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If peripheral thermometers are used they will not detect a fever in about 4 in every 10 children.
Evidencias COVID-19
Oxford COVID-19 Evidence Service.
Three reviews were found with the earliest being the 2010 RACGP review which concluded: “The digital thermometer provides the best agreement with the mercury in glass thermometer. The infrared tympanic thermometer may be a preferable option for the uncooperative patient. The liquid crystal forehead thermometer is best used at home.” In 2012, Healthcare Improvement Scotland produced a technology scoping report that found: Evidence from a range of adult and paediatric patient groups suggests ...
ver más ... 2020The only current COVID-19 specific data comparing oropharyngeal (OP) with nasopharyngeal (NP) swabs for diagnosis of COVID-19 comes from two low quality, non-peer-reviewed studies and should be ...
Evidencias COVID-19
Oxford COVID-19 Evidence Service.
In short, whilst there is data that detection rates vary by sample site (see Wang 2020) the only current COVID-19 specific data comes from two low quality, non-peer-reviewed studies and should be viewed with caution. It is not possible to accurately assess sensitivity from the existing data and there are no data to assess the diagnostic impact of combining both tests. However, the larger of the two studies we found reported oropharyngeal swabs detected the COVID-19 virus less frequently than ...
ver más ... 2020There is uncertain information on procedures for placing and removing gloves and robes to reduce contamination and increase compliance among health care staff.
Evidencias COVID-19
Cochrane - Colección Especial - Medidas de prevención y control de la infección
For donning and doffing procedures, following CDC doffing guidance, a one‐step glove and gown removal, double‐gloving, spoken instructions during doffing, and using glove disinfection may reduce contamination and increase compliance. Face‐to‐face training in PPE use may reduce errors more than folder‐based training. We need simulation studies with more participants to find out which combinations of PPE and which doffing procedure protects best.
ver más ... 2020There is uncertain information in relation to covering more body parts for a better protection from infectious diseases by exposure to contaminated body fluids in healthcare staff
Evidencias COVID-19
Cochrane - Colección Especial - Medidas de prevención y control de la infección
The use of protective equipment to cover more parts of the body could lead to further contamination of healthcare personnel. More breathable types of PPE (personal protective equipment) can lead to similar contamination, but can be associated with greater user satisfaction. Modifications to the PPE design to make it more adaptable, such as gripping tabs, can reduce the risk of contamination.
ver más ... 2020No validated tests for assessing breathlessness in an acute primary care setting.
Evidencias COVID-19
Oxford COVID-19 Evidence Service.
Pending further research, the recommendations below are based on expert opinion. A rapid survey of 50 clinicians who regularly assess patients by phone (on 20.3.20) recommended not using the Roth score (though opinions were mixed) and gave the following advice: Ask the patient to describe the problem with their breathing in their own words, and assess the ease and comfort of their speech. Ask open-ended questions and listen to whether the patient can complete their sentences. Roth Score. This ...
ver más ... 2020