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[Respiratory and Facial Protection: Current Perspectives in the Context of the COVID-19 Pandemic].
Acta Med Port. 2020 Sep 01; 33(9):583-592.AM

Abstract

The new SARS-CoV-2 pandemic is an example of an international public health emergency, which is associated with considerable social and economic challenges. At the healthcare level there is the risk that nosocomial outbreaks can be local amplifiers. Adequate infection control practices are of critical importance, which include proper use of personal protective equipment. This equipment must be appropriate to the pathogen transmission route that, in the case of SARS-CoV-2, occurs through droplet and contact routes. The infected individual, when talking, coughing or sneezing, spreads droplets containing the virus, directly contaminating other individuals within one to two meters of distance, as well as the surrounding environment. Airborne transmission may occur when aerosol-generating procedures are performed. Concerning respiratory protection, there is currently weak evidence that the use of respirators provides better protection than surgical masks for SARS-CoV-2 or other viruses (with the exception of aerosol-generating procedures, in which case the use of a respirator is recommended). Eye protection should be guaranteed whenever there is a risk of splashes, droplets or aerosols. The use of different, or higher than necessary, level of personal protective equipment, for the transmission route of the agent, is a form of misuse and can affect its supply for situations when it is clearly indicated. The adequate provision of protective equipment, as well as training of healthcare professionals in its correct use, is highly recommended to ensure safety of care.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Peres D
Unidade de Saúde Pública. Agrupamento de Centros de Saúde do Grande Porto IV - Póvoa de Varzim/ Vila do Conde.. Vila do Conde; Comissão de Controlo de Infeção e Resistência aos Antimicrobianos. Unidade Local de Saúde de Matosinhos. Matosinhos. Portugal.
Boléo-Tomé JP
Serviço de Pneumologia. Hospital Prof. Doutor Fernando Fonseca. Amadora. Portugal.
Santos G
Departamento de Engenharia de Produto. Centro Tecnológico Têxtil e Vestuário. Vila Nova de Famalicão. Portugal.

MeSH

Air MicrobiologyBetacoronavirusBronchoscopyCOVID-19Community-Acquired InfectionsCoronavirus InfectionsCross InfectionEye Protective DevicesFaceHealth PersonnelHumansHygieneInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalIntubation, IntratrachealMasksPandemicsPersonal Protective EquipmentPneumonia, ViralSARS-CoV-2Surgical Equipment

Pub Type(s)

Journal Article
Review

Language

por

PubMed ID

32568064

Citation

Peres, David, et al. "[Respiratory and Facial Protection: Current Perspectives in the Context of the COVID-19 Pandemic]." Acta Medica Portuguesa, vol. 33, no. 9, 2020, pp. 583-592.
Peres D, Boléo-Tomé JP, Santos G. [Respiratory and Facial Protection: Current Perspectives in the Context of the COVID-19 Pandemic]. Acta Med Port. 2020;33(9):583-592.
Peres, D., Boléo-Tomé, J. P., & Santos, G. (2020). [Respiratory and Facial Protection: Current Perspectives in the Context of the COVID-19 Pandemic]. Acta Medica Portuguesa, 33(9), 583-592. https://doi.org/10.20344/amp.14108
Peres D, Boléo-Tomé JP, Santos G. [Respiratory and Facial Protection: Current Perspectives in the Context of the COVID-19 Pandemic]. Acta Med Port. 2020 Sep 1;33(9):583-592. PubMed PMID: 32568064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Respiratory and Facial Protection: Current Perspectives in the Context of the COVID-19 Pandemic]. AU - Peres,David, AU - Boléo-Tomé,José Pedro, AU - Santos,Gilda, Y1 - 2020/06/19/ PY - 2020/05/12/received PY - 2020/06/08/accepted PY - 2020/06/06/revised PY - 2020/6/23/pubmed PY - 2020/11/20/medline PY - 2020/6/23/entrez KW - COVID-19 KW - Masks KW - Personal Protective Equipment KW - Respiratory Protective Devices KW - SARS-CoV-2 SP - 583 EP - 592 JF - Acta medica portuguesa JO - Acta Med Port VL - 33 IS - 9 N2 - The new SARS-CoV-2 pandemic is an example of an international public health emergency, which is associated with considerable social and economic challenges. At the healthcare level there is the risk that nosocomial outbreaks can be local amplifiers. Adequate infection control practices are of critical importance, which include proper use of personal protective equipment. This equipment must be appropriate to the pathogen transmission route that, in the case of SARS-CoV-2, occurs through droplet and contact routes. The infected individual, when talking, coughing or sneezing, spreads droplets containing the virus, directly contaminating other individuals within one to two meters of distance, as well as the surrounding environment. Airborne transmission may occur when aerosol-generating procedures are performed. Concerning respiratory protection, there is currently weak evidence that the use of respirators provides better protection than surgical masks for SARS-CoV-2 or other viruses (with the exception of aerosol-generating procedures, in which case the use of a respirator is recommended). Eye protection should be guaranteed whenever there is a risk of splashes, droplets or aerosols. The use of different, or higher than necessary, level of personal protective equipment, for the transmission route of the agent, is a form of misuse and can affect its supply for situations when it is clearly indicated. The adequate provision of protective equipment, as well as training of healthcare professionals in its correct use, is highly recommended to ensure safety of care. SN - 1646-0758 UR - https://www.unboundmedicine.com/medline/citation/32568064/[Respiratory_and_Facial_Protection:_Current_Perspectives_in_the_Context_of_the_COVID_19_Pandemic]_ DB - PRIME DP - Unbound Medicine ER -