Cuidados enfermeros orientados a mitigar la transmisión del coronavirus en casos positivosuna revisión narrativa

  1. Pedro Ruymán Brito-Brito 1
  2. Carlos Enrique Martínez-Alberto 1
  3. Leticia Cuéllar-Pompa 2
  1. 1 Gerencia de Atención Primaria de Tenerife, Servicio Canario de la Salud, Santa Cruz de Tenerife, España
  2. 2 Departamento de Enfermería, Escuela de Enfermería de la Candelaria, Universidad de La Laguna, Santa Cruz de Tenerife, España
Journal:
Enfermería clínica

ISSN: 1130-8621

Year of publication: 2021

Issue Title: COVID-19: Recomendaciones y síntesis de evidencia ante una crisis sanitaria global

Volume: 31

Issue: 1

Pages: 68-72

Type: Article

DOI: 10.1016/J.ENFCLI.2020.05.008 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Enfermería clínica

Sustainable development goals

Abstract

Objective This review aims to map scientific evidence in nursing care aimed at controlling coronavirus infections. Method A bibliographic search was conducted in the Medline, CINAHL, Scopus and WOS main databases, with no date limit and using the keywords «transmission», «infection», «contagious», «spreads», «coronavirinae», «coronavirus», «covid19», «sarscov2», «nurses» and «nursing». Initially, 154 studies were identified and, after selecting them according to eligibility criteria, 16 were included. Results Among the main recommendations according to the available evidence are air exchange in rooms as a measure to reduce the risk of infection among patients; reinforcement of measures in intensive care units; follow-up of positive case contacts; and adequate training of professionals. Discussion and conclusions The studies included in the review addressed infection prevention and control practices by analyzing risks associated with exposure and listing actions to avoid complications in critically ill patients. Patterns of case transmission, contacts and associated factors were identified. Professional knowledge and attitudes were also studied, showing the importance of good infection control training, and of sufficient equipment and adequate infrastructure. Nurses are important vectors of spread. Although there is little evidence available on the effectiveness of care to prevent the spread of SARS-CoV-2, published studies on the prevention and control of previous outbreaks of coronavirus are of considerable value.

Bibliographic References

  • Joanna Briggs Institute [Internet]. Adelaida: Faculty of Health and Medical Sciences. The University of Adelaide; 2013 [consultado 16 Abr 2020].
  • U. Adhikari, A. Chabrelie, M. Weir, K. Boehnke, E. McKenzie, L. Ikner, et al. A case study evaluating the risk of infection from Middle Eastern Respiratory Syndrome Coronavirus (MERS-CoV) in a hospital setting through bioaerosols Risk Anal., 39 (2019), pp. 2608-2624
  • H.M. Al-Dorzi, A.S. Aldawood, R. Khan, S. Baharoon, J.D. Alchin, A.A. Matroud, et al. The critical care response to a hospital outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection: an observational study Ann Intensive Care., 6 (2016), p. 101
  • V. Lopez, K.S. Chan, Y.C. Wong Nursing care of patients with severe acute respiratory syndrome in the intensive care unit: Case reports in Hong Kong Int J Nurs Stud., 41 (2004), pp. 263-272
  • S.E. Shapiro, L.A. McCauley SARS update: winter, 2003 to 2004 AAOHN J., 52 (2004), pp. 199-203
  • B.J. Tobis Respiratory protection for Severe Acute Respiratory Syndrome (SARS) Disaster Manag Response., 1 (2003), pp. 91-92
  • S.H. Alfaraj, J.A. Al-Tawfiq, T.A. Altuwaijri, M. Alanazi, N. Alzahrani, Z.A. Memish Middle East respiratory syndrome coronavirus transmission among health care workers: Implication for infection control Am J Infect Control., 46 (2018), pp. 165-168
  • H.S. Nam, M.Y. Yeon, J.W. Park, J.Y. Hong, J.W. Son Healthcare worker infected with Middle East Respiratory Syndrome during cardiopulmonary resuscitation in Korea, 2015 Epidemiol Health., 39 (2017), p. e2017052
  • A.A. Rabaan, H.M. Alhani, A.M. Bazzi, S.H. Al-Ahmed Questionnaire-based analysis of infection prevention and control inhealthcare facilities in Saudi Arabia in regards to Middle East Respiratory Syndrome J Infect Public Health., 10 (2017), pp. 548-563
  • A.J. Alsahafi, A.C. Cheng Knowledge, attitudes and behaviours of healthcare workers in the Kingdom of Saudi Arabia to MERS Coronavirus and other emerging infectious diseases Int J Environ Res Public Health., 13 (2016), p. E1214
  • J.A. Al-Tawfiq, S. Rothwell, H.A. Mcgregor, Z.A. Khouri A multi-faceted approach of a nursing led education in response to MERS-CoV infection J Infect Public Health., 11 (2018), pp. 260-264
  • B.V. Stirling, J. Harmston, H. Alsobayel An educational programme for nursing college staff and students during a MERS- coronavirus outbreak in Saudi Arabia BMC Nurs., 14 (2015), p. 20
  • Y.H. Jin, L. Cai, Z.S. Cheng, H. Cheng, T. Deng, Y.P. Fan, et al., Zhongnan Hospital of Wuhan University Novel Coronavirus Management and Research Team, Evidence-Based Medicine Chapter of China International Exchange and Promotive Association for Medical and Health Care (CPAM) A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version) Mil Med Res., 7 (2020), p. 4
  • S. Colatrella, J.D. Clair Adapt or perish--a relentless fight for survival designing superbugs out of the intensive care unit Crit Care Nurs Q., 37 (2014), pp. 251-267
  • Y.C. Chen, L.M. Huang, C.C. Chan, C.P. Su, S.C. Chang, Y.Y. Chang, et al. SARS in hospital emergency room Emerg Infect Dis., 10 (2004), pp. 782-788
  • T.S. Lai, T. Keung Ng, W.H. Seto, L. Yam, K.I. Law, J. Chan Low prevalence of subclinical severe acute respiratory syndrome-associated coronavirus infection among hospital healthcare workers in Hong Kong Scand J Infect Dis., 37 (2005), pp. 500-503