COVID-19

From a global health and infection prevention perspective, “normal” is what got us here—a state of poor preparedness, underfunded health departments, and neglected hospital preparedness for a pandemic.

Priya Nori, MD: “The immediate thing that the health care industry has to grapple with, even as COVID hopefully starts to settle down after the mass vaccination campaign … [will be] superbugs.”

“The COVID-19 pandemic has been a stark and painful reminder that nobody is safe until everyone is safe.”

The study states that it is “extremely unlikely” the pandemic virus occurred through a laboratory leak in Wuhan, China.

Here, we will review 3 common sterilization modalities currently in use for N95 respirator decontamination, how they work, and their strengths and limitations.

Even assuming that up to 75% of people testing positive wouldn’t follow isolation guidance, the tests would greatly curtail infection, hospitalization, and death, argue investigators. The cost to the health care system would be worth it, investigators say.

Michael L. Millenson: “The CDC will pay more attention to infections. But there’s also an asterisk here. Will Congress continue to pay attention to infections? Will the administration’s budget continue to pay attention to infections? Will the media continue to pay attention to infections?”

Beau Wangtrakuldee, PhD: “In the health care industry in general, small sizes are typically based on Caucasian males, so once you get to women who truly have smaller frames there are no products available for them.”

The heavy burden on schools to reopen with distancing has increasingly become an issue as it often prevents fully reopening full classrooms, which is complex topic and one that carries with it a lot of nuance.

The same mutation is found in the variant in Brazil but more disturbingly it is found in the New York variant.

Sharon Ward-Fore, MS, MT(ASCP), CIC: "We’ve learned the hard way that restaurants, office settings, hair salons, fitness centers, and schools have really suffered for the lack of guidance by professionals like infection preventionists."

SARS-CoV-2 is aerosolized. If a non-vaccinated person who is shedding the virus visits a vaccinated relative in a nursing home, he can easily spread the virus to all who reside in the facility.

COVID-19 outbreak hits Kentucky nursing home a week after CMS relaxes visiting restrictions.

The shape and material composition of the N95 respirators varied widely from manufacturer to manufacturer, which can result in variations in the efficacy of a particular method from one product to the next.

Investigators conclude that asymptomatic carriers increased the duration of the pandemic. Every patient should be tested for COVID-19.

Abby Basalely, MD: “The majority of children will recover from MIS-C and we see them thriving and doing well post hospitalization if they need hospitalization for the syndrome.”

The CMS update on when nursing home residents can have visitors raises grave concerns. The recommendation appears to assume that herd immunity is reached at 70%.

In CMS’ official announcement easing restrictions for visiting nursing homes, no mention was made of the year anniversary—marked today—of when the WHO officially labeled COVID-19 a global pandemic. Still, in so many words, the agency said enough is enough.

Yes, fully vaccinated people can relax some of the social distancing protocols that we’ve all been chaffing under this year. However, understand the nuances.

Difficulties in communicating with the elderly necessitate close speaking. These circumstances are a ripe atmosphere for spreading respiratory diseases. While residents were largely isolated from the broader population, their caretakers were not.

The CDC guidance states that persons past 2 weeks of their final COVID-19 vaccine dose face little risk from unmasked, non-distancing indoor visiting of unvaccinated, low-risk members from a single household.

Linda S. Estep, BS MT (ASCP), CIC: “I’ve done many hand hygiene audits in my day, I still do hand hygiene audits, when I’m in the hospitals now. If they know who you are, they scatter. They know the infection preventionists.”

There needs to be a shift from droplet precaution standards to airborne spread standards and we need to invest in the safety of our frontline workers.

The decision by Texas and other states to reopen seems to disregard the threat posed by COVID-19 variants, opponents of the move argue.

Infection prevention isn’t unique to health care, but rather representative of a bigger role within the community – it’s where health care and public health meet.

This may not be the best time to ask, “What’s next?” But…what’s next? What pathogen(s) not called COVID-19 should we be most concerned about? And where will it (they) be coming from?

Linda Spaulding RN, BC, CIC, CHEC, CHOP: “There have been 3,104,010 cases of COVID-19 among kids between the ages of zero and 20…. That means that 13.1% of all the cases of COVID-19 that we’ve seen in the US have been children.”

Twenty-six percent of people who are taking a wait-and-see approach about whether to get the COVID-19 vaccine say that they’d be more likely to get vaccinated if it involved just a single dose.

As more people become vaccinated, we will be navigating the aspects of a partially vaccinated public. This will be especially challenging as we learn more about prevention of infection and not just severe disease.

Kelly Cawcutt, MD, MS, FACP, FIDSA: “In a perfect world, vascular access teams and infection prevention teams really should be working very tightly together to optimize the practice of putting our vascular access in place.”