Policies to Protect Healthcare Providers in Public Hospitals in Egypt Amid the First Wave Covid-19 Crisis: A Case Study

The emergence of coronavirus disease 2019 (COVID-19) pandemic in 2020 became a main public health problem among the worlds. Universally, healthcare workers were forced to face an unprecedented challenge since the outbreak COVID-19. The World Health Organization (WHO) has been trying to reduce transmission of COVID-19 between different countries by setting regulations and standards in attempt to control the transmission of infection. The protection of healthcare workers working as frontline workers for COVID-19 is a priority. To assess the occupational workplace policies to protect healthcare workers in public university hospitals in Egypt during the first wave of COVID-19, this research was conducted at a major public university hospital. These policies were crucial to protect the frontline workers from COVID-19 infection amid the first wave of COVID-19. In depth interviews were conducted to gather information about the current policies in the case study hospital. Results of this research are vital to all public hospitals which provide service a large segment of the population in Egypt. Defective implementation of the workplace policies, lack of needed managerial support, and poor communication between the administration and the healthcare workers were highlighted. The challenge of substandard infrastructure and insufficient resources in the healthcare system during the pandemic at the case study contributed to the crisis. Additionally, the absence of psychological and mental health support needed to health care workers amid the ongoing stress of COVID-19 with all the mental challenges they are facing. The findings of this research give insights to the protective workplace policies of COVID-19 for healthcare workers at the case study public hospitals and challenges in their application and different policy alternatives

Asymptomatic SARS-CoV-2 infection among healthcare workers in a non-COVID-19 teaching university hospital

Background: During the COVID-19 pandemic, most of the published reports on COVID-19 emphasized that health care workers (HCWs) get infected more than the general population representing one of the most vulnerable groups. However, that the real percentage of HCWs infected by SARS-CoV-2 in Egypt remains unknown. The researchers conducted the current study to assess seroprevalence of SARS-CoV-2 IgG among HCWs working in a hospital with no SARS-CoV-2 patients, and to identify the potential factors associated with SARS-CoV-2 IgG seropositivity.Design and Methods: The current study is a cross-sectional study carried out among 455 HCWs at Cairo University Hospital. The researchers administered a questionnaire shortly before the SARS-CoV-2 rapid test is performed using closed-ended question format to obtain information on demographic data of the study participants including age, sex, specialty, clinical information including questions about medical conditions, and. history of previous exposure with a confirmed or suspected case of COVID-19, and history of COVID-19- compatible symptoms during the previous 14 days (cough, sore throat, runny nose, fatigue, shortness of breath, fever, headache, vomiting, diarrhea, anosmia, ageusia, and chills). Results: We screened 455 HCWs for SARS-CoV-2 antibodies, 31.4% were in the high-risk group, and 68.6% in the low-risk group. The overall IgG seroprevalence was 36 (7.9%) (95% CI 5.8 to 10.8). The IgG seroprevalence was significantly higher in low-risk group 11% (35/312) versus high-risk group 0.7% (1/143), p<0.001. Conclusions: Low seropositivity rates for SARS-CoV-2 among HCWs is suggestive of lack of immunity and we are still far from herd immunity

A Randomized Control Trial Comparing Transparent Film Dressings and Conventional Occlusive Dressings for Elective Surgical Procedures

BACKGROUND: Surgical site infection is one of the major health-care-associated problems causing substantial morbidity and mortality and constituting a financial burden on hospitals as well. The wound management is one of the crucial evidence-based strategies in the reduction of surgical site infection rates AIM: To study the impact of standardisation of transparent semipermeable dressing procedure on the rate of surgical site infection in comparison with conventional dressing in clean and clean-contaminated surgeries. METHODS: The study included 100 patients who were admitted to surgical wards in Cairo university hospitals, for clean and clean-contaminated operations, in the period from February 2017 to August 2017. Immunocompromised and uncontrolled diabetic patients were excluded. Patients were randomly allocated into two groups; in the first group, patients wounds were covered using transparent semipermeable dressing, while the second group patients’ wounds were covered using conventional occlusive gauze dressing. Patients were followed up for criteria of infection every other day during the first week then at two weeks, three weeks and four weeks. RESULTS: In clean and clean-contaminated operations, the transparent dressing group showed a significantly lesser rate of surgical site infection at (2%), compared with the conventional occlusive gauze dressing group with a surgical site infection rate of (14%) (p-value of 0.02). CONCLUSION: The transparent semipermeable dressing is effective in reducing surgical site infection rate in clean and clean-contaminated operations