{"id":973,"date":"2020-07-03T15:00:31","date_gmt":"2020-07-03T18:00:31","guid":{"rendered":"http:\/\/pressreleases.scielo.org\/en\/?p=973"},"modified":"2023-03-28T13:13:12","modified_gmt":"2023-03-28T16:13:12","slug":"health-professionals-fighting-covid-19-in-hospitals-and-risking-their-health-and-life-to-care-of-infected-patients","status":"publish","type":"post","link":"https:\/\/pressreleases.scielo.org\/en\/2020\/07\/03\/health-professionals-fighting-covid-19-in-hospitals-and-risking-their-health-and-life-to-care-of-infected-patients\/","title":{"rendered":"Health professionals fighting COVID-19 in hospitals and risking their health and life to care of infected patients"},"content":{"rendered":"<p><strong>By Eduardo Alexandrino Servolo Medeiros, Associated professor, Escola Paulista de Medicina (Unifesp), Hospital S\u00e3o Paulo, CCIH, Discipline of Infectious Disease, and Researcher, Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico \u2013 CNPq, S\u00e3o Paulo, SP, Brazil<\/strong><\/p>\n<p><a href=\"http:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2018\/06\/ape.png\" target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-394 size-medium\" src=\"http:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2018\/06\/ape-300x141.png\" alt=\"\" width=\"300\" height=\"141\" srcset=\"https:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2018\/06\/ape-300x141.png 300w, https:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2018\/06\/ape-150x71.png 150w, https:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2018\/06\/ape.png 350w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>The editorial \u201cHealth professionals fight against COVID-19\u201d published in <em>Acta Paulista de Enfermagem<\/em> (vol. 33) discusses the main challenges of health professional in the care for patients with COVID-19. The editorial aimed to shed light on risk that health workers are exposed in day-by-day, fighting coronavirus pandemic, and how Brazilian hospital are guaranteeing the safety and quality of care.<\/p>\n<p>In Brazil, thousands of nurses, physicians, and physiotherapists are leaving their positions due to COVID-19 infection. Frontline health professionals have demonstrated physical and mental exhaustion, anxiety for losing a patient and a colleague, and also for the risk of infection and possibility of passing the infection to their family.<\/p>\n<p>As the pandemic grows, the adequate access to personal protective equipment (PPE) for health professionals is a constant concern. The scarcity of PPEs is being observed in a number of Brazilian facilities as well as in many countries. The provision of PPEs in health institutions must be a state policy, and governments must mobilize the national industry to respond to this challenge. Unfortunately, this is not what we have been seen, costs of PPEs, especially disposable aprons and facemasks, have been significant inflated in association with disruptions in the supply.<\/p>\n<div id=\"attachment_975\" style=\"width: 1010px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2020\/07\/ape-vol33.jpg\" target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-975\" class=\"wp-image-975 size-full\" src=\"http:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2020\/07\/ape-vol33.jpg\" alt=\"\" width=\"1000\" height=\"482\" srcset=\"https:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2020\/07\/ape-vol33.jpg 1000w, https:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2020\/07\/ape-vol33-300x145.jpg 300w, https:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2020\/07\/ape-vol33-768x370.jpg 768w, https:\/\/pressreleases.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2020\/07\/ape-vol33-150x72.jpg 150w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/a><p id=\"caption-attachment-975\" class=\"wp-caption-text\"><em>Image: Eduardo Alexandrino Servolo Medeiros, 2020.<\/em><\/p><\/div>\n<p>COVID-19 also show the social inequalities in Brazil. The pandemic emerged in wealthy neighborhoods but the number of cases in low-income neighborhoods is rapidly growing, like the capital of Sao Paulo, Brazil, where poor urban areas show a higher number of deaths. Other factor that could be not forgotten is that many health care workers leave in poor urban areas of cities, and a new infection wave will certainly reach hospitals and this may restrict many health care workers from practicing. Before the time that a successful vaccine is made available for the public at large, health professionals should be actively within communities where they live by providing information, instructions and reinforcing social isolation.<\/p>\n<p>The main challenges for hospitals, such as the Hospital Sao Paulo of the Federal University of Sao Paulo (UNIFESP), are to reorganize the care provided, to increase the number of beds in the intensive care units, to guarantee adequate supplying of PPEs, particularly facemasks to all, and to have adequate number of trained professionals available for the safety and quality of care. Next steps suggested by researchers to Hospital Sao Paulo are testing of health professionals, providing rapid diagnosis to all professionals, and guaranteeing medical and psychological care for all those who need them, in addition to create new care circuit to avoid infection transmission both for health professionals and patients hospitalized due to other causes.<\/p>\n<p>Teaching hospitals should prioritize research funding to advance understanding of the many facets of this disease. Health care providers should improve communication among multidisciplinary teams, empathy, and continuous self-education to face this major historical challenge.<\/p>\n<h3>To read the article, visit<\/h3>\n<p>MEDEIROS, E.A.S. Health professionals fight against COVID-19. <em>Acta paul. enferm<\/em>. [online]. 2020, vol. 33, e-EDT20200003, ISSN: 1982-0194 [viewed 03 July 2020]. DOI: <a href=\"https:\/\/doi.org\/10.37689\/acta-ape\/2020edt0003\" target=\"_blank\" rel=\"noopener noreferrer\">10.37689\/acta-ape\/2020edt0003<\/a>. Available from: <a href=\"http:\/\/ref.scielo.org\/htp754\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/ref.scielo.org\/htp754<\/a><\/p>\n<h3>External links<\/h3>\n<p>Acta Paulista de Enfermagem \u2013 APE: &lt;<a href=\"http:\/\/www.scielo.br\/ape\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.scielo.br\/ape<\/a>&gt;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The paper discusses the challenge faced by health professionals delivering care to patients with COVID-19, and who are at high risk for infection. The adequate use of personal protective equipment reduces the risk, however, there is a need to have adequate provision of these protective materials available, and also trained professionals who can use them.  <span class=\"ellipsis\">&hellip;<\/span> <span class=\"more-link-wrap\"><a href=\"https:\/\/pressreleases.scielo.org\/en\/2020\/07\/03\/health-professionals-fighting-covid-19-in-hospitals-and-risking-their-health-and-life-to-care-of-infected-patients\/\" class=\"more-link\"><span>Read More &rarr;<\/span><\/a><\/span><\/p>\n","protected":false},"author":396,"featured_media":974,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[13,8,12],"tags":[14,194],"class_list":["post-973","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ape","category-health-sciences","category-press-releases","tag-acta-paulista-de-enfermagem","tag-nursing"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/973","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/users\/396"}],"replies":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/comments?post=973"}],"version-history":[{"count":3,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/973\/revisions"}],"predecessor-version":[{"id":978,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/973\/revisions\/978"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/media\/974"}],"wp:attachment":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/media?parent=973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/categories?post=973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/tags?post=973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}