coronavirus disease 2019 (covid-19)

2019 年冠状病毒病 ( COVID - 19 )
  • 文章类型: Journal Article
    Wastewater-based epidemiology (WBE) provides a comprehensive real-time framework of population attitude and health status. This approach is attracting the interest of medical community and health authorities to monitor the prevalence of a virus (such as the severe acute respiratory syndrome coronavirus 2, SARS-CoV-2) among a community. Indeed, WBE is currently fine-tuning as environmental surveillance tool for coronavirus disease 2019 (COVID-19) pandemic. After a bibliometric analysis conducted to discover the research trends in WBE field, this work aimed to side-by-side compare the conventional method based on clinical testing with WBE approach. Furthermore, novel guidelines were developed to apply the WBE approach to a pandemic. The growing interest on WBE approach for COVID-19 pandemic is demonstrated by looking at the sharp increase in scientific papers published in the last years and at the ongoing studies on viral quantification methods and analytical procedures. The side-by-side comparison highlighted the ability of WBE to identify the hot-spot areas faster than the conventional approach, reducing the costs (e.g., rational use of available resources) and the gatherings at medical centers. Contrary to clinical testing, WBE has the surveillance capacity for preventing the virus resurgence, including asymptomatic contribution, and ensuring the preservation of medical staff health by avoiding the exposure to the virus infection during clinical testing. As extensively reported, the time in collecting epidemiological data is crucial for establishing the prevention and mitigation measures that are essential for curbing a pandemic. The developed guidelines can help to build a WBE system useful to control any future pandemic.
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  • 文章类型: Journal Article
    在泰国,实施了严格的预防和控制策略,以减轻2019年冠状病毒病(COVID-19)的快速传播。“新常态”指南和一系列移动健康应用程序已由医疗保健部门引入并实施,以帮助疾病控制监测和预防大范围疫情。这项研究旨在评估知识,态度,在COVID-19爆发期间,泰国人关于“新常态”指南和生活质量(QOL)的做法(KAP),并确定KA之间的关联,QOL,和实践。2021年6月7日至9月12日,在公共卫生6区18岁以上的泰国人中进行了一项在线横断面调查。在506名调查参与者中,80.3%为女性,25-59岁占65.0%。调查显示,52.2%的参与者被归类为拥有更准确的知识,58.9%被归类为有更积极的态度,80.8%被归类为对“新常态”指南有更频繁的做法,54.7%的人有较高的生活质量。在参与者中,93.7%的人同意“已经完全接种疫苗的人应该在外面戴口罩,“95.5%的人在拥挤的地方在户外戴口罩。然而,60.9%的参与者误解了有关接触者追踪和疫苗接种服务的网上申请的一些细节,44.2%的人认为这些应用程序难以使用,33.4%的人很少或从未下载或使用过这些应用程序。在逻辑回归分析中,对COVID-19的准确了解与高等教育有关,作为一名政府雇员,家庭月收入>3万泰铢,经常使用社交媒体。关于“新常态”指南和高生活质量的更积极的态度与积极的做法有关。高生活质量与年龄有关,和高等教育。在COVID-19大流行期间,提高态度和生活质量对于改善普通人群的做法也很重要。KAP中确定的重要因素对于制定有效的预防和控制计划以减轻COVID-19的传播至关重要。为了有效实施移动健康应用程序,需要做更多的工作来提高易用性和推广策略。
    In Thailand, strict prevention and control strategies have been implemented to mitigate the rapid spread of coronavirus disease 2019 (COVID-19). \"New normal\" guidelines and a series of mobile health applications have been introduced by the healthcare sector and implemented to aid the disease control monitoring and prevention of widespread outbreaks. This study aimed to assess the knowledge, attitudes, and practices (KAP) regarding \"new normal\" guidelines and quality of life (QOL) among Thai people during the COVID-19 outbreak, and to determine the association between KA, QOL, and practices. An online cross-sectional survey was conducted from 7 June to 12 September 2021 among Thai people in Public Health Region 6 aged ≥ 18 years old. Of the 506 survey participants, 80.3% were female, and 65.0% were 25-59 years old. The survey revealed that 52.2% of participants were classified as having more accurate knowledge, 58.9% were classified as having more positive attitudes, and 80.8% were classified as having more frequent practices regarding \"new normal\" guidelines, and 54.7% had high QOL. Of the participants, 93.7% agreed that \"people who have been fully vaccinated should wear a mask while outside,\" and 95.5% wore a face mask outdoors in crowded places. However, 60.9% of participants misunderstood some details regarding online applications for contact tracing and vaccination services, 44.2% felt that these applications were difficult to use, and 33.4% rarely or never downloaded or used these applications. In logistic regression analyses, accurate knowledge of COVID-19 was associated with higher education, being a government employee, monthly family income > 30,000 Thai Baht, and regular use of social media. More positive attitudes regarding \"new normal\" guidelines and high QOL were associated with positive practices. High QOL was associated with older age, and higher education. Enhancement of attitudes and QOL is also important for improving practices in the general population during the COVID-19 pandemic. Significant factors identified in KAP will be crucial for developing effective prevention and control programs to mitigate the spread of COVID-19. To implement mobile health applications effectively, more work is required to improve the ease of use and promotion strategies.
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  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)大流行对儿童的健康产生负面影响。已经制定了许多治疗COVID-19儿童的指南。现有准则的质量和建议的一致性仍然未知。因此,我们旨在系统回顾COVID-19儿童的临床实践指南(CPGs).
    我们系统地搜索了Medline,Embase,与指南相关的网站,和Google。研究和评估指南II(AGREEII)工具和医疗实践指南报告项目(正确)清单用于评估纳入指南的方法和报告质量。分别。分析了指南中建议的一致性及其支持证据。
    本研究包括20条指南。纳入指南的平均AGREEII评分和平均RIGHT报告率为37%(范围,22-62%)和52%(范围,31-89%),分别。至于方法学质量,没有准则被归类为高,一个指南(5%)中等,和19(95%)低。在报告质量方面,一项指南(5%)被评为高,12个指南(60%)中等,和七个(35%)低。在包括的准则中,使用雷德西韦的建议差异很大(建议:25%,不推荐:45%,未报告:30%),干扰素(推荐:15%,不推荐:50%,未报告:35%),糖皮质激素(推荐:50%,不推荐:20%,未报告:30%),和静脉注射免疫球蛋白(推荐:35%,不推荐:30%,未报告:35%)。这些指南都没有引用COVID-19儿童的临床试验。
    治疗COVID-19儿童指南的方法学和报告质量不高。不同准则的建议不一致。来自COVID-19儿童的支持证据非常有限。
    UNASSIGNED: The Coronavirus Disease 2019 (COVID-19) pandemic negatively affects children\'s health. Many guidelines have been developed for treating children with COVID-19. The quality of the existing guidelines and the consistency of recommendations remains unknown. Therefore, we aim to review the clinical practice guidelines (CPGs) for children with COVID-19 systematically.
    UNASSIGNED: We systematically searched Medline, Embase, guideline-related websites, and Google. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool and Reporting Items for practice Guidelines in HealThcare (RIGHT) checklist were used to evaluate the methodological and reporting quality of the included guidelines, respectively. The consistency of recommendations across the guidelines and their supporting evidence were analyzed.
    UNASSIGNED: Twenty guidelines were included in this study. The mean AGREE II score and mean RIGHT reporting rate of the included guidelines were 37% (range, 22-62%) and 52% (range, 31-89%), respectively. As for methodological quality, no guideline was classified as high, one guideline (5%) moderate, and 19 (95%) low. In terms of reporting quality, one guideline (5%) was rated as high, 12 guidelines (60%) moderate, and seven (35%) low. Among included guidelines, recommendations varied greatly in the use of remdesivir (recommend: 25%, not recommend: 45%, not report: 30%), interferon (recommend: 15%, not recommend: 50%, not report: 35%), glucocorticoids (recommend: 50%, not recommend: 20%, not report: 30%), and intravenous immune globulin (recommend: 35%, not recommend: 30%, not report: 35%). None of the guidelines cited clinical trials from children with COVID-19.
    UNASSIGNED: The methodological and reporting quality of guidelines for treating children with COVID-19 was not high. Recommendations were inconsistent across different guidelines. The supporting evidence from children with COVID-19 was very limited.
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  • 文章类型: Journal Article
    UNASSIGNED: Coronavirus disease 2019 (COVID-19) has become a constant threat to people\'s lives, bringing huge challenges to the global public health and medical service system. In order to ensure the timeliness and reliability of the recommendations in guidelines, the working group of the Rapid Advice Guidelines for Management of Children with COVID-19 decided to update the guideline to incorporate the latest evidence to guide the management of COVID-19 in children and adolescent.
    UNASSIGNED: We will update the guidelines, originally developed as a rapid advice guideline, into a standard guideline. We will follow the clinical practice guideline (CPG) update manuals of the National Institute for Health and Clinical Excellence (NICE) and the Spanish National Health System (SNHS). The updated guidelines will also follow the RIGHT (Reporting Items for Practice Guidelines in Healthcare) checklist and Checklist for the Reporting of Updated Guidelines (CheckUp).
    UNASSIGNED: Through systematic search, evaluation and grading of the best available relevant clinical evidence, combined with the experience of frontline clinical experts in the fight against the epidemic and the wishes of patients and their caretakers, we will update our previous rapid advice guidelines into a high-quality, implementable standard guidelines for the management of COVID-19 in children and adolescent.
    UNASSIGNED: The standard guideline update has been registered at the International Practice Guidelines Registry Platform (http://guidelines-registry.cn/?lang=en, registration No. IPGRP-2020CN101).
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  • 文章类型: Journal Article
    As rates of novel coronavirus disease 2019 (COVID-19) continue rising in Africa, usage of infection prevention and control (IPC) strategies by healthcare workers (HCW) is critical. We highlight a Cochrane review of qualitative evidence that explored barriers and facilitators to HCW compliance with IPC recommendations for COVID-19 and other respiratory infectious diseases. The review found various individual- and organizational- level barriers and facilitators. The findings suggest that healthcare system constraints that make it difficult for healthcare workers to implement IPC guidelines require urgent prioritisation. This will help lay the foundation for addressing the more individual-level barriers potentially discouraging HCW from implementing IPC guidelines. We draw attention to pan-African initiatives for enhancing healthcare workers\' capacity to undertake IPC measures at such a critical time.
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  • 文章类型: Journal Article
    The coronavirus disease 2019 (COVID-19) has already become a pandemic wherein the infection\'s timely diagnosis has proven beneficial to patient treatment and disease control. Nucleic acid detection has been the primary laboratory diagnostic method for the detection of SARS-CoV-2. To ensure laboratory staff safety and quality nucleic acid testing, the Chinese Society of Laboratory Medicine formulated this consensus, based on the Chinese National Recommendations and previous literature for nucleic acid detection. A working group comprises 34 hospital professionals experience with real-time polymerase chain reactions (PCR) testing for SARS-CoV-2 drafted guidance statements during online discussions. A modified Delphi methodology was used in forming a consensus among a wider group of hospital professionals with SARS-CoV-2 detection experience. Guidance statements were developed for four categories: (I) specimen type, priority, collecting, transportation and receiving; (II) nucleic acid isolation and amplification; (III) quality control; (IV) biosafety management and decontamination. The modified Delphi voting process included a total of 29 guidance statements and final agreement. Consensus was reached after two rounds of voting. Recommendations were established for the detection of SARS-CoV-2 using real time PCR testing based on evidence and group consensus. The manuscript was evaluated against The Appraisal of Guidelines for Research & Evaluation Instrument (AGREE II) and was developed to aid medical laboratory staff in the detection of the ribonucleic acid (RNA) of SARS-CoV-2.
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