PHE COVID infection control guidance updated today
You’ll likely love them or loathe them
gov.uk/government/pub…
You’ll likely love them or loathe them
gov.uk/government/pub…
High medium and low risk pathways created.
Elective surgical patients who have followed last weeks NICE guidance will enter the low risk path.
gov.uk/government/pub…
Elective surgical patients who have followed last weeks NICE guidance will enter the low risk path.
gov.uk/government/pub…
The NICE guidance means 14d self isolation is no longer routine. Rather isolation is to be from day of PCR test - which is to be up to 3d before admission
So routine isolation is max 3d but may be shorter
nice.org.uk/guidance/ng179…
So routine isolation is max 3d but may be shorter
nice.org.uk/guidance/ng179…
As an aside remember
- incubation up to 5d
- period of viable viral shedding up to 9d
-5+ 9 = 14
- most infective & most transmission (including asymptomatic) in first week
medrxiv.org/content/10.110…
- incubation up to 5d
- period of viable viral shedding up to 9d
-5+ 9 = 14
- most infective & most transmission (including asymptomatic) in first week
medrxiv.org/content/10.110…
In the high and medium risk pathways transmission based precautions (TBPs) persist with little change from current practice
gov.uk/government/pub…
gov.uk/government/pub…
In the low risk pathway TBPs are out snd standard infection control practices are relied on.
gov.uk/government/pub…
gov.uk/government/pub…
This includes for all AGPs
Which now no longer justify additional PPE
Which now no longer justify additional PPE
Of note the AGP list is unchanged and continues to conflate airway procedures with modes of ventilation
(Is manual ventilation via a FM, SGA or TT?)
Similarly for other ventilation modes
(Is manual ventilation via a FM, SGA or TT?)
Similarly for other ventilation modes
Sadly the AGP list makes no mention of SGAs
An important omission as it is the commonest airway use in anaesthesia and a matter of great discussion and controversy at present
gov.uk/government/pub…
An important omission as it is the commonest airway use in anaesthesia and a matter of great discussion and controversy at present
gov.uk/government/pub…
The new PHE guidance is predicated on the ‘declining’ rate of COVID-19 infection
The actual trend is reported by ONS here today
ons.gov.uk/peoplepopulati…
The actual trend is reported by ONS here today
ons.gov.uk/peoplepopulati…
PHE & NICE has to navigate a narrow path to promote increased healthcare/theatre throughput while ensuring our hospitals don’t admit patients carrying COVID19 who risk patient harm, HCW infection/harm and hospital outbreaks
An unenviable task.
The guidance will be debated.
An unenviable task.
The guidance will be debated.
