Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 283
Filter
Add filters

Year range
3.
Rev Lat Am Enfermagem ; 28: e3360, 2020 Sep 07.
Article in English, Spanish, Portuguese | MEDLINE | ID: covidwho-750913

ABSTRACT

OBJECTIVE: to identify the factors associated with the use and reuse of masks among Brazilian individuals in the context of the COVID-19 pandemic. METHOD: cross-sectional study conducted in the five Brazilian regions, among adult individuals, via an electronic form disseminated in social media, addressing general information and the use of masks. Bivariate analysis and binary logistic regression were used to identify the factors associated with the use and reuse of masks. RESULTS: 3,981 (100%) individuals participated in the study. In total, 95.5% (CI 95%: 94.8-96.1) reported using masks. Fabric masks were more frequently reported (72.7%; CI 95%: 71.3-74.1), followed by surgical masks (27.8%; CI 95%: 26.5-29.2). The percentage of reuse was 71.1% (CI 95%: 69.7-72.5). Most (55.8%; CI 95%: 51.7-60.0) of those exclusively wearing surgical masks reported its reuse. Being a woman and having had contact with individuals presenting respiratory symptoms increased the likelihood of wearing masks (p≤0.001). Additionally, being a woman decreased the likelihood of reusing surgical masks (p≤0.001). CONCLUSION: virtually all the participants reported the use of masks, most frequently fabric masks. The findings draw attention to a risky practice, that of reusing surgical and paper masks. Therefore, guidelines, public policies, and educational strategies are needed to promote the correct use of masks to control and prevent COVID-19.


Subject(s)
Coronavirus Infections/prevention & control , Equipment Reuse , Masks , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Adolescent , Adult , Betacoronavirus , Brazil , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Young Adult
5.
J Bras Nefrol ; 42(2 suppl 1): 32-35, 2020 Aug 26.
Article in English, Portuguese | MEDLINE | ID: covidwho-740463

ABSTRACT

INTRODUCTION: The impact of the new coronavirus (SARS-COV-2) and its worldwide clinical manifestations (COVID-19) imposed specific regional recommendations for populations in need of specialized care, such as children and adolescents with kidney diseases, particularly in renal replacement therapies (RRT). We present the recommendations of the Brazilian Society of Nephrology regarding the treatment of pediatric patients with kidney diseases during the COVID-19 pandemic. METHODS: Articles and documents from medical societies and government agencies on specific recommendations for children on RRT in relation to COVID-19 as well as those focused on epidemiological aspects of this condition in Brazil Were evaluated and analyzed. RESULTS: We present recommendations on outpatient care, transportation to dialysis centers, peritoneal dialysis, hemodialysis, and kidney transplantation in children and adolescents during the COVID-19 pandemic in Brazil. DISCUSSION: Despite initial observations of higher mortality rates in specific age groups (the elderly) and with comorbidities (obese, diabetics, and those with cardiovascular diseases), patients with chronic kidney disease (CKD) on RRT are particularly prone to develop COVID-19. Specific measures must be taken to reduce the risk of contracting SARS-CoV-2 and developing COVID-19, especially during transport to dialysis facilities, as well as on arrival and in contact with other patients.


Subject(s)
Betacoronavirus , Coronavirus Infections/epidemiology , Kidney Diseases/therapy , Pneumonia, Viral/epidemiology , Renal Replacement Therapy/standards , Adolescent , Ambulatory Care , Brazil/epidemiology , Child , Coronavirus Infections/diagnosis , Coronavirus Infections/prevention & control , Coronavirus Infections/transmission , Humans , Hygiene/standards , Kidney Transplantation , Masks , Nephrology/standards , Occupational Diseases/prevention & control , Pandemics/prevention & control , Patient Isolation , Pediatrics , Pneumonia, Viral/diagnosis , Pneumonia, Viral/prevention & control , Pneumonia, Viral/transmission , Renal Replacement Therapy/methods , Societies, Medical , Symptom Assessment , Transportation of Patients
6.
J Bras Nefrol ; 42(2 suppl 1): 18-21, 2020 Aug 26.
Article in English, Portuguese | MEDLINE | ID: covidwho-740461

ABSTRACT

Considering the new coronavirus epidemic (Covid-19), the Brazilian Society of Nephrology, represented by the Peritoneal Steering Committee, in agreement with the and the Dialysis Department, developed a series of recommendations for good clinical practices for peritoneal dialysis (PD) clinics, to be considered during the period of the Covid-19 epidemic. We aim to minimize the disease spread, protecting patients and staff, and ensuring the quality of the treatment provided and adequate follow-up for PD patients. The recommendations suggested at this moment must be adapted to each clinic's reality and the conditions of the structural and human resources, dependent on the adequate financial provision of the public health system for its full implementation.


Subject(s)
Betacoronavirus , Coronavirus Infections/prevention & control , Kidney Failure, Chronic/therapy , Pandemics/prevention & control , Peritoneal Dialysis/standards , Pneumonia, Viral/prevention & control , Brazil , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Disinfection/methods , Disinfection/standards , Humans , Kidney Failure, Chronic/complications , Masks , Nephrology/standards , Occupational Diseases/prevention & control , Patient Care Team , Patient Education as Topic , Patient Isolation/methods , Patient Isolation/standards , Peritoneal Dialysis/instrumentation , Peritoneal Dialysis/methods , Personal Protective Equipment , Pneumonia, Viral/diagnosis , Pneumonia, Viral/epidemiology , Societies, Medical , Telemedicine/legislation & jurisprudence , Telemedicine/methods , Telemedicine/standards , Urology Department, Hospital/organization & administration , Urology Department, Hospital/standards
7.
J Bras Nefrol ; 42(2 suppl 1): 15-17, 2020 Aug 26.
Article in English, Portuguese | MEDLINE | ID: covidwho-740460

ABSTRACT

Dialysis units are environments potentially prone to the spread of Covid-19. Patients cannot suspend treatment, and they often have comorbidities, which assigns them a higher risk and worse prognosis. The Brazilian Society of Nephrology prepared this document of good practices, whose technical recommendations deal with general measures that can be implemented to reduce the risk of transmission and prevent the spread of the disease in the unit.


Subject(s)
Betacoronavirus , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Renal Dialysis/standards , Urology Department, Hospital/standards , Brazil , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Disinfection/methods , Disinfection/standards , Humans , Masks , Nephrology/standards , Patient Isolation/methods , Patient Isolation/standards , Personal Protective Equipment , Pneumonia, Viral/diagnosis , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Renal Insufficiency, Chronic , Societies, Medical/standards , Symptom Assessment
8.
J Bras Nefrol ; 42(2 suppl 1): 9-11, 2020 Aug 26.
Article in English, Portuguese | MEDLINE | ID: covidwho-740458

ABSTRACT

These recommendations were created after the publication of informative note 3/2020- CGGAP/DESF/SAPS/MS, of April 4, 2020, in which the Brazilian Ministry of Health recommended the use of a cloth mask by the population, in public places. Taking into account the necessary prioritization of the provision of Personal Protective Equipment (PPE) for patients with suspected or confirmed disease, as well as for healthcare professionals, the SBN is favorable concerning the wear of cloth masks by chronic kidney patients in dialysis, in public settings, except in the dialysis setting. The present recommendations have eleven items, related to this rationale, the procedures, indications, contraindications, as well as appropriate fabrics for the mask, and hygiene care to be adopted. These recommendations may change, at any time, in the light of new evidence.


Subject(s)
Betacoronavirus , Coronavirus Infections/prevention & control , Masks/standards , Pandemics/prevention & control , Personal Protective Equipment/standards , Pneumonia, Viral/prevention & control , Renal Dialysis , Textiles , Brazil , Coronavirus Infections/epidemiology , Health Personnel , Humans , Nephrology/standards , Occupational Diseases/prevention & control , Pneumonia, Viral/epidemiology , Protective Clothing/standards , Renal Insufficiency, Chronic/therapy , Societies, Medical , Urology Department, Hospital/standards
9.
Cien Saude Colet ; 25(9): 3365-3376, 2020 Sep.
Article in English, Portuguese | MEDLINE | ID: covidwho-740421

ABSTRACT

OBJECTIVES: to evaluate the effectiveness of non-woven face masks for the prevention of respiratory infections (MERS CoV, SARS-CoV, and SARS-CoV-2) in the population. METHODS: search in Medline, Embase, Cinahl, The Cochrane Library, Trip databases. Google Scholar, Rayyan and medRxiv were also consulted for complementary results. No filters related to date, language or publication status were applied. Titles and abstracts were screened, and later, full texts were evaluated. RESULTS: three studies were included: a randomized cluster clinical trial and two systematic reviews. The clinical trial indicates a potential benefit of medical masks to control the source of clinical respiratory disease infection. In one of the systematic reviews, it was not possible to establish a conclusive relationship between the use of the mask and protection against respiratory infection. Finally, another systematic review indicated that masks are effective in preventing the spread of respiratory viruses. CONCLUSION: Evidence points to the potential benefit of standard non-woven face masks. For the current pandemic scenario of COVID-19, education on the appropriate use of masks associated with individual protection measures is recommended.


Subject(s)
Coronavirus Infections/prevention & control , Masks , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Betacoronavirus/isolation & purification , Coronavirus Infections/epidemiology , Coronavirus Infections/virology , Humans , Middle East Respiratory Syndrome Coronavirus/isolation & purification , Pneumonia, Viral/epidemiology , Randomized Controlled Trials as Topic , Respiratory Tract Infections/epidemiology , Respiratory Tract Infections/prevention & control , Respiratory Tract Infections/virology , SARS Virus/isolation & purification , Severe Acute Respiratory Syndrome/epidemiology , Severe Acute Respiratory Syndrome/prevention & control , Severe Acute Respiratory Syndrome/virology
13.
Medwave ; 20(7): e7994, 2020 Aug 13.
Article in Spanish | MEDLINE | ID: covidwho-725747

ABSTRACT

Introduction: Health personnel, including physicians, are a fundamental part of the first line of defense against the SARS-CoV-2 pandemic. Objective: To characterize the clinical manifestations and course of the first cases of contagion by SARS-CoV-2 in doctors of Peru. Methodology: We present a series of six cases of doctors infected by SARS-CoV-2, with confirmed positivity for COVID-19, showing the daily evolution from the diagnosis of the disease, its main signs and symptoms, evolution, and until the outcome in each case. Results: Five were men. The median age was 28 years (interquartile range: 27 to 33). In three cases the physician worked more than 12 hours a day in emergency and hospitalization services and not wear a mask at all times. The most frequent symptoms were axillary temperature above 38°C, malaise, dry cough, and odynophagia (the latter in three of the cases). The diagnosis was made at a median of 3 days (interquartile range: 3 to 4 days). The symptoms that persisted the most were dry cough (present during ten days in four doctors). Dysgeusia was the only symptom with the most extended duration (15 days in only one doctor). In the six cases, the course was favorable. However, these doctors found it difficult to return to functions in their hospital centers adequately. Discussion: Despite a small number of cases, it is the first report detailing the evolution of symptoms day by day, which can help for occupational health and even for case surveillance and monitoring.


Subject(s)
Clinical Laboratory Techniques , Coronavirus Infections/physiopathology , Infectious Disease Transmission, Patient-to-Professional , Physicians , Pneumonia, Viral/physiopathology , Adult , Coronavirus Infections/diagnosis , Coronavirus Infections/transmission , Cough/epidemiology , Cough/virology , Dysgeusia/epidemiology , Dysgeusia/virology , Female , Fever/epidemiology , Fever/virology , Humans , Male , Masks/statistics & numerical data , Pandemics , Peru , Pneumonia, Viral/diagnosis , Pneumonia, Viral/transmission
16.
PLoS One ; 15(8): e0238015, 2020.
Article in English | MEDLINE | ID: covidwho-725558

ABSTRACT

The coronavirus disease 2019 (COVID-19) poses a serious global health threat. Without a vaccine, behavior change is the most effective means of reducing disease transmission. Identifying psychological factors that may encourage engagement in preventative health behaviors is crucial. The behavioral immune system (BIS) represents a set of psychological processes thought to promote health by encouraging disease avoidance behaviors. This study examined whether individual differences in BIS reactivity (germ aversion, pathogen disgust sensitivity) were associated with concern about COVID-19 and engagement in recommended preventative health behaviors (social distancing, handwashing, cleaning/disinfecting, avoiding touching face, wearing facemasks). From March 20 to 23, 2020, a US national sample (N = 1019) completed an online survey. Germ aversion and pathogen disgust sensitivity were the two variables most consistently associated with COVID-19 concern and preventative health behaviors, while accounting for demographic, health, and psychosocial covariates. Findings have implications for the development of interventions intended to increase preventative health behaviors.


Subject(s)
Betacoronavirus , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , Disease Transmission, Infectious/prevention & control , Health Behavior , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Adolescent , Adult , Coronavirus Infections/transmission , Coronavirus Infections/virology , Cross-Sectional Studies , Disgust , Female , Hand Disinfection , Humans , Infection Control/methods , Male , Masks , Middle Aged , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Self Report , Young Adult
18.
Medwave ; 20(7): e7994, 2020 Aug 13.
Article in Spanish | MEDLINE | ID: covidwho-721619

ABSTRACT

Introduction: Health personnel, including physicians, are a fundamental part of the first line of defense against the SARS-CoV-2 pandemic. Objective: To characterize the clinical manifestations and course of the first cases of contagion by SARS-CoV-2 in doctors of Peru. Methodology: We present a series of six cases of doctors infected by SARS-CoV-2, with confirmed positivity for COVID-19, showing the daily evolution from the diagnosis of the disease, its main signs and symptoms, evolution, and until the outcome in each case. Results: Five were men. The median age was 28 years (interquartile range: 27 to 33). In three cases the physician worked more than 12 hours a day in emergency and hospitalization services and not wear a mask at all times. The most frequent symptoms were axillary temperature above 38°C, malaise, dry cough, and odynophagia (the latter in three of the cases). The diagnosis was made at a median of 3 days (interquartile range: 3 to 4 days). The symptoms that persisted the most were dry cough (present during ten days in four doctors). Dysgeusia was the only symptom with the most extended duration (15 days in only one doctor). In the six cases, the course was favorable. However, these doctors found it difficult to return to functions in their hospital centers adequately. Discussion: Despite a small number of cases, it is the first report detailing the evolution of symptoms day by day, which can help for occupational health and even for case surveillance and monitoring.


Subject(s)
Clinical Laboratory Techniques , Coronavirus Infections/physiopathology , Infectious Disease Transmission, Patient-to-Professional , Physicians , Pneumonia, Viral/physiopathology , Adult , Coronavirus Infections/diagnosis , Coronavirus Infections/transmission , Cough/epidemiology , Cough/virology , Dysgeusia/epidemiology , Dysgeusia/virology , Female , Fever/epidemiology , Fever/virology , Humans , Male , Masks/statistics & numerical data , Pandemics , Peru , Pneumonia, Viral/diagnosis , Pneumonia, Viral/transmission
19.
Infect Dis Poverty ; 9(1): 115, 2020 Aug 19.
Article in English | MEDLINE | ID: covidwho-721344

ABSTRACT

BACKGROUND: The emerging infectious disease, coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), poses a serious threat in China and worldwide. Challenged by this serious situation, China has taken many measures to contain its transmission. This study aims to systematically review and record these special and effective practices, in hope of benefiting for fighting against the ongoing worldwide pandemic. METHODS: The measures taken by the governments was tracked and sorted on a daily basis from the websites of governmental authorities (e.g. National Health Commission of the People's Republic of China). And the measures were reviewed and summarized by categorizations, figures and tables, showing an ever-changing process of combating with an emerging infectious disease. The population shift levels, daily local new diagnosed cases, daily mortality and daily local new cured cases were used for measuring the effect of the measures. RESULTS: The practices could be categorized into active case surveillance, rapid case diagnosis and management, strict follow-up and quarantine of persons with close contacts, and issuance of guidance to help the public understand and adhere to control measures, plus prompt and effective high-level policy decision, complete activation of the public health system, and full involvement of the society. Along with the measures, the population shift levels, daily local new diagnosed cases, and mortality were decreased, and the daily local new cured cases were increased in China. CONCLUSIONS: China's practices are effective in controlling transmission of SARS-CoV-2. Considering newly occurred situations (e.g. imported cases, work resumption), the control measures may be adjusted.


Subject(s)
Communicable Diseases, Emerging/prevention & control , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Population Surveillance , China/epidemiology , Communicable Diseases, Emerging/diagnosis , Communicable Diseases, Emerging/epidemiology , Communicable Diseases, Emerging/therapy , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Coronavirus Infections/therapy , Health Policy , Humans , Masks , Pneumonia, Viral/diagnosis , Pneumonia, Viral/epidemiology , Pneumonia, Viral/therapy , Time Factors , Travel
20.
IEEE Pulse ; 11(4): 34-36, 2020.
Article in English | MEDLINE | ID: covidwho-721093

ABSTRACT

After initial assertions that the wearing of face masks was an unnecessary public health tool in the prevention of the spread of Covid-19, the advice coming out of the Centers for Disease Control (CDC) suddenly changed. In early April, the CDC issued new guidelines advising people to wear face coverings in public settings where social distancing is difficult.


Subject(s)
Betacoronavirus , Coronavirus Infections , Masks , Pandemics , Pneumonia, Viral , Public Health , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , Fear/psychology , Freedom , Humans , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Public Opinion , United States , Universal Precautions/legislation & jurisprudence , Universal Precautions/methods
SELECTION OF CITATIONS
SEARCH DETAIL