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Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic

BACKGROUND: The coronavirus disease-2019 (COVID-19) pandemic has brought about a change in healthcare practices that are likely to persist into the foreseeable future. In particular, is the exposure risk to the healthcare practitioners in the emergency department (ED) and the intensive care units. M...

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Autores principales: Balakrishnan, Jayaraj Mymbilly, Sirur, Freston Marc, Prakash, Nayan, Bhat, Rachana, Wilson, William, Angadi, Bharath, Asanar, Sanjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9492750/
https://www.ncbi.nlm.nih.gov/pubmed/36213704
http://dx.doi.org/10.5005/jp-journals-10071-24307
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author Balakrishnan, Jayaraj Mymbilly
Sirur, Freston Marc
Prakash, Nayan
Bhat, Rachana
Wilson, William
Angadi, Bharath
Asanar, Sanjan
author_facet Balakrishnan, Jayaraj Mymbilly
Sirur, Freston Marc
Prakash, Nayan
Bhat, Rachana
Wilson, William
Angadi, Bharath
Asanar, Sanjan
author_sort Balakrishnan, Jayaraj Mymbilly
collection PubMed
description BACKGROUND: The coronavirus disease-2019 (COVID-19) pandemic has brought about a change in healthcare practices that are likely to persist into the foreseeable future. In particular, is the exposure risk to the healthcare practitioners in the emergency department (ED) and the intensive care units. Mitigating this issue in a low-resource setting remains challenging, and in particular, in developing nations such as India, where ED patient flows can overwhelm a system and its human resources, breaking down processes and infecting healthcare workers (HCWs). TECHNIQUE: To tackle this and the possible lack of appropriate personal protective equipment (PPE), we designed and built biosafety barrier devices using local resources for use in patient stabilization, transport, and continued care in the ED or the intensive care units. RESULTS: Four biosafety devices bio-safe levels 1 and 2, ultra-ductile portable interface of interventions in infections, and tented transport trolley for transmissibility (4T) were tested for the feasibility of usage for patient care during the pandemic with simulation. CONCLUSION: We anticipate that with time it may be common practice for in situ isolation of patients in the emergency departments with a suspicion of an infectious disease. With the proof of concept, simulation, hospital infection control committee (HICC) approval, and trial run, we look to close the gaps that exist in these initial innovations. HOW TO CITE THIS ARTICLE: Balakrishnan JM, Sirur FM, Prakash N, Bhat R, Wilson W, Angadi B, et al. Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic. Indian J Crit Care Med 2022;26(9):1036–1038.
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spelling pubmed-94927502022-10-07 Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic Balakrishnan, Jayaraj Mymbilly Sirur, Freston Marc Prakash, Nayan Bhat, Rachana Wilson, William Angadi, Bharath Asanar, Sanjan Indian J Crit Care Med Clinical Technique BACKGROUND: The coronavirus disease-2019 (COVID-19) pandemic has brought about a change in healthcare practices that are likely to persist into the foreseeable future. In particular, is the exposure risk to the healthcare practitioners in the emergency department (ED) and the intensive care units. Mitigating this issue in a low-resource setting remains challenging, and in particular, in developing nations such as India, where ED patient flows can overwhelm a system and its human resources, breaking down processes and infecting healthcare workers (HCWs). TECHNIQUE: To tackle this and the possible lack of appropriate personal protective equipment (PPE), we designed and built biosafety barrier devices using local resources for use in patient stabilization, transport, and continued care in the ED or the intensive care units. RESULTS: Four biosafety devices bio-safe levels 1 and 2, ultra-ductile portable interface of interventions in infections, and tented transport trolley for transmissibility (4T) were tested for the feasibility of usage for patient care during the pandemic with simulation. CONCLUSION: We anticipate that with time it may be common practice for in situ isolation of patients in the emergency departments with a suspicion of an infectious disease. With the proof of concept, simulation, hospital infection control committee (HICC) approval, and trial run, we look to close the gaps that exist in these initial innovations. HOW TO CITE THIS ARTICLE: Balakrishnan JM, Sirur FM, Prakash N, Bhat R, Wilson W, Angadi B, et al. Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic. Indian J Crit Care Med 2022;26(9):1036–1038. Jaypee Brothers Medical Publishers 2022-09 /pmc/articles/PMC9492750/ /pubmed/36213704 http://dx.doi.org/10.5005/jp-journals-10071-24307 Text en Copyright © 2022; The Author(s). https://creativecommons.org/licenses/by-nc/4.0/© The Author(s). 2022 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated.
spellingShingle Clinical Technique
Balakrishnan, Jayaraj Mymbilly
Sirur, Freston Marc
Prakash, Nayan
Bhat, Rachana
Wilson, William
Angadi, Bharath
Asanar, Sanjan
Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic
title Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic
title_full Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic
title_fullStr Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic
title_full_unstemmed Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic
title_short Portable Biosafety Barrier Innovations to Limit Transmissibility of Infectious Diseases during Patient Care in Resource-limited Settings during the COVID-19 Pandemic
title_sort portable biosafety barrier innovations to limit transmissibility of infectious diseases during patient care in resource-limited settings during the covid-19 pandemic
topic Clinical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9492750/
https://www.ncbi.nlm.nih.gov/pubmed/36213704
http://dx.doi.org/10.5005/jp-journals-10071-24307
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