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SARS-CoV-2: Sanitize a hospital

2020, European Journal of Public Health

Issue During the SARS-CoV-2 pandemic, several critical issues emerged. One of these was to identify which was the best terminal disinfection strategy for hospital rooms of a COVID-19. Description of the problem. Our University Hospital adopted ozone disinfection two years ago, recognized internationally as a 'safe gas' and is an excellent disinfectant for its characteristics of attacking and oxidizing each type of organic and inorganic compound and specifically also works against SARS-CoV-2. Results 23 ozone generators were purchased, 20 ozonizers were assigned to departments with high environmental sanitation needs, 3 ozonizers supplied to the ozonator team. For the correct use of the equipment, 200 operators were trained in a certified way. The rooms are ozonated with pre-established frequency and whenever a COVID-19 patient is cared for. The ozonation team sanitizes rooms in wards that are not equipped but that may have hosted patients with carriers. Indications have been...

v796 European Journal of Public Health, Volume 30 Supplement 5, 2020 age group, pH and diaper use (p > 0.05). E. coli appeared in the urine of 20.43% of the elderly, S. aureus in 8,16%; S. saprophyticus in 9,09%, 5,37% with Proteus mirabilis and Klebsiella pneumoniae. Conclusions: Collaborative and integrated actions are needed to facilitate the recognition and clinical management of UTI in elderly patients, which are responsibility of Federal Government social programs in partnership with states and municipalities. Key messages:  Elderly patients need regular monitoring.  Elderly people in nursing homes need to be served by government programs. Francesco De Caro F De Caro1,3, G Moccia1, A Borrelli2, A Annecchiarico3, G Cioffi2, A Campanella2, O Motta1,3, V Caputo2, G Boccia1,3, M Capunzo1,3 1 Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Italy 2 University Hospital, Salerno, Italy 3 Department of Hygiene and Valutative Medicine, University Hospital, Salerno, Italy Contact: [email protected] Issue: During the SARS-CoV-2 pandemic, several critical issues emerged. One of these was to identify which was the best terminal disinfection strategy for hospital rooms of a COVID19. Description of the problem. Our University Hospital adopted ozone disinfection two years ago, recognized internationally as a ’safe gas’ and is an excellent disinfectant for its characteristics of attacking and oxidizing each type of organic and inorganic compound and specifically also works against SARS-CoV-2. Results: 23 ozone generators were purchased, 20 ozonizers were assigned to departments with high environmental sanitation needs, 3 ozonizers supplied to the ozonator team. For the correct use of the equipment, 200 operators were trained in a certified way. The rooms are ozonated with pre-established frequency and whenever a COVID-19 patient is cared for. The ozonation team sanitizes rooms in wards that are not equipped but that may have hosted patients with carriers. Indications have been given in all the wards to create the ozonation room, that can be used as an ozone disinfection chamber, where it is possible to place garrisons and furnishings, even large-sized, that cannot be disinfected in other ways (in addition to sanitization with hypochlorite). The team also provides for the ozonation of ambulances with a predetermined periodicity or in the case of transport of patient carrying SARS-CoV-2. All activities are monitored with a special traceability card. Lessons: Terminal disinfection of environments that have hosted patients with COVID-19. Terminal disinfection of the devices used on patients with COVID-19. Increased safety for operators carrying out environmental sanitation. Key messages:  Fight SARS-COV-2 with ozone.  Disinfecting with ozone is safety for everyone. A participatory and systemic training approach for IPC improvement in Nigerian health facilities Ute Zocher U Zocher2, TJ Okwor3, C Dan-Nwafor3, D Yahya3, O Ita Ita3, M Saleh4, A Ogunniyi3, C Ihekweazu3, G Poggensee1 1 Centre for International Health, Robert Koch-Institute, Berlin, Germany 2 Independent Consultant, Heidelberg, Germany 3 Nigeria Centre for Disease Control, Abuja, Nigeria 4 Country Office Nigeria, Centres for Disease Control and Prevention, Abuja, Nigeria Contact: [email protected] Risk factors for sharps injuries and the prevalence of blood borne infections among paramedics Maria Gańczak M Gańczak1, K Topczewska2, M Korzen3 1 Department of Infectious Diseases, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland 2 Pomeranian Medical University, Szczecin, Poland 3 Department of Methods of Artificial Intelligence, West Pomeranian University of Technology, Szczecin, Poland Contact: [email protected] Background: Although paramedics constitute a group of medical professionals continually at risk for sharps injuries (SI), possibly resulting in occupationally acquired bloodborne infections (BBI), data on blood exposures in this group are rather scant. Objectives: To assess the incidence and selected risk factors for SI and to estimate the prevalence of BBI among paramedics. Methods: An anonymous cross-sectional serosurvey, with ELISA system used to detect anti-HBc/anti-HCV/anti-HIV, was conducted among paramedics from 10 randomly selected ambulance stations in West Pomerania, Poland, between December 2018October 2019. Knowledge about infection-control procedures was assessed with the use of 10 multiple choice questions. Results: Response rate: 93%. Among 286 participants (76.5% males, Me age 37 years, Me length of practice 14 years) 19.6% sustained  1 SI in the preceding year (Me = 6.0, range 1-100); Downloaded from https://academic.oup.com/eurpub/article/30/Supplement_5/ckaa166.716/5913559 by guest on 13 March 2021 SARS-CoV-2: Sanitize a hospital Background: Health care-associated infections (HAI) are one of the most common adverse events in care delivery and a major public health problem. A large percentage of HAI in hospitals are preventable through effective infection prevention and control (IPC) measures. IPC trainings for health care personnel based only on technical content do not lead to sustainable improvement of IPC standard precautions. To address this problem, the Nigeria Centre for Disease Control (NCDC) in collaboration with the Robert Koch Institute (RKI) developed a multimodal training approach to facilitate the transfer of IPC competences into working routine in Nigerian health facilities. Objectives: The training should foster the ability of health care workers to act and communicate participatory, analyze IPC problems systemically and to develop and perform tailored IPC activities in their health facilities. It should empower health care workers to initiate and promote sustainable IPC improvement locally. Results: We developed a participatory training approach which focusses on the relational and organizational dimension of IPC. It addresses the human and infrastructural factors for IPC compliance in daily working routine. A variety of training methods offers practice tools in communication, systemic thinking and team work, and allows experiencing a participatory attitude. The training program consists of two face to face workshops and an interjacent field project. 28 Health care workers of 14 health facilities in Lagos State participated the first implementation of the training program in 2018. The training evaluation showed the high relevance of the training to the HCW. The field projects showed that the participants could apply the participatory approach for IPC improvement. Conclusions: A participatory and systemic approach for IPC trainings enables health care workers to take action for IPC improvement locally. Key messages:  We developed and implemented a participatory training approach that addresses the relational and organizational dimension of IPC.  Health care workers took tailored actions for IPC improvement locally.