Τίτλος:
Transmission of Infections during Cardiopulmonary Resuscitation
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Cardiopulmonary resuscitation (CPR) is an emergency lifesaving endeavor, performed in either the hospital or outpatient settings, that significantly improves outcomes and survival rates when performed in a timely fashion. As with any other medical procedure, CPR can bear potential risks not only for the patient but also for the rescuer. Among those risks, transmission of an infectious agent has been one of the most compelling triggers of reluctance to perform CPR among providers. The concern for transmission of an infection from the resuscitated subject may impede prompt initiation and implementation of CPR, compromising survival rates and neurological outcomes of the patients. Infections during CPR can be potentially acquired through airborne, droplet, contact, or hematogenous transmission. However, only a few cases of infection transmission have been actually reported globally. In this review, we present the available epidemiological findings on transmission of different pathogens during CPR and data on reluctance of health care workers to perform CPR. We also outline the levels of personal protective equipment and other protective measures according to potential infectious hazards that providers are potentially exposed to during CPR and summarize current guidelines on protection of CPR providers from international societies and stakeholders. Copyright © 2021 American Society for Microbiology. All Rights Reserved.
Συγγραφείς:
Fragkou, P.C.
Dimopoulou, D.
Latsios, G.
Koudounis, P.
Synetos, A.
Dimopoulou, A.
Tsioufis, K.
Papaevangelou, V.
Tsiodras, S.
Περιοδικό:
Clinical Microbiology Reviews
Εκδότης:
American Society for Microbiology
Λέξεις-κλειδιά:
airborne infection; artificial ventilation; chronic hepatitis B; coronavirus disease 2019; Crimean Congo hemorrhagic fever; Cytomegalovirus; cytomegalovirus infection; defibrillation; disease transmission; Ebola hemorrhagic fever; Epstein Barr virus; health care personnel; hepatitis B; hepatitis C; Herpes simplex virus; herpes zoster; human; Human immunodeficiency virus infection; influenza; Neisseria; outpatient; rescue personnel; resuscitation; Review; risk factor; SARS coronavirus; survival rate; tuberculosis; Varicella zoster virus, Cardiopulmonary Resuscitation; Humans
DOI:
10.1128/CMR.00018-21
