Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
COVID-19 Pandemisi ve Sağlık Çalışanlarına Yönelik İzolasyon Önlemleri
COVID-19 Pandemic and Isolation Precautions for Health Workers
Aslı YILMAZa, Nigar ÜNLÜSOY DİNÇERb, Ebru EREK KAZANb
aAnkara Yıldırım Beyazıt Üniversitesi Yenimahalle Eğitim ve Araştırma Hastanesi, Ankara, TÜRKİYE
bAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Hemşirelik Esasları ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(2):384-93
doi: 10.5336/healthsci.2020-76470
Article Language: TR
Full Text
ÖZET
 Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID19)], 2019 yılının son uluslararası sağlık acil durumudur. Çin'in Wuhan kentinde ortaya çıkan bu hastalık, kısa zaman içerisinde tüm dünyada hızlıca yayılım özelliği göstererek milyonlarca insanın hasta olmasına, yüz binlerce insanın hayatını kaybetmesine neden olmuştur. Dünya Sağlık Örgütü (DSÖ) tarafından pandemi olarak ilan edilen COVID-19'un etkeni, yeni tip bir CoV olarak tanımlanan, şiddetli akut solunum sendromu-CoV-2 [severe acute respiratory syndrome-CoV-2 (SARS-CoV-2)] virüsüdür. COVID-19, CoV ailesinin sebep olduğu ilk pandemi olarak tarihe geçmiştir. COVID-19 pandemisi ile mücadele için dünyanın her yerinde SARS-CoV-2 virüsü ile ilgili araştırmalar yapılmaya başlanmıştır. Henüz tam olarak bilinmeyen bu hastalık, asemptomatik seyredebileceği gibi ağır solum yolu yetersizliğine, çoklu organ yetersizliklerine ve ölüme sebep olabilmektedir. Hastalığın görülen en yaygın semptomları ateş, nefes darlığı ve kuru öksürüktür. COVID19'un spesifik tedavisi ve aşısı olmadığından dolayı ampirik ve destekleyici tedavi yaklaşımı uygulanmaktadır. COVID-19 yayılımının kontrolü için, kişiler arası temasın azaltılması, olası ve kesin vakaların izolasyonu, kişisel koruyucu ekipmanların doğru ve etkin kullanılması büyük öneme sahiptir. Bu mücadelenin etkin bir şekilde yürütülebilmesi için ülkemizde pandemi hastaneleri kurulmuştur. Dünyadaki ve ülkemizdeki güncel veriler kullanılarak oluşturulan bu çalışma ile COVID-19 pandemisinin etiyolojisi, epidemiyolojisi, bulaşma yolları, hastalığının tanı kriterleri, klinik seyri ve tedavi yaklaşımları, hastalıktan korunmak için alınması gereken izolasyon tedbirleri, kişisel koruyucu ekipman prosedürleri ve SARS-CoV-2 virüsü ile kontaminasyon durumunda takip edilmesi gereken prosedürler tartışılarak, sağlık çalışanlarına rehberlik etmesi amaçlanmıştır.

Anahtar Kelimeler: COVID-19; SARS-CoV-2; pandemi; izolasyon
ABSTRACT
 Coronavirus disease-2019 (COVID-19) is the last international health crisis of 2019. This disease first appeared in Wuhan, China. The disease spread rapidly all over the world in a short time, causing millions of people to get sick and hundreds of thousands of people to die. It was declared as a pandemic by the World Health Organization (WHO). The cause of COVID-19 disease is severe acute respiratory syndrome-CoV-2 (SARS-CoV-2), which is defined as a new type of coronavirus. This disease has made history as the first pandemic caused by the coronavirus family. As part of combating this pandemic, researches on the SARS-CoV-2 virus have begun all over the world. This disease, which is full of unknowns, can progress asymptomatically and cause severe respiratory failures, multiple organ failures and deaths. The most common symptoms of the disease are fever, shortness of breath, and dry cough. Since there is no specific treatment and vaccine for COVID-19, empirical and supportive treatment approach is used. For the control of COVID-19 spread, it is important reducing contact between people, isolation of possible and precise cases, correct and effective use of personal protective equipment. In order to carry out this struggle effectively, pandemic hospitals have been established in our country. This article, which was created by using current data in the world and in our country. We discussed etiology, epidemiology, transmission routes, diagnostic criteria, clinical course and treatment approaches of the COVID-19 disease, isolation measures to be protected from the disease, personal protective equipment procedures and procedures to be followed in case of contamination with the SARS-CoV-2 virus to guide healthcare professionals.

Keywords: COVID-19; SARS-CoV-2; pandemic; isolation
REFERENCES:
  1. Aslan R. [Endemic diseases in history and today and COVID-19]. Göller Bölgesi Aylık Ekonomi ve Kültür Dergisi. 2020;8(85):35-41.
  2. Bogoch II, Watts A, Thomas-Bachli A, Huber C, Kraemer MUG, Khan K. Pneumonia of unknown aetiology in Wuhan, China: potential for international spread via commercial air travel. J Travel Med. 2020;27(2):taaa008. [Crossref]  [PubMed]  [PMC] 
  3. World Health Organization. Rolling updates on coronavirus disease (COVID-19). (Erişim tarihi: 04.04.2020) https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen
  4. World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report-51. (Erişim tarihi: 29.03.2020). https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10.
  5. World Health Organization. What is a pandemic? (Erişim tarihi: 04.04.2010) https://www.who.int/csr/disease/swineflu/frequently_asked_questions/pandemic/en/
  6. Yang W, Cao Q, Qin L, Wang X, Cheng Z, Pan A, et al. Clinical characteristics and imaging manifestations of the 2019 novel coronavirus disease (COVID-19): a multi-center study in Wenzhou city, Zhejiang, China. J Infect. 2020;80(4):388-93. [Crossref]  [PubMed]  [PMC] 
  7. Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020;395(10226):809-15. [Crossref]  [PubMed] 
  8. Malik YS, Sircar S, Bhat S, Sharun K, Dhama K, Dadar M, et al. Emerging novel coronavirus (2019-nCoV)-current scenario, evolutionary perspective based on genome analysis and recent developments. Vet Q. 2020;40(1):68-76. [Crossref]  [PubMed]  [PMC] 
  9. Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395(10224):565-74. [Crossref]  [PubMed] 
  10. World Health Organization. Novel coronavirus(2019-nCoV), situation report-22. (Erişim Tarihi: 01.04.2020) https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200211-sitrep-22-ncov.pdf?sfvrsn= 6d49b12
  11. T.C. Sağlık Bakanlığı. Yeni koronavirüs hastalığı (COVID-19). (Erişim tarihi: 27.04.2020) https://covid19bilgi.saglik.gov.tr/tr/
  12. World Health Organization. Q&A on coronaviruses (COVID-19). (Erişim tarihi: 29.03.2020) https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
  13. Wu D, Wu T, Liu Q, Yang Z. The SARS-CoV-2 outbreak: what we know. Int J Infect Dis. 2020;94:44-8. [Crossref]  [PubMed]  [PMC] 
  14. Lam TTY, Jia N, Zhang YW, Shum MHH, Jiang JF, Zhu HC, et al. Identification SARS-CoV-2-related coron­aviruses in Malayan pangolins. Nature. 2020;583(7815):282-5. [Crossref]  [PubMed] 
  15. van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564-7. [Crossref]  [PubMed]  [PMC] 
  16. World Health Organization. Report of the WHO-China joint mission on coronavirus disease 2019 (COVID-19). (Erişim tarihi: 28.04.2020) https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf
  17. World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report-30. (Erişim tarihi: 28.04.2020) https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200219-sitrep-30-covid-19.pdf?sfvrsn=-3346b04f_2
  18. Lauer SA, Grantz KH, Bi Q, Jones FK, Zheng Q, Meredith HR, et al. The incubation period of coronavirus disease 2019 (COVID-19) from publicly reported confirmed cases: estimation and application. Ann Intern Med. 2020;172(9);577-83. [Crossref]  [PubMed]  [PMC] 
  19. Uğraş Dikmen A, Kına HM, Özkan S, İlhan MN. [Epidemiology of COVID-19: what we learn from pandemic?]. J Biotechnol and Strategic Health Res. 2020;1(Özel Sayı):29-36.
  20. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult in patients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. [Crossref]  [PubMed] 
  21. Liu Y, Yan LM, Wan L, Xiang TX, Le A, Liu JM, et al. Viral dynamics in mild and severe cases of COVID-19. Lancet Infect Dis. 2020;20(6):656-7. [Crossref]  [PubMed] 
  22. Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z, et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med. 2020;382(12):1177-9. [Crossref]  [PubMed]  [PMC] 
  23. Liang T, ed. Handbook of COVI0-19 Preven-tion and Treatment. The First Affiliated Hospital, Zhejiang University School of Medicine. Alibaba Cloud, 2020. p.68. (Erişim tarihi: 29.03.2020). https://esge.org/documents/Handbook_of_COVID-19_Prevention_and_Treatment.pdf
  24. Brann D, Tsukahara T, Weinreb C, Logan DW, Datta SR. Non-neural expression of SARS-CoV-2 entry genes in the olfactory epithelium suggests mechanisms underlying anosmia in COVID-19 patients. bioRxiv. 2020. [Crossref] 
  25. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9. [Crossref]  [PubMed]  [PMC] 
  26. T.C. Sağlık Bakanlığı. COVID-19 (SARS-CoV-2 enfeksiyonu) rehberi. (Erişim tarihi: 04.04.2020) https://www.sanko.edu.tr/wp-content/uploads/2020/03/Saglik-Bakanligi-COVID-19-rehberi-23032020.pdf.pdf
  27. Ruan Q, Yang K, Wang W, Jiang L, Song J. Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China. Intensive Care Med. 2020;46(5):846-8. [Crossref]  [PubMed]  [PMC] 
  28. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020. [Crossref]  [PubMed] 
  29. Grasselli G, Pesenti A, Cecconi M. Critical care utilization for the COVID-19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response. JAMA. 2020. [Crossref]  [PubMed] 
  30. Onder G, Rezza G, Brusaferro S. Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. JAMA. 2020. [Crossref]  [PubMed] 
  31. Centers for Disease Control and Prevention. Morbidity and mortality weekly report (MMWR). (Erişim tarihi: 08.04.2020) https://www.cdc.gov/mmwr/
  32. World Health Organization. Director General's opening remarks at the media briefing on COVID-19 - 3 March 2020. (Erişim tarihi: 04.04.2020) https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---3-march-2020
  33. World Health Organization, Coronavirus Disease (COVID-19) Dashboard (Erişim tarihi: 11.05.2020). https://covid19.who.int/
  34. Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med. 2020;382(13):1199-207. [PubMed] 
  35. Miller A, Reandelar MJ, Fasciglione K, Roumenova V, Li Y, Otazu GH. Correlation between universal BCG vaccination policy and reduced morbidity and mortality for COVID-19: an epidemiological study. medRxiv. 2020. [Crossref] 
  36. Centers for Disease Control and Prevention. Interim guidance for implementing home care of people not requiring hospitalization for coronavirus disease 2019 (COVID-19). (Erişim tarihi: 04.04.2020) https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-home-care.html
  37. World Health Organization. Blood regulators network (BRN). (Erişim tarihi: 05.05.2020) https://www.who.int/bloodproducts/brn/2017_BRN_PositionPaper_ConvalescentPlasma.pdf?ua=1
  38. T.C. Sağlık Bakanlığı. COVID-19 immün (konvalesan) plazma tedarik ve klinik kullanım rehberi. (Erişim tarihi: 11.05.2020) https://dosyamerkez.saglik.gov.tr/Eklenti/37320,covid-19-immun-plazma-tedarik-ve-klinik-kullanim-rehberi-r1-v1pdf.pdf?0&_tag1=F8E6A66A629175DA4A99810BDF399C485F1A9375
  39. Karabacak Ü. [Prevention and Control of Infection]. Atabek Aştı T, Karadağ A, editörler. Hemşirelik Esasları-Hemşirelik Bilim ve Sanatı. 1. Basım. İstanbul: Akademi Basın ve Yayıncılık; 2012. p.413-44.
  40. Erden S, Bayrak Kahraman B, Bulut H. [Evaluation of compliance of physicians and nurses with isolation precautions in intensive care units]. Gümüşhane University Journal of Health Sciences. 2015;4(3):388-98.
  41. Ferioli M, Cisternino C, Leo V, Pisani L, Palange P, Nava S. Protecting healthcare workers from SARS-CoV-2 infection: practical indications. Eur Respir Rev. 2020;29(155):200068. [Crossref]  [PubMed]  [PMC] 
  42. World Health Organization. Advice on the use of masks in the context of COVID-19. (Erişim tarihi: 08.04.2020) https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
  43. Durmaz Akyol A. [(SARS) Severe acute respiratory syndrome]. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi. 2005;21(2):107-23.
  44. Wong TW, Lee CK, Tam W, Lau JTF, Yu TS, Lui SF, et al. Cluster of SARS among medical students exposed to single patient, Hong Kong. Emerg Infect Dis. 2004;10(2):269-76. [Crossref]  [PubMed]  [PMC] 
  45. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PloS One. 2012;7(4):e35797. [Crossref]  [PubMed]  [PMC] 
  46. World Health Organization. Steps to put on personal protective equipment (‎PPE)‎ including coverall. (Erişim tarihi: 17.05.2020) https://www.who.int/publications-detail/steps-to-put-on-personal-protective-equipment-(-ppe)-including-coverall
  47. Centers for Disease Control and Prevention. Protecting Healthcare Personnel. (Erişim adresi: 17.05.2020) https://www.cdc.gov/hai/pdfs/ppe/PPE-Sequence.pdf
  48. Centers for Disease Control and Prevention. Use personal protective equipment (PPE) when caring for patients with confirmed or suspected COVID-19. (Erişim tarihi: 17.05.2020) https://www.cdc.gov/coronavirus/2019-ncov/downloads/A_FS_HCP_COVID19_PPE_11x17.pdf
  49. World Health Organization. How to put on and take off personal protective equipment (PPE). (Erişim tarihi: 17.05.2020) https://www.who.int/csr/resources/publications/putontakeoffPPE/en/
  50. World Health Organization. Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages (Erişim tarihi:11.05.2020). https://www.who.int/publications/i/item/rational-use-of-personal-protective-equipment-for-coronavirus-disease-(covid-19)-and-considerations-during-severe-shortages
  51. Offeddu V, Yung CF, Low MSF, Tam CC. Effectiveness of masks and respirators against respiratory infections in healthcare workers: a systematic review and meta-analysis. Clin Infect Dis. 2017;65(11):1934-42. [Crossref]  [PubMed]  [PMC] 
  52. World Health Organization. Advice on the use of masks in the context of COVID-19: (Erişim tarihi: 11.05.2020) https://apps.who.int/iris/bitstream/handle/10665/331693/WHO-2019-nCov-IPC_Masks-2020.3-eng.pdf?sequence=1&isAllowed=y
  53. MacIntyre CR, Chughtai AA, Rahman B, Peng Y, Zhang Y, Seale H, et al. The efficacy of medical masks and respirators against respiratory infection in healthcare workers. Influenza Other Respir Viruses. 2017;11(6):511-7. [Crossref]  [PubMed]  [PMC] 
  54. Chughtai AA, Stelzer-Braid S, Rawlinson W, Pontivivo G, Wang Q, Pan Y, et al. Contamination by respiratory viruses on outer surface of medical masks used by hospital healthcare workers. BMC Infect Dis. 2019;19(1):491. [Crossref]  [PubMed]  [PMC] 

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5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com