About: Oxygen Therapy and Risk of Infection for Health Care Workers Caring for Patients With Viral Severe Acute Respiratory Infection: A Systematic Review and Meta-analysis

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Oxygen Therapy and Risk of Infection for Health Care Workers Caring for Patients With Viral Severe Acute Respiratory Infection: A Systematic Review and Meta-analysis
Creator	Castonguay, Véronique Chauny, Jean-Marc Cossette, Sylvie Cournoyer, Alexis Daoust, Raoul Frégeau, Amélie Féral-Pierssens, Anne-Laure Garceau-Tremblay, Zoé Grand'maison, Sophie Huard, Vérilibe Leblanc, Renaud-Xavier Lessard, Justine Lonergan, Ann-Marie Marquis, Martin Martel, Valéry Paquet, Jean Piette, Éric Turcotte, Ann-Sophie
Source	Elsevier; Medline; PMC
abstract	STUDY OBJECTIVE: To synthesize the evidence regarding the infection risk associated with different modalities of oxygen therapy used in treating patients with severe acute respiratory infection. Health care workers face significant risk of infection when treating patients with a viral severe acute respiratory infection. To ensure health care worker safety and limit nosocomial transmission of such infection, it is crucial to synthesize the evidence regarding the infection risk associated with different modalities of oxygen therapy used in treating patients with severe acute respiratory infection. METHODS: MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched from January 1, 2000, to April 1, 2020, for studies describing the risk of infection associated with the modalities of oxygen therapy used for patients with severe acute respiratory infection. The study selection, data extraction, and quality assessment were performed by independent reviewers. The primary outcome measure was the infection of health care workers with a severe acute respiratory infection. Random-effect models were used to synthesize the extracted data. RESULTS: Of 22,123 citations, 50 studies were eligible for qualitative synthesis and 16 for meta-analysis. Globally, the quality of the included studies provided a very low certainty of evidence. Being exposed or performing an intubation (odds ratio 6.48; 95% confidence interval 2.90 to 14.44), bag-valve-mask ventilation (odds ratio 2.70; 95% confidence interval 1.31 to 5.36), and noninvasive ventilation (odds ratio 3.96; 95% confidence interval 2.12 to 7.40) were associated with an increased risk of infection. All modalities of oxygen therapy generate air dispersion. CONCLUSION: Most modalities of oxygen therapy are associated with an increased risk of infection and none have been demonstrated as safe. The lowest flow of oxygen should be used to maintain an adequate oxygen saturation for patients with severe acute respiratory infection, and manipulation of oxygen delivery equipment should be minimized.
has issue date	2020-08-10(xsd:dateTime)
bibo:doi	10.1016/j.annemergmed.2020.06.037
bibo:pmid	32788066
has license	no-cc
sha1sum (hex)	086fd0dfca81adc2e10768d1f54ea28be146c393
schema:url	https://doi.org/10.1016/j.annemergmed.2020.06.037
resource representing a document's title	Oxygen Therapy and Risk of Infection for Health Care Workers Caring for Patients With Viral Severe Acute Respiratory Infection: A Systematic Review and Meta-analysis
has PubMed Central identifier	PMC7415416
has PubMed identifier	32788066
schema:publication	Ann Emerg Med
resource representing a document's body	covid:086fd0dfca81adc2e10768d1f54ea28be146c393#body_text
is schema:about of	named entity 'LIMIT' named entity 'INFECTION' named entity 'SAFETY' named entity 'VIRAL' named entity 'oxygen therapy' named entity 'infection' named entity 'severe acute respiratory infection' named entity 'severe acute respiratory infection' named entity 'nasal cannula' named entity 'meta-analysis' named entity 'health care workers' named entity 'meta-analysis' named entity 'infection' named entity 'COVID' named entity 'observational studies' named entity 'meta-analyzed' named entity 'oxygen' named entity 'aerosol' named entity 'severe acute respiratory syndrome' named entity 'bag-valve-mask' named entity 'acute respiratory distress' named entity 'case reports' named entity 'severe acute respiratory infection' named entity 'aerosol' named entity 'health care workers' named entity 'oxygen therapy' named entity 'meta-analysis' named entity 'Denmark' named entity 'health care workers' named entity 'Teleman' named entity 'oxygen delivery' named entity 'nasal cannula' named entity 'respiratory infection' named entity 'meta-analysis' named entity 'health care workers' named entity 'COVID' named entity 'Nasal cannulae' named entity 'case report' named entity 'Viral' named entity 'mechanical ventilation' named entity 'odds ratio' named entity '5.56' named entity 'case series' named entity 'rapid sequence intubation' named entity 'health care worker' named entity 'high-risk' named entity 'oxygen delivery' named entity 'nosocomial' named entity 'odds ratio' named entity 'infection' named entity 'aerosols' named entity 'nasal cannula' named entity 'public health emergency of international concern' named entity 'route of transmission' named entity 'intubation' named entity 'aerosol' named entity 'health care worker' named entity 'funnel plot' named entity 'oxygen therapy' named entity 'meta-analysis' named entity 'severe acute respiratory infection' named entity 'BiPAP' named entity 'aerosols' named entity 'statistical heterogeneity'

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