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العنوان
Evaluation of applying infection control measures against COVID-19 as a respiratory infection in eye care units in Menoufia Governorate /
المؤلف
Elsafty, Howida Ibrahim.
هيئة الاعداد
باحث / Howida Ibrahim Elsafty
مشرف / Prof. Dr. Abla Mohamed Abd El Monem Yamany
مشرف / Dr. Ahmed Adel Salama
مشرف / Dr. Nehad Badr Abd Elaty
الموضوع
Ophthalmology.
تاريخ النشر
2024.
عدد الصفحات
110 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب العيون
تاريخ الإجازة
11/4/2024
مكان الإجازة
جامعة المنوفية - كلية الطب - طب العيون
الفهرس
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Abstract

COVID-19 is highly infectious and transmitted mainly through
respiratory droplets and contact with infected persons. Lu et al.
reported that the disease can be transmitted through the mucous
membranes, including the conjunctiva. There have been many case
reports in which many ophthalmologists were found to be infected
through routine diagnosis and treatment.
Several ophthalmic societies have formulated different
ophthalmic care plans to ensure ophthalmologist personal safety. The
most common measures advocated lowering patient attendance,
suspending elective clinical services, donning personal protective
equipment (PPE), using environmental controls, such as protective
shields (plastic) on slit lamps, and suspending proximity techniques,
such as direct ophthalmoscopy.
With this background we designed this study to evaluate
applying infection control measures against covid19 as a respiratory
infection in Eye care unites in Menoufia Governorate using a
validated infection control measures questionnaire.
Our cross sectional study with convenience sampling technique
was conducted on 139 ophthalmology workers from February to April
2022 through personal interview and online questionnaire.
Four questionnaire were used and they involved questions about:
2- Responders socio-demographic data.
3- Infection control measures in clinics.
4- Infection control measures in operating rooms.
5- Infection control measures in hospitals wards.
The study included 85 doctors and 54 nurses working in
ophthalmic department 72.7% in ministry of health and 27.3% in
university hospital. Most of them were working less than 10 years
59.7% and 40.3 % working for more than 10 years. 77.7% of studied
group aged 20-40 years and 22.3% are 40-≥60 years old. According
gender distribution 23.7% were males and 76.3%were females. 57.6%
of the studied group were infected with COVID-19.
Regarding infection control measures used 71.9% of the studied
group were vaccinated, 56.1% limitated number of patient, 29.5%
assessed staff for fever before examination while 32.4% assessed
patients. 61.2% of patients were obligated to use mask. 69.1% of
examination rooms were well ventilated. 64.0% of studied group used
disinfectants. PPE were available only for 43.2%. 66.2% of the
studied group used clear shield on the slit lamps during examination.
61.9% rubbed hands between patients and only 30.9% disinfected slit
lamp between patients. 72.7% asked patients not to talk during
examination. Percentage of who take precautions while examining
patients without respiratory illness was 59.7 % that increased to
66.9% when examining patients with respiratory illness.
44.6% of the studied group did not investigate patients before
urgent admission while 40.3% did CT only. Before admission of
elective patients, 45.3% did not investigate patients and 35.3 did CT
only. 49.6% operating upon COVID-19 suspected or confirmed cases
and only 78.4% and 71.9% of studied group took full precautions
while operating upon suspected non suspected COVID-19 patients;
respectively.