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Impact of COVID-19 Pandemic on Neurosurgical Practice in India: A Survey on Personal Protective Equipment Usage, Testing, and Perceptions on Disease Transmission.
Neurol India. 2020 Sep-Oct; 68(5):1133-1138.NI

Abstract

Background

There is a significant knowledge gap and anxiety among health care workers (HCWs) including neurosurgeons regarding in-hospital disease transmission and use of personal protective equipment (PPE) during the ensuing COVID-19 pandemic.

Objective

To assess present practice and perceptions among Indian neurosurgeons with respect to type of surgeries performed, PPE usage and SARS-CoV-2 testing.

Materials and Methods

A 12-item questionnaire on surgeries performed in the 6 weeks prior to the survey date, PPE usage, and preoperative SARS-CoV-2 testing was circulated electronically to Indian neurosurgeons from May 12, 2020 to May 31, 2020 and their responses analyzed.

Results

Two hundred forty-four neurosurgeons (237 males) participated in the survey; of whom, 230 had performed surgeries during the pandemic period. In total, 84.3% of respondents were performing semiemergency or emergency procedures only. N95 masks were utilized by only 83% of the respondents (n = 230) while performing surgical procedures. Only 40.9% of the respondents were satisfied regarding adequacy of available PPE. Preoperative SARS-CoV2 testing as well as testing of all asymptomatic patients prior to admission into ward/intensive care unit was perceived to be beneficial in reducing transmission risk by more than 85% respondents. More than 90% respondents felt that HCWs including neurosurgeons were at risk of acquiring infection through an outpatient consultation from an asymptomatic individual.

Conclusions

Access to and utilization of appropriate PPE was lacking among the one-fifth of neurosurgeons who participated in this survey. To gain the confidence of neurosurgeons, hospitals should address their concerns regarding PPE and testing of patients prior to surgery and admission to the hospital.

Authors+Show Affiliations

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33109863

Citation

Moorthy, Ranjith K., and Vedantam Rajshekhar. "Impact of COVID-19 Pandemic On Neurosurgical Practice in India: a Survey On Personal Protective Equipment Usage, Testing, and Perceptions On Disease Transmission." Neurology India, vol. 68, no. 5, 2020, pp. 1133-1138.
Moorthy RK, Rajshekhar V. Impact of COVID-19 Pandemic on Neurosurgical Practice in India: A Survey on Personal Protective Equipment Usage, Testing, and Perceptions on Disease Transmission. Neurol India. 2020;68(5):1133-1138.
Moorthy, R. K., & Rajshekhar, V. (2020). Impact of COVID-19 Pandemic on Neurosurgical Practice in India: A Survey on Personal Protective Equipment Usage, Testing, and Perceptions on Disease Transmission. Neurology India, 68(5), 1133-1138. https://doi.org/10.4103/0028-3886.299173
Moorthy RK, Rajshekhar V. Impact of COVID-19 Pandemic On Neurosurgical Practice in India: a Survey On Personal Protective Equipment Usage, Testing, and Perceptions On Disease Transmission. Neurol India. 2020 Sep-Oct;68(5):1133-1138. PubMed PMID: 33109863.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of COVID-19 Pandemic on Neurosurgical Practice in India: A Survey on Personal Protective Equipment Usage, Testing, and Perceptions on Disease Transmission. AU - Moorthy,Ranjith K, AU - Rajshekhar,Vedantam, PY - 2020/10/28/entrez PY - 2020/10/29/pubmed PY - 2020/11/6/medline KW - Asymptomatic screening KW - COVID-19 pandemic KW - SARS-CoV-2 testing KW - neurosurgery KW - personal protective equipment SP - 1133 EP - 1138 JF - Neurology India JO - Neurol India VL - 68 IS - 5 N2 - Background: There is a significant knowledge gap and anxiety among health care workers (HCWs) including neurosurgeons regarding in-hospital disease transmission and use of personal protective equipment (PPE) during the ensuing COVID-19 pandemic. Objective: To assess present practice and perceptions among Indian neurosurgeons with respect to type of surgeries performed, PPE usage and SARS-CoV-2 testing. Materials and Methods: A 12-item questionnaire on surgeries performed in the 6 weeks prior to the survey date, PPE usage, and preoperative SARS-CoV-2 testing was circulated electronically to Indian neurosurgeons from May 12, 2020 to May 31, 2020 and their responses analyzed. Results: Two hundred forty-four neurosurgeons (237 males) participated in the survey; of whom, 230 had performed surgeries during the pandemic period. In total, 84.3% of respondents were performing semiemergency or emergency procedures only. N95 masks were utilized by only 83% of the respondents (n = 230) while performing surgical procedures. Only 40.9% of the respondents were satisfied regarding adequacy of available PPE. Preoperative SARS-CoV2 testing as well as testing of all asymptomatic patients prior to admission into ward/intensive care unit was perceived to be beneficial in reducing transmission risk by more than 85% respondents. More than 90% respondents felt that HCWs including neurosurgeons were at risk of acquiring infection through an outpatient consultation from an asymptomatic individual. Conclusions: Access to and utilization of appropriate PPE was lacking among the one-fifth of neurosurgeons who participated in this survey. To gain the confidence of neurosurgeons, hospitals should address their concerns regarding PPE and testing of patients prior to surgery and admission to the hospital. SN - 1998-4022 UR - https://www.unboundmedicine.com/medline/citation/33109863/Impact_of_COVID_19_Pandemic_on_Neurosurgical_Practice_in_India:_A_Survey_on_Personal_Protective_Equipment_Usage_Testing_and_Perceptions_on_Disease_Transmission_ L2 - http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2020;volume=68;issue=5;spage=1133;epage=1138;aulast=Moorthy DB - PRIME DP - Unbound Medicine ER -