COVID-19 infection prevention and control management during hyperbaric oxygen therapy: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2023-12-01 DOI:10.1097/XEB.0000000000000400
Michal Hájek, Dittmar Chmelař, Miroslav Rozložník, Alexandra Lochmanová, Jakub Tlapák, Tereza Vrbová, Miloslav Klugar, Jitka Klugarová
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Abstract

Objective: This implementation project compared standard operating procedures, accepted preventive measures, and disinfection procedures between the initial stage of the COVID-19 pandemic (first wave: March 15 to May 31, 2020) and the later stages of the pandemic (second and third waves: September 1, 2020 to January 31, 2021).

Introduction: This project sought to improve compliance with international evidence-based guidelines and clinical standards for the prevention and control of COVID-19 infection during hyperbaric oxygen therapy taking into account the conditions of the local hospital.

Methods: Guided by the JBI evidence implementation framework, seven evidence-based audit criteria were developed for the prevention and control of COVID-19 infection during hyperbaric oxygen therapy. A questionnaire was used to measure compliance in baseline and follow-up audits.

Results: Differences between the baseline and follow-up audits were noted for criteria 6 and 7. Criterion 6 increased from 0% to 100% as the hyperbaric facility was equipped with certified ultraviolet-C radiation for air disinfection during the later period, but this equipment was not available in the initial period of the pandemic. Criterion 7 dropped from 100% in the baseline audit to 0% in the follow-up audit because of a significant increase in the operational burden of the treatment capacity of the facility, which made it impossible to comply with the recommended distancing between patients.

Conclusions: Differences were found in preventive measures, disinfection procedures, work organization, and approach to care strategy. The project objectives were met and the implementation strategies proved effective. Larger sample sizes would need be needed to confirm the reproducibility of the results.

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高压氧治疗期间COVID-19感染防控管理:最佳实践实施项目。
目的:本实施项目比较2019冠状病毒病大流行初期(第一波:2020年3月15日至5月31日)和后期(第二波和第三波:2020年9月1日至2021年1月31日)的标准操作流程、可接受的预防措施和消毒程序。项目简介:本项目旨在结合当地医院的实际情况,提高高压氧治疗期间COVID-19感染防控的国际循证指南和临床标准的合规性。方法:以JBI证据实施框架为指导,制定高压氧治疗期间防控COVID-19感染的7项循证审计标准。使用问卷来衡量基线和后续审计的依从性。结果:基线审计和随访审计在标准6和标准7上存在差异。标准6从0%增加到100%,因为高压设施在后期配备了经过认证的紫外线- c辐射,用于空气消毒,但在大流行初期没有这种设备。标准7从基线审计的100%下降到后续审计的0%,因为该设施的治疗能力的运营负担显著增加,这使得不可能遵守建议的患者之间的距离。结论:在预防措施、消毒程序、工作组织、护理方法等方面存在差异。项目目标已经实现,实施战略证明是有效的。需要更大的样本量来确认结果的可重复性。
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CiteScore
3.20
自引率
13.00%
发文量
23
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