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Infection Prevention & Control in the Time of COVID-19: Part 1
ESCMID eLearning. J. Rodriguez Bano, E. Tacconelli, M.Vos, A. Baller, D. Dusek, N. Mutters, A. W. Friedrich, N. Petrosillo & E. Petersen . 04/27/20; 293255
  J. Rodriguez Bano, E. Tacconelli, M.Vos, A. Baller, D. Dusek, N. Mutters, A. W. Friedrich, N. Petrosillo & E. Petersen
J. Rodriguez Bano, E. Tacconelli, M.Vos, A. Baller, D. Dusek, N. Mutters, A. W. Friedrich, N. Petrosillo & E. Petersen
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About this activity
Abstract
Summary:  Second ESCMID Webinar on COVID-19: Infection Prevention & Control in the Time of COVID-19: Part 1
Dr. Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.


This second webinar on COVID-19 shared the experiences of the guest speakers with infection prevention and control within the hospital setting.

Following a welcome message by ESCMID President, Dr. Jesús Rodríguez-Baño, Professor Evelina Tacconelli, Chair of the European Committee of Infection Control (EUCIC), gave a brief introduction on the difficulties revolving around infection control of COVID-19. Dr. Tacconelli stressed the critical nature of COVID-19 infection control, as there currently is no therapy available, and too many questions remain unanswered. Furthermore, the situation in Europe differs from region to region, so it is essential to share local experiences so hospital staff can agree on the best way to control infection in their setting.

The first section was co-moderated by Dr. Tacconelli and Dr. Davorka Dusek and began with Prof. Margreet Vos of the Erasmus Medical Centre in Rotterdam. Dr. Vos started her presentation with some basics of infection prevention at the hospital level as well as the current situation at Erasmus MC. Apart from discussing current knowledge about how the SARS-CoV2 virus is transmitted, she reviewed several papers that looked at transmission routes in the hospital setting. She concluded her section by discussing the advantages and disadvantages of individual vs. cohort rooms in the wards.

The webinar continued with Dr. April Baller of the World Health Organization, who briefly reviewed modes of SARS-CoV-2 transmission, as well as the WHO recommendations for personal protective equipment (PPE). Dr. Baller stressed the importance of the proper use of PPEs, particularly the association between contamination when removing PPEs. She continued by discussing the challenges facing health care workers during the pandemic, such as lack of evidence, inconsistent guideline recommendations, PPE shortages, IPC usage, and health care worker infections.  She concluded by reviewing numerous solutions put forth by the WHO and what will be required to move forward.

Following several questions about screening asymptomatic patients and the universal use of masks, the webinar continued to the second part, moderated by Dr. Nico Mutters and Dr. Rodríguez-Baño.

Dr. Alexander Friedrich from the University Medical Center Groningen, Netherlands, discussed SARS-CoV-2 diagnostics for infection control. During his talk, Dr. Friedrich emphasized the importance of viral cultures to understand the transmissibility of the SARS-Cov-2 virus. He continued by discussing viral transmission throughout different regions of the Netherlands and the importance of understanding the variability that exists between regions. 

Dr. Nicola Petrosillo, from Rome, Italy, gave the final section of the webinar. He discussed the controversial topics of discharging COVID-19 patients and when to cease isolation. He also addressed the issue of viral shedding, not only through the respiratory system, but also other bodily fluids and the possibility of fecal-oral transmission. Dr. Petrosillo reviewed numerous papers on the subject of viral shedding and concluded his talk by discussing the varying criteria that exist in different countries relating to the discharging of COVI-19 patients.

During the question period, there was a question about using molecular testing as a diagnostic tool to test SARS-CoV-2 viability and recommendations on screening for elective surgeries. Dr. Friedrich stated that viral cultures should be established as they are currently not utilized.  As for elective surgeries, he recommends that general screening will allow for a better understanding of the situation within a particular region. When asked about his recommendations of testing before discharging patients, Dr. Petrosillo stated that although he uses two negative nasopharyngeal swabs as a standard, he has seen patients test positive at a later date. 

The concluding remarks were given by Dr. Eskild Petersen, who underlined the necessity of protecting our Health Care Workers, being pragmatic and the need to assist people in changing their attitudes. Finally, he reiterated the statements given during the webinar about the importance of analyzing viral cultures in the control of COVID-19 infections.
This Open-Access webinar (no login required) took place on April 27 2020 18:00 - 20:00 CEST / 16:00 - 18:00 GMT and is now available for On-Demand access with slide navigation

Infection Prevention & Control in the Time of COVID-19: Part 1
​(a joint Webinar by ESCMID, EUCIC, ESGNI, EITaF, IC MJC UEMS, ID UEMS, MM UEMS)

Programme
18:00-18:05 ESCMID Welcome: Jesús Rodríguez Baño (ESCMID President)
18:05-18:10 Introduction: EUCIC: Evelina Tacconelli (EUCIC)

Moderators: Evelina Tacconelli (EUCIC), Davorka Dusek (IC MJC & ID UEMS)
18:10-18:30 Basics on Infection prevention and control in the hospital setting Margreet Vos (ESGNI)
18:30-18:50 Personal Protective Equipment (PPE) April Baller (WHO Health Emergency Program)
18:50-19:00 Q&A

Moderators: Nico Mutters (EUCIC), Jesús Rodríguez-Baño (ESCMID)
19:00-19:20 Diagnostics for Infection Control Alexander W. Friedrich (EUCIC)
19:20-19:40 Discharge criteria and cessation of isolation Nicola Petrosillo (ESCMID EITaF, IC MJC UEMS)
19:40-19:50 Q&A

​19:50-20:00 Conclusions Eskild Petersen (ESCMID EITaF)
This Open-Access webinar (no login required) took place on April 27 2020 18:00 - 20:00 CEST / 16:00 - 18:00 GMT and is now available for On-Demand access with slide navigation

Infection Prevention & Control in the Time of COVID-19: Part 1
​(a joint Webinar by ESCMID, EUCIC, ESGNI, EITaF, IC MJC UEMS, ID UEMS, MM UEMS)

Programme
18:00-18:05 ESCMID Welcome: Jesús Rodríguez Baño (ESCMID President)
18:05-18:10 Introduction: EUCIC: Evelina Tacconelli (EUCIC)

Moderators: Evelina Tacconelli (EUCIC), Davorka Dusek (IC MJC & ID UEMS)
18:10-18:30 Basics on Infection prevention and control in the hospital setting Margreet Vos (ESGNI)
18:30-18:50 Personal Protective Equipment (PPE) April Baller (WHO Health Emergency Program)
18:50-19:00 Q&A

Moderators: Nico Mutters (EUCIC), Jesús Rodríguez-Baño (ESCMID)
19:00-19:20 Diagnostics for Infection Control Alexander W. Friedrich (EUCIC)
19:20-19:40 Discharge criteria and cessation of isolation Nicola Petrosillo (ESCMID EITaF, IC MJC UEMS)
19:40-19:50 Q&A

​19:50-20:00 Conclusions Eskild Petersen (ESCMID EITaF)

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