filtering respirators in clinical settings to a lesser extent than other simpler surgical masks. The study aim was to determine the fit factor of surgical and other types masks commonly used in clinical settings compared with FFP3 filtering respirators. Materials and Methods: A cross-sectional study was carried out recruiting a total sample of 78 physicians. Fit factor was measured to determine particles count into masks compared to particles count outside of the masks meanwhile physicians carried out a protocol composed by 8 exercises as well as the global fit factor total scores. First, fit factor was analyzed with the usual surgical masks used by physicians in clinical settings. Second, fit factor was determined with the proposed FFP3 filtering respirators. Results: Most participants (97%) used surgical masks. Statistically significant differences (P<0.001) with an effect size from moderate to large (d=0.61-1.00) were shown for fit factors in the different exercises and total scores between surgical and other masks (3.2±5.0) and FFP3 filtering respirators (40.7±37.8). Generally, FFP3 filtering respirators showed a higher fit factor in the different exercises and total scores compared to the commonly used surgical and other types masks in clinical settings. Conclusions: Despite most physicians used surgical masks in clinical settings, filtering FFP3 masks showed a higher fit factor in the different exercises and total scores compared with the used surgical masks and filtering respirators such as FFP1, FFP2 and other types in clinical settings.

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Section: Ivyspringmentioning

confidence: 99%

Section: Mask Typesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fit factor of masks used by Physicians in Clinical Settings

De-Yñigo-Mojado¹,

Madera-García²,

Becerro‐de‐Bengoa‐Vallejo³

et al. 2020

Int. J. Med. Sci.

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show abstract

“…Research studies into personal risk factors for podiatrists have largely been limited to bioaerosols [44,[83][84][85][86][87]. Podiatrists must make infection prevention a priority in any setting in which care is delivered [88]. Obviously, COVID-19 infection risks to the patient and provider have to be mitigated through the proper use of Personal Protective Equipment (PPE) [20,89].…”

Section: Personal Protective Equipmentmentioning

confidence: 99%

COVID-19 Pandemic and the South African Podiatrist

Zipfel¹,

Dembskey²

2020

Preprint

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The Coronavirus disease 2019 (COVID-19) pandemic is clearly taking a firmer grip on South Africa and more podiatrists will face the potential transmission of SARS-CoV-2. Government response was swift with the implementation of a travel ban, strict national lockdown as well as social distancing and hygiene protocols in line with international health regulations. Co-morbidities such as tuberculosis and HIV/AIDS, endemic to South Africa, are considered a dangerous combination with COVID-19, making many South Africans vulnerable to contracting the COVID-19. Patients with diabetes as well as the aged are vulnerable, both in terms of potential combined complications and challenges in continuity in foot care. The demands of the pandemic may outstrip the ability of the health systems to cope. Should this time arrive, all healthcare practitioners, including podiatrists, would have to step in and take on a role beyond their scope of practice in order to ensure that the healthcare system does not get overwhelmed. It is important for podiatrists to keep abreast with the developments around the COVID-19, in order that they may institute appropriate clinical practice which will ensure maximum protection for themselves, staff and patients as well as providing quality foot health care.

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Practice Recommendations for Infection Prevention and Control Related to Foot Care in Healthcare Settings

Barry

Augustin

Stacey-Works³

et al. 2020

CJIC

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BACKGROUND Foot care devices have been linked to healthcare-associated infections and outbreaks [1-7]. The goal is to provide infection prevention and control (IPAC) practice recommendations for foot care. This will include cleaning, disinfection and sterilization processes, and management of the environment, as well as client and healthcare provider safety. Stakeholders Healthcare providers performing foot care in any healthcare setting, which includes, but is not limited to, care provided in private homes, clinics, and healthcare settings. This practice document is written for healthcare providers who provide foot care or reprocess critical foot care devices, and is not intended to address foot care practice performed by the client or the client's family. Companion documents: IPAC Canada Position Statement on Reprocessing of Critical Foot Care Devices (2019) and the IPAC Canada Audit Tool for Foot Care. PRACTICE STATEMENT • The IPAC Canada Position Statement: Reprocessing of Critical Foot Care Devices shall be followed. Clients expect and require safe care regardless of where foot care is performed. Therefore, each client interaction requires a sterile set of critical foot care equipment/ devices [8-10].  Reusable foot care equipment/devices are considered critical devices [8-14].  All healthcare providers are responsible for ensuring that the client is not placed at risk of infection when reusing any foot care equipment/devices during the provision of care.

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Infection Prevention and Control in the Podiatric Medical Setting: Challenges to Providing Consistently Safe Care

Cited by 3 publications

References 0 publications

Fit factor of masks used by Physicians in Clinical Settings

Fit factor of masks used by Physicians in Clinical Settings

COVID-19 Pandemic and the South African Podiatrist

Practice Recommendations for Infection Prevention and Control Related to Foot Care in Healthcare Settings

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