Medidas de prevenção da transmissão de COVID-19 para profissionais do atendimento pré-hospitalar

Autores

DOI:

https://doi.org/10.15253/2175-6783.20212262524

Palavras-chave:

Infecções por Coronavírus; Transporte de Pacientes; Equipamentos de Proteção Individual; Assistência Pré-Hospitalar.

Resumo

Objetivo: identificar medidas de prevenção da transmissão de COVID-19 para profissionais de saúde do atendimento pré-hospitalar. Métodos: revisão integrativa por meio das bases de dados LILACS e BDENF via Biblioteca Virtual em Saúde, CINAHL, MEDLINE/PubMed, Web of Science, EMBASE, Cochrane Library e SCOPUS. Resultados: foram incluídas oito publicações que apresentaram recomendações referentes ao uso de equipamentos de segurança pelos profissionais de saúde e motoristas de ambulâncias e medidas de prevenção do risco de infecção durante procedimentos aéreos invasivos em pacientes suspeitos ou contaminados de COVID-19. Conclusão: as medidas preventivas dirigidas aos profissionais do atendimento pré-hospitalar foram: uso adequado de equipamentos de proteção individual e; mudanças no manejo de pacientes suspeitos/contaminados pelo COVID-19 e em procedimentos invasivos ou no transporte desses pacientes. Além disso, é fundamental a limpeza e desinfecção das ambulâncias e seus equipamentos.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Gallasch CH, Cunha ML, Pereira LAS, Silva-Junior JS. Prevention related to the occupational exposure of health professionals workers in the COVID-19 scenario. Rev Enferm UERJ. 2020; 28:e49596. doi: http://dx.doi.org/10.12957/reuerj.2020.49596

World Health Organization. Coronavirus disease (COVID-19) Situation Report – 148 [Internet]. 2020 [cited Jan 17, 2021]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports

Santos MN, Endres LF, Marinho RC, Medeiros MM, Margoti HM, Silva MPCS, et al. Recomendações para o atendimento de pacientes suspeitos ou confirmados covid-19, pelas equipes de enfermagem de serviços de emergência (pré-hospitalar fixo e intra-hospitalar [Internet]. 2020 [cited Jan 17, 2021]. Available from: http://www.cofen.gov.br/wp-content/uploads/2020/04/RECOMENDACOES-ENFERMAGEM-200420.pdf

Chang D, Xu H, Reabaza A, Sharma L, Cruz CSD. Protecting health-care workers from subclinical coronavirus infection. Lancet. 2020; 8(3):e13. doi: https://doi.org/10.1016/S2213-2600(20)30066-7

Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci [Internet]. 2020 [cited Jan 22, 2021];12(9). Available from: https://www.nature.com/articles/s41368-020-0075-9

Centers for Disease Control and Prevention. Interim U.S. guidance for risk assessment and public health management of healthcare personnel with potential exposure in a healthcare setting to patients with Coronavirus Disease (COVID-19) [Internet]. 2020 [cited Jan 22, 2021]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html

Pan American Health Organization. Prehospital Emergency Medical Services Readiness Checklist for COVID-19 Instructive. Draft document, Version 2.3. Washington: OPAS; 2020.

Wang J, Liu F, Tan JBX, Harbarth S, Pittet D, Zingg W. Implementation of infection prevention and control in acute care hospitals in Mainland China - a systematic review. Antimicrob Resist Infect Control. 2019; 8(32). doi: https://doi.org/10.1186/s13756-019-0481-y

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005; 52(5):546-53. doi: https://doi.org/10.1111/j.1365-2648.2005.03621.x

Melnyk BM, Fineout-Overholt E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare. A guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2005.

Hart J, Tracy R, Johnston M, Brown S, Stephenson C, Kegg J, et al. Recommendations for prehospital airway management in patients with suspected COVID-19 infection. West J Emerg Med. 2020; 21(4):809-12. doi: https://doi.org/10.5811/westjem.2020.5.47540

Suppan L, Abbas M, Stuby L, Cottet P, Larribau R, Golay E, et al. Effect of an E-learning module on personal protective equipment proficiency among prehospital personnel: web-based randomized controlled trial. J Med Internet Res. 2020; 22(8):e21265. doi: https://doi.org/10.2196/21265

Jost D, Derkenne C, Kedzierewicz R, Briche F, Frattine B, Bertho K, et al. The need to adapt the rescue chain for out-of-hospital cardiac arrest during the COVID-19 pandemic: experience from the paris fire brigade basic life support and advanced life support teams. Ressucitation. 2020; 153:56-7. doi: http://dx.doi.org/10.1016/j.resuscitation.2020.06.005

Ghazali DA, Ouersighni A, Gay M, Audebault V, Pavlovsky T, Casalino R. Feedback top EMS teams to manage infected patients with COVID-19: a case series. Prehosp Disaster Med. 2020; 35(4):451-3. doi: http://doi.org/10.1017/S1049023X20000783

Yang WS, Hou SW, Lee BC, Chiang WC, Chien YC, Chen SY, et al. Taipei Azalea–Supraglottic airways (SGA) preassembled with high-efficiency particulate air (HEPA) filters to simplify prehospital airway management for patients with out-of-hospital cardiac arrests (OHCA) during Coronavirus Disease 2019 (COVID-19) pandemic. Resuscitation. 2020; 151:3-5. doi: https://doi.org/10.1016/j.resuscitation.2020.03.021

Instituto de Evaluación de Tecnologías en Salud e Investigación. Recomendaciones clínicas para el traslado de pacientes con sospecha o confirmación de enfermedad por coronavirus (COVID-19). Lima: EsSalud; 2020.

Secretaria Estadual de Saúde da Bahia (BR). Orientações para o Serviço Móvel de Urgência (SAMU 192): medidas a serem adotadas durante o atendimento aos casos suspeitos ou confirmados pelo novo Coronavirus (2019/nCoV). Salvador: CONASS SES-BA; 2020.

Marques LC, Lucca DC, Alves EO, Fernandes GCM, Nascimento KC. COVID-19: nursing care for safety in the mobile pre-hospital service. Texto Contexto Enferm. 2020; 29:e20200119. doi: https://doi.org/10.1590/1980-265x-tce-2020-0119

Cruz DALM, Pimenta CAM. Prática baseada em evidências, aplicada ao raciocínio diagnóstico. Rev Latino-am Enfermagem. 2005; 13(3):415-22. doi: http://dx.doi.org/10.1590/S0104-11692005000300017

Teter J, Millin MG, Bissell R. Hand hygiene in emergency medical services. Prehosp Emerg Care. 2015; 19(2):313-9. doi: http://doi.org/10.3109/10903127.2014.967427

Demartini K, Konzen VM, Siqueira MO, Garcia G, Jorge MSG, Batista JS, et al. Care for frontline health care workers in times of COVID-19. Rev Soc Bras Med Trop. 2020; 53:e20200358. doi: https://doi.org/10.1590/0037-8682-0358-2020

Ha JF. The covid-19 pandemic, personal protective equipment, and respirator: a narrative review. Int J Clin Pract. 2020; 74:e13578. doi: https://doi.org/10.1111/ijcp.13578

Agência Nacional de Vigilância Sanitária. Orientações para serviços de saúde: medidas de prevenção e controle que devem ser adotadas durante a assistência aos casos suspeitos ou confirmados de infecção pelo novo coronavírus (SARS-CoV-2) [Internet]. 2020 [cited Jan 22, 2021]. Available from: http://portal.anvisa.gov.br/documents/33852/271858/Nota+T%C3%A9cnica+n+04-2020+GVIMS-GGTES-ANVISA/ab598660-3de4-4f14-8e6f-b9341c196b28

European Centre for Disease Prevention and Control. Infection prevention and control for COVID-19 in healthcare settings – third update [Internet]. 2020 [cited Jan 02, 2021]. Available from: https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-and-preparedness-covid-19-healthcare-settings

Ağalar C, Öztürk Engin D. Protective measures for COVID-19 for healthcare providers and laboratory personnel. Turk J Med Sci. 2020; 50(3):578-84. doi: https://doi.org/10.3906/sag-2004-132

Terheggen U, Heiring C, Kjellberg M, Hegardt F, Kneyber M, Gente M, et al. European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients. Pediatr Res. 2020. doi: https://doi.org/10.1038/s41390-020-1050-z

Chen Y, Yang Y, Peng W, Wang H. Influence and analysis of ambulance on the containment of COVID-19 in China. Saf Sci. 2021; 139:105160. doi: https://doi.org/10.1016/j.ssci.2021.105160

Cavicchiolo ME, Doglioni N, Ventola MA, Biban P, Baraldi E, Trevisanuto D, et al. Neonatal emergency transport system during COVID-19 pandemic in the Veneto Region: proposal for standard operating procedures. Pediatr Res. 2021; 89(3):399-401. doi: http://doi.org/10.1038/s41390-020-0937-z

Araújo AF, Pereira ER, Duarte SCM, Broca PV. Pre-hospital assistance by ambulance in the context of coronavirus infections. Rev Bras Enferm. 2021; 74(Suppl 1):e20200657. doi: http://dx.doi.org/10.1590/0034-7167-2020-0657

Benger JR. Kirby K, Black S, Brett SJ, Clout M, Lazaroo MJ, et al. Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome: the AIRWAYS-2 randomized clinical trial. JAMA. 2018; 320(8):779-91. doi: https://doi.org/10.1001/jama.2018.11597

Publicado

2021-06-09

Edição

Seção

Artigos de Revisão

Como Citar

1.
Souza MS, Silva MAC, Silva DM da, Lieberenz LVA, Maia MA, Alves M. Medidas de prevenção da transmissão de COVID-19 para profissionais do atendimento pré-hospitalar. Rev Rene [Internet]. 9º de junho de 2021 [citado 13º de fevereiro de 2026];22:e62524. Disponível em: https://periodicos.ufc.br/rene/article/view/62524