Personal protective equipment in the response to the SARS-CoV-2 outbreak - A letter to the editor on “World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19)” (Int J Surg 2020; 76:71–6)

Ali, Yousif; Alradhawi, Mohammad; Shubber, Nour

doi:10.1016/j.ijsu.2020.04.051

Cited by 12 publications

(14 citation statements)

References 2 publications

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“…The shortage of PPE due to COVID-19 pandemic is creating immense distress and heightened anxiety among healthcare workers [14] . In addition to general hygiene measures, it is suggested that different levels of protection should be adopted depending on the situation, and administrative measures are encouraged to minimize contact with infected patients [15] , [16] . In our study, more than half of the surveyed urologists (62.6%) stated that their center always or almost always had adequate PPE to cope with COVID-19 patients.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Clinical and Academic Urological Practice: A Survey from European Association of Urology Section of Uro-technology

Heinze

Umari

Basulto-Martínez

et al. 2020

European Urology Open Science

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Background The unexpected coronavirus disease 2019 (COVID-19) pandemic has spread worldwide rapidly, developing into a global health crisis. At the same time, it has seriously impacted the daily activities in all the fields of urology. Objective To better understand the impact of the COVID-19 pandemic on clinical, academic, and scientific activities as well as on the quality of life of urologists from the main centers in Europe. Design, setting, and participants We conducted a survey using a 37-item questionnaire. The survey included three main sections: clinical practice, academic/scientific activities, and personal/social quality of life. Outcome measurements and statistical analysis A descriptive analysis was performed using the collected data. Results and limitations A total of 107 representatives affiliated to different centers from 22 countries completed the survey. Clinical activities were affected in 54.2% of the centers, and 85.0% of the elective surgeries were cancelled. Of the urological departments, 64.5% were still performing minimally invasive surgery for malignant disease. In 33.6% of the hospitals, dedicated and specially equipped operating theaters for COVID-19–positive patients were not available. According to 72.9% of participants, COVID-19 had a substantial negative impact on academic activities, and 82.3% of the respondents agreed that their quality of life has been affected negatively by the pandemic. Finally, 92.5% of the participants believe that the pandemic will have a moderate to severe impact on the health system of their countries. Conclusions Data collected in this survey provide insight into changes brought about in clinical and academic settings amid COVID-19. Along with shortages such as bed occupancy and personal protective equipment, it highlights negative impacts on academic and scientific activities, including the personal and social life of urologists. Patient summary It is essential to understand the impact of the coronavirus disease 2019 (COVID-19) pandemic on clinical, academic, and scientific urological activities, as well as on related personal and social issues.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Clinical and Academic Urological Practice: A Survey from European Association of Urology Section of Uro-technology

Heinze

Umari

Basulto-Martínez

et al. 2020

European Urology Open Science

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“…Organizations like Public Health England (PHE), WHO, and Centers for Disease Control (CDC) have recommended the use of PPE for procedures on patients with suspected or confirmed COVID-19. [8,18,19] In this survey, we found that 57% of participants were using N95 masks while 66% were using surgical masks while operating on these patients. Complete PPE in the form of coverall was also being used by over 40% of the participants.…”

Section: Discussionmentioning

confidence: 79%

Changes in surgical practice by surgical residents and consultants during COVID-19 pandemic: A cross-sectional survey

Kamran¹,

Mirza

Aziz

et al. 2020

J Pediatr Adolesc Surg

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Background: During the COVID-19 pandemic, surgical practice is greatly changed as a strategy to prevent infection to the health care workers. This study was done to see what changes have been made in the surgical practice by the surgical consultants and residents in various surgical disciplines. Methods: A Survey form was developed on the “Google Forms” application and distributed to surgical consultants and residents. The submission was received online during May 2020. The collected data were entered and analyzed using SPSS V.23. Qualitative data were presented as frequencies and percentages. Quantitative data were presented as mean and standard deviation. Results: Overall, 272 consultants and residents from 45 teaching hospitals from Pakistan and around the world participated in the survey. Among the participants, 100 (36.8%) were surgical consultants and 172 (63.2%) were surgical residents. About 42% of participants were not performing elective surgeries during this pandemic of COVID-19 but almost all participants were performing emergency surgeries (93%). Over 60% of the respondents admitted that their practice is either reduced to more than 50% or completely shut down during this pandemic. Over 80% stated that their training activities were compromised due to the pandemic. Conclusion: COVID-19 pandemic has greatly affected surgical practice both in the public and corporate sectors. Elective surgeries are affected the most in addition to the suspension of training activities of the residents.

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“…24 All members of the theatre team used PPE according to Trust protocols, including level 2-3 filtering face piece (FFP) masks, full face shield, double gloves and full body protection. High-risk staff were diverted to other lowerrisk activities, 25 and numbers within theatres were minimised, including the exclusion of observers and visitors. We also had two anaesthetists per theatre list to avoid PPE fatigue.…”

Section: Intra-operative Modificationsmentioning

confidence: 99%

Components of a safe cystectomy service during coronavirus disease 2019 in a high-volume centre

Nelson

Arianayagam

Umari

et al. 2020

Journal of Clinical Urology

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Objective: Delivery of a safe cystectomy service is a multidisciplinary exercise. In this article, we detail the measures implemented at our institution to deliver a cystectomy service for bladder cancer patients during coronavirus disease 2019 (COVID-19). Methods: A ‘one-stop’ enhanced recovery clinic had been established at our hospital, consisting of an anaesthetist, an exercise testing service, urinary diversion nurses, clinical nurse specialists and surgeons. During COVID-19, we modified these processes in order to continue to provide urgent cystectomy safely for bladder cancer. We collected patients’ outcomes prospectively measuring demographic characteristics, oncological and perioperative outcomes, the presence of COVID-19 symptoms and confirmed COVID-19 test results. Results: From March to May 2020, 25 patients underwent radical cystectomy for bladder cancer. Twenty-four procedures were performed with robotic assistance and one open as part of a research trial. We instituted modifications at various multidisciplinary steps, including patient selection, preoperative optimisation, enhanced recovery protocols, patient counselling and perioperative protocols. Thirty-day mortality was 0%. The 30-day rate of Clavien ⩾3 complications was 8%. Postoperatively, none of the patients developed COVID-19 based on World Health Organization criteria and testing. Conclusion: We safely delivered a complex cystectomy service during the peak of the COVID-19 pandemic without any COVID-19-related morbidity or mortality. Level of evidence: Level 2b.

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Personal protective equipment in the response to the SARS-CoV-2 outbreak - A letter to the editor on “World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19)” (Int J Surg 2020; 76:71–6)

Cited by 12 publications

References 2 publications

Impact of COVID-19 on Clinical and Academic Urological Practice: A Survey from European Association of Urology Section of Uro-technology

Impact of COVID-19 on Clinical and Academic Urological Practice: A Survey from European Association of Urology Section of Uro-technology

Changes in surgical practice by surgical residents and consultants during COVID-19 pandemic: A cross-sectional survey

Components of a safe cystectomy service during coronavirus disease 2019 in a high-volume centre

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