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      Perception and practice regarding infection control measures in Radiology department during pre-COVID and COVID times—A survey among radiologists and a review of current concepts and literature

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          Abstract

          Aim:

          In this study, we aim to evaluate the perception and practice of IPC measures by Radiologists during pre-COVID and present COVID times, while conducting a thorough review of current concepts and literature, to provide a standard operating procedure (SOP) for radiology operations.

          Methods:

          This study was conducted by Department of Radiodiagnosis and Imaging, Kasturba Medical College, MAHE, Mangalore. After obtaining approval from the institutional ethics committee, and other required permissions, the Google form questionnaire was sent to 350 Radiologists via email and text during the period of May 2020. Data was collected by time-based sampling in the period of fifteen days during the end of the total lockdown time.

          Results:

          54% ( n = 152) reported never attending a training session on (Infection Prevention & Control) IPC prior to the COVID-19 outbreak. The perception regarding IPC were found to be good among radiologists as majority of the respondents were correctly able to answer questions regarding IPC. 86% ( n = 152) of the respondents believed that their knowledge on IPC has improved during the COVID-19 pandemic. However, it was revealed that majority of the respondents only started to practice appropriate contact and droplet / procedural precautions only after the COVID-19 outbreak.

          Conclusion:

          The present COVID-19 scenario coupled with the lack of knowledge and training regarding IPC amongst radiologists evident from the results of our survey, highlights the need for proper training and establishing standard operating procedures and best practices in IPC pertinent to modern radiology practice

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          Most cited references14

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          Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention

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            Origin and evolution of pathogenic coronaviruses

            Severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) are two highly transmissible and pathogenic viruses that emerged in humans at the beginning of the 21st century. Both viruses likely originated in bats, and genetically diverse coronaviruses that are related to SARS-CoV and MERS-CoV were discovered in bats worldwide. In this Review, we summarize the current knowledge on the origin and evolution of these two pathogenic coronaviruses and discuss their receptor usage; we also highlight the diversity and potential of spillover of bat-borne coronaviruses, as evidenced by the recent spillover of swine acute diarrhoea syndrome coronavirus (SADS-CoV) to pigs.
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              Epidemiology, Genetic Recombination, and Pathogenesis of Coronaviruses

              Human coronaviruses (HCoVs) were first described in the 1960s for patients with the common cold. Since then, more HCoVs have been discovered, including those that cause severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), two pathogens that, upon infection, can cause fatal respiratory disease in humans. It was recently discovered that dromedary camels in Saudi Arabia harbor three different HCoV species, including a dominant MERS HCoV lineage that was responsible for the outbreaks in the Middle East and South Korea during 2015. In this review we aim to compare and contrast the different HCoVs with regard to epidemiology and pathogenesis, in addition to the virus evolution and recombination events which have, on occasion, resulted in outbreaks amongst humans.
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                Author and article information

                Journal
                Indian J Radiol Imaging
                Indian J Radiol Imaging
                IJRI
                The Indian Journal of Radiology & Imaging
                Wolters Kluwer - Medknow (India )
                0971-3026
                1998-3808
                January 2021
                23 January 2021
                : 31
                : Suppl 1
                : S139-S147
                Affiliations
                [1]Department of Radiodiagnosis, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, India
                [1 ]Department of Community Medicine, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, India
                [2 ]Department of Microbiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, India
                Author notes
                Correspondence: Dr. Saubhagya Srivastava, Department of Radiodiagnosis, KMC Mangalore, Manipal Academy of Higher Education, Karnataka, India. E-mail: ssaubhagya.s@ 123456gmail.com
                Article
                IJRI-31-139
                10.4103/ijri.IJRI_567_20
                7996699
                33814774
                bf4a5969-c2c0-49bd-bf55-69733650c812
                Copyright: © 2021 Indian Journal of Radiology and Imaging

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 09 July 2020
                : 11 July 2020
                : 17 July 2020
                Categories
                Original Article

                Radiology & Imaging
                covid-19,empirical precautions,infection prevention and control,procedural precautions,radiology,source control,standard operating procedure,standard precautions,triage

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