Mobilization, exercise, and ambulation are potential aerosol-generating procedures, and PTs and PTAs should have access to appropriate masks when providing these interventions to patients with known or suspected COVID-19 to reduce the risk of exposure.
Taking Precautions for Mobility and Exercise as Potential Aerosol-Generating Procedures
Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19). Information for Healthcare Professionals about Coronavirus (COVID-19). https://www.cdc.gov/coronavirus/2019-nCoV/hcp/index.html.
Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19). Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html#adhere.
Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19). Discontinuation of Transmission-Based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings (Interim Guidance). https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-hospitalized-patients.html
Department of Defense. U.S. COVID-19 Practice Management Guide: Clinical Management of COVID-19, Version 3. . https://www.health.mil/Reference-Center/Technical-Documents?refVector=000000000000001&refSrc=142.
Grieble, H.G.; Colton, F.R.; Thomas, M.S., et al. Fine-particle humidifiers: source of Pseudomonas aeruginosa infections in a respiratory-disease unit. NEJM, 1970;282:531-533.
He, X., Lau, E.H.Y., Wu, P. et al. Temporal dynamics in viral shedding and transmissibility of COVID-19. Nature Medicine, 2020;26:672-675. https://doi.org/10.1038/s41591-020-0869-5.
Institute of Medicine. Strategies to Improve Cardiac Arrest Survival: A Time to Act. The National Academies Press, 2015.
Lavigne, M.C. Comparing suctioning techniques used to assist: mechanical ventilation: Protecting you and your patients. International Journal of Infection Control, 2016; v12:1-12. https://www.ijic.info/article/view/15984.
Loeb M, McGeer A, Henry B, et al. SARS among critical care nurses, Toronto. Emerging Infectious Diseases, 2004;10(2):251–255. https://wwwnc.cdc.gov/eid/article/10/2/03-0838_article.
Midgley, C.M.; Kujawski, S.A.; Wong, K.K.; et al. Clinical and Virologic Characteristics of the First 12 Patients with Coronavirus Disease 2019 (COVID-19) in the United States. (In print) Nature Medicine, 2020.
Morbidity and Mortality Weekly Report (MMWR) of the CDC. Guidelines for Environmental Infection Control in Health-Care Facilities: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. June 6, 2003; 52(RR10); 1-42. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5210a1.htm.
Pan American Health Organization. Rehabilitation considerations during the COVId-19 outbreak, 2020:15. https://iris.paho.org/handle/10665.2/52035.
Strickland, S; Rubin, B; Drescher, G; et al. AARC Clinical Practice Guideline: Effectiveness of Nonpharmacologic Airway Clearance Therapies in Hospitalized Patients. Respiratory Care, 2013;58(12):2187-2193.
Suen, L.K.P.; Guo, Y.P.; Tong, D.W.K.; et al. Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission. Antimicrobial Resistance and Infection Control, 2018;7:157. https://doi.org/10.1186/s13756-018-0433-y
Thomas, P; Baldwin, C; Bissett, B; et al. Physiotherapy management for COVID-19 in the acute hospital setting. Recommendations to guide clinical practice. Version 1.0.23 March 2020:14. Journal of Physiotherapy. https://www.wcpt.org/sites/wcpt.org/files/files/wcptnews/images/Physiotherapy_Guideline_COVID-19_FINAL.pdf.
Tran, K. Cimon, K. Severn, M. Pessoa-Silva, C..; Conly, J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One. 2012;7(4):e35797. doi:10.1371/journal.pone.0035797.
U.S. Public Health Service Commissioned Corps. Optimizing Ventilator Use during the COVID-19 Pandemic. Official Statement Issued 31 March 2020. U.S. Department of Health and Human Services. https://www.hhs.gov/sites/default/files/optimizing-ventilator-use-during-covid19-pandemic.pdf.
Wölfel, R; Corman, V.M.; Guggemos, W.; et al.. Virological assessment of hospitalized patients with COVID-2019. Nature, 2020. doi:10.1038/s41586-020-2196-x.
World Health Organization. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. Geneva: World Health Organization; 2014.https://apps.who.int/iris/bitstream/handle/10665/112656/9789241507134_eng.pdf?sequence=1.
World Health Organization. Infection Control Strategies for Specific Procedures in Health-Care Facilities: Epidemic-prone and pandemic-prone acute respiratory diseases. 2008. https://www.who.int/csr/resources/publications/WHO_HSE_EPR_2008_2.pdf.
World Health Organisation. Clinical Management of Severe Acute respiratory Infection (SARI) when COVID-19 Disease is Suspected-Interim Guidance. 13 March 2020. https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected.
Xing, Y.H.; Ni, W.; Wu, Q.; et al. Prolonged viral shedding in feces of pediatric patients with coronavirus disease 2019. Journal of Microbiology, Immunology and Infection. 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141453/pdf/main.pdf.
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