SARS-CoV-2 transmission rate is low when following a COVID+ patient in the operating room

Axiotakis, Lucas G.; Boyett, Deborah; Youngerman, Brett E.; McKhann, Guy M.; Lalwani, Anil K.

doi:10.1007/s00423-021-02085-0

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…After implementation of between case infection prevention and control procedures in the OR, the risk of symptomatic infection for patients who followed COVID-positive patients into the same OR was very low 33 . After potential OR-related COVID exposure (ie, treatment in an OR which had been used for a COVID-positive case) within 24 hours (n = 23) or between 24 and 48 hours (n = 29) there were 0 cases of COVID-negative patients acquiring an infection.…”

Section: Patient Safetymentioning

confidence: 99%

Patient, Surgeon, and Health Care Worker Safety during the COVID-19 Pandemic

Hölscher¹

2021

Annals of Surgery

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PATIENT SAFETYT he painting of Pablo Picasso from 1897 entitled ''Ciencia y Caridad'' describes 2 aspects of patient safety very well (Fig. 1). At the center of the tableau is a bedridden patient. The physician measures the pulse while looking gravely and concentratedly at his pocket watch. He represents in the interpretation of Picasso, whose uncle was a physician, the rational and scientific aspects of treatment. The nun looks toward the patient, serves fluid, and takes care of the patient's child. She stands in this painting from the century before last for the emotional and practical aspects of care. Both are important for the safety and wellbeing of our patients. The patient should feel secure and confident by virtue of receiving both empathic and scientifically grounded safe treatment under the maxim ''primum nihil nocere.'' ''Patient safety is a framework of organized activities that creates cultures, processes, procedures, behaviors, technologies, and environment in health care that consistently and sustainably lower risks, reduce the occurrence of avoidable harm, make error less likely, and reduce its impact when it does occur.'' 1 Undoubtedly securing patient safety now requires teamwork, but in the case of surgical treatment patient safety nevertheless remains a paramount issue for the surgeon, who will often have been chosen personally by the patient. 2 The surgeon assumes responsibility for his patient and accompanies him during the pre, intra-and postoperative periodslonger than all other contributing allied disciplines. This results in a special, close, and reciprocal relationship and the patient will ultimately see the surgeon as primarily responsible for the success or failure of the treatment as a whole. Burden of Impaired Patient Safety Before the COVID-19 PandemicMany medical centers, health care systems, national and international organizations have made great efforts to analyses the frequency of adverse medical events and to determine their origins to establish best procedures and guidelines for their prevention. [3][4][5][6][7][8] The central aims of these efforts were firstly to reduce the burden of morbidity and mortality borne by patients and their families and secondly to reduce both the enormous costs of subsequent treatment and litigation, and the wider economic consequences of disability and unemployment.On average 1 in every 10 patients experiences an adverse event while receiving hospital care in high-income countries. 1 The most frequently occurring adverse events are health careassociated infections, venous thromboembolism, adverse drug events, pressure injuries, diagnostic errors, and wrong site surgeries. 3 In high-income countries up to 15% of hospital expenditure is spent on preventable safety failures. 3 The WHO Regional Office for Europe reported in 2019 that >750,000 medical errors resulting in harm occur in Europe each year, including 260,000 incidents resulting in permanent disability and almost 100,000 incidents resulting in death; all of which leads to >3.2 million add...

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Section: Patient Safetymentioning

confidence: 99%

Patient, Surgeon, and Health Care Worker Safety during the COVID-19 Pandemic

Hölscher¹

2021

Annals of Surgery

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“…Hence, a program of booster dose vaccinations in Thailand should be implemented to prevent severe disease and death in the Thai people during an Omicron outbreak. Specifically, the area of high environmental risk exposure presented a significant influence via the Omicron variant [ 30 ]. In the current study, the COVID-19 booster dose vaccination of Thai people in the area of environmental risk exposure during the Omicron outbreak was determined.…”

Section: Discussionmentioning

confidence: 99%

“…The distribution of COVID-19 infection rapidly increased death cases in cities with social interaction and geo-environmental factors such as low wind and frequently high air pollution levels [ 28 , 29 ]. Specifically, Axiotakis et al [ 30 ] implied that public locations with close social contact and public areas were significantly influenced by the Omicron variant. The population density, frequent activities, and the people’s transportation in urban areas were important issues for finding sustainable epidemic and environmental risk control.…”

Section: Introductionmentioning

confidence: 99%

“…The population density, frequent activities, and the people’s transportation in urban areas were important issues for finding sustainable epidemic and environmental risk control. Some significant environmental factors, including humidity, atmospheric temperature, and ventilation filter systems in hotels, hospitals, or houses in close contact with the population influenced the Omicron variant [ 30 ]. In addition, Sohail et al [ 9 ] found that the virus distribution was limited by certain conditions, specifically 6 g/kg of humidity and an average air temperature above 51 F. Coccia [ 31 ] identified that the environmental exposure risk assessment of the city or pandemic areas for preventing COVID-19 exposure was limited.…”

Section: Introductionmentioning

confidence: 99%

“…Data from the Ministry of Public Health, Thailand on 2 April 2022 reported that only 34.4% of Thai people had received the third dose of vaccination [ 32 ]. Specifically, the potential risk of infectious diseases with the actual risk given by infected individuals and deaths of COVID-19 was found to be at a high level in environmental risk exposure areas, as implied by the significant spreading factors of the Omicron variant [ 30 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

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Combined Impact of Omicron Vaccination and Environmental Risk Exposure: A Thailand Case Study

et al. 2023

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This research aimed to determine the levels of COVID-19 booster dose vaccinations in Thai populations in areas with environmental risk exposure during the Omicron outbreak. Five of twenty provinces in Thailand were selected by assessing environmental risk exposure for study settings. A total of 1038 people were interviewed by a structured questionnaire. The predicting factors of COVID-19 booster dose vaccinations were analyzed by univariate and multivariate analysis. The results showed that 69.4% (95% CI 66.5–72.1) of the population was vaccinated with COVID-19 booster doses. Multiple logistics regression revealed that the female gender (AOR 1.49, 95% CI 1.11–2.00), all age groups from 38 to 60 years old, all education levels of at least secondary school, high income (AOR 1.16, 95% CI 1.15–2.24), populations having experience with COVID-19 infection (AOR 2.27, 95% CI 2.05–3.76), knowledge of vaccine (AOR 1.78, 95% CI 1.11–2.83), and trusting attitude (AOR 1.76, 95% CI 1.32–2.36) were factors among those more likely to take COVID-19 booster dose vaccinations in high-environmental-risk-exposure areas. Therefore, an effective booster dose campaign with education programs to increase attitudes toward booster vaccinations should be implemented for the resilience of COVID-19 prevention and control.

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