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Infection control in the respiratory care of coronavirus disease‐19 patients with neuromuscular diseases
- Source :
- Neurology and Clinical Neuroscience
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Close contact is unavoidable in the care of patients with neuromuscular diseases (NMD). In addition, respiratory physiotherapy and noninvasive ventilation generate massive amounts of aerosols. Caring for a patient suffering from coronavirus disease‐19 raises concerns about the risk of infection not only to the caregiver and/or medical staff but also to other individuals in contact with these personnel. We reviewed the points to be noted in infection control when a patient with neuromuscular diseases receiving respiratory care is infected with COVID‐19 and summarizes the recommendation. Infected patients must be isolated in a negative‐pressure or actively ventilated room. Clear zoning separating clean and infected areas should be performed for pathogen containment. Caregivers should wear appropriate personal protective equipment and thoroughly clean their hands. Leak‐prevention measures and the use of proper respiratory circuits and filters with virus‐removal performance are crucial to reducing aerosols in noninvasive ventilation. Although respiratory physiotherapy is essential, treatment should be minimized in consideration of the infection state and sputum status, and alternative therapies such as postural drainage should be carefully considered. Infection control is distinctly obligate; however, it impairs the quality of life and activity of daily living significantly. We should implement it with enough ethical consideration, adequate explanation, and patient consent. We hope that this paper will contribute to appropriate COVID‐19 infection control in patients with neuromuscular diseases requiring respiratory care.
- Subjects :
- medicine.medical_specialty
Activities of daily living
medicine.medical_treatment
Clinical Neurology
neuromuscular diseases
Review Article
Disease
03 medical and health sciences
0302 clinical medicine
respiratory therapy
medicine
Infection control
030212 general & internal medicine
Intensive care medicine
Personal protective equipment
business.industry
Risk of infection
noninvasive ventilation
Coronavirus infections (COVID‐19)
infection control
Neurology
Sputum
Neurology (clinical)
Postural drainage
medicine.symptom
business
030217 neurology & neurosurgery
Respiratory care
Subjects
Details
- ISSN :
- 20494173
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Neurology and Clinical Neuroscience
- Accession number :
- edsair.doi.dedup.....cc1cf4c8ff54a47baff6409d80ee4e02