COVID-19 Update | June 23, 2020
Important Highlights

SHEA Journal Club is back and featuring write-ups of recent COVID-19 research!  Full write-ups are available here:

A study of 69 SHEA Research Network (SRN) facilities published in ICHE today, giving a 'point-in-time' snapshot of how hospitals and healthcare personnel handled emerging evidence and limited supplies during the COVID-19 pandemic in April. 
  • 40% of facilities reported their supply of respirators was "limited" to "crisis-level."
  • 68% of facilities were using strategies to extend the supply of respirators, with 52% utilizing extended use of respirators, and 48% reprocessing respirators.
  • A quarter of facilities were self-producing test components. In the "other" field in this question, 13% of facilities wrote-in that they were also self-producing PPE.
  • At least 80% of facilities reported using N95s or equivalent for COVID-suspected or confirmed patients for: intubation, bronchoscopy, extubation, ENT surgery, bag masking, ENT scopes, HFOV, induction of sputum, medication via nebulizer, NIV, and HFNO. Use of respirators versus surgical masks were split for other upper and lower airway procedures, obstetric procedures, care of pre-term babies in isolates with NIV, CABG procedures, electrocautery, endoscopy, laparoscopy, and neurosurgery.
  • 81% of facilities reported having access to in-house testing. 
  • 64% of facilities reported testing asymptomatic patients prior to certain procedures. The respondents wrote-in the procedures for which asymptomatic patients were being tested. The survey did not provide a defined list. The most common procedures for which facilities indicated they were testing asymptomatic patients were: upper airway, labor and delivery, lower airway, and sedation.
  • Facilities most commonly sought and received ethical guidance from institutions, states, and professional societies on PPE optimization strategies. 
Federal Agency News, Guidance, and Guidelines
Immunization Resources
Vaccinate with Confidence (CDC, Jun 22)
Infection Prevention and Control
Clinical Care and Treatment
Special Settings and Populations
Testing and Cases
SHEA Education and Events
SHEA Podcast: We’re All in this Together: COVID-19 Allies in Infection Prevention 

Episodes Available Now:
  • Dialysis in a Crisis with the American Society of Nephrology (ASN)
  • Anesthesiology During a Pandemic with the American Society of Anesthesiologists (ASA)
  • Knowledge Sharing with the Society for Hospital Medicine (SHM)
  • Collaborating with National Foundation for Infectious Diseases (NFID)
  • Partnering with Pharmacy with the American Society of Health-System Pharmacists (ASHP)
  • Challenges from Presentations to Diagnosis with the American College of Emergency Physicians (ACEP)
SHEA Rapid Response Podcast: COVID-19 Update: What We Know Now 
Podcast episodes will launch every Thursday. Each week's episode will include a summary of important news items, medical literature and guidelines, and a discussion around the latest and most important questions surrounding the pandemic. 
Episodes Available Now: 
  • COVID-19 Frequently Asked Questions 
  • Environment of Care & PPE
  • Surge Planning & Testing
  • Diagnostic Testing, Part 1
  • PPE: Conservation & Shortages
  • Diagnostic Testing, Part 2
  • Involving Antimicrobial Stewardship Programs
  • Advocacy around COVID-19
  • PPE: Getting Resourceful with No Resources
  • Taking Care of Yourself
  • Tracing Contacts
  • Answers to Town Hall Questions
  • Staff Policies
  • Overuse and Misuse of Antibiotics During COVID-19
  • Antibody Testing
  • NHSN Response to COVID-19
  • Reopening Ambulatory Practices
  • COVID-19 in Long-term Care Settings
  • A "Quick Implementation Guide" 7-worksheet Excel file (xls download) with self-populating worksheets to apply implementation concepts and approaches by SHEA members to individual circumstances.
  • List of guidelines and statements from other organizations for insight into stakeholders’ points-of-view. Not comprehensive; not vetted or endorsed by SHEA.  
SHEA Rapid Response Webinars 
  • Healthcare Facility Outbreak Preparedness
  • SHEA COVID-19 Town Hall 1-11
  • SHEA COVID-19 Town Hall, Round 12: Sunday, June 28 | 3:00pm ET
SHEA Podcasts - Are we meeting the needs of our members? Please fill out the short PODCAST FEEDBACK FORM to provide feedback.
Event Announcements
Webinar - Water, Sanitation & Hygiene During the COVID-19 Pandemic: Guidance for Local Jurisdictions (CDC, NACCHO)
June 24 at 12:00 PM ET
The current COVID-19 pandemic has affected communities across the United States and raised questions about how local health departments (LHDs) can ensure safe water, sanitation and hygienic conditions to protect human health. The National Association of County & City Health Officials (NACCHO), in collaboration with the Centers for Disease Control and Prevention (CDC), invites LHDs to learn more about:
  • COVID-19 transmission through drinking water and wastewater
  • COVID-19 surveillance and sewage systems
  • Reopening buildings and preventing Legionnaires’ disease outbreaks
  • Cleaning and disinfecting surfaces and hand hygiene during the COVID-19 pandemic
  • Preparing for hurricane season
Speakers: Jonathan S. Yoder, MSW, MPH, Amy E. Kirby, PhD MPH, CDR Jasen Kunz, MPH, REHS
COVID-19: Lessons Learned to Prepare for the Next Pandemic (Senate HELP Committee)
Tuesday, June 23, 2020 10:00 AM
Witnesses: William Frist, MD, Joneigh S. Khaldun, MD, MPH, FACEP, Julie L. Gerberding, MD, MPH, Governor Michael O. Leavitt
Examining the COVID-19 Nursing Home Crisis (House Ways and Means Committee)
Thursday, June 25, 2020 , 2:00pm
Witnesses: TBD
Trade Press, Journal Articles, White Papers
ICHE Coronavirus and COVID-19 Article Collection 
The editors of ICHE have created a page for on the ICHE web site for COVID-19 related articles, commentaries, and letters to the editor. All COVID-19 manuscripts in their accepted form are freely available here. Check back frequently for updates.
Shin KS, Park H-S, Lee J, Lee JK. Environmental Surface Testing for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) during Prolonged Isolation of an Asymptomatic Carrier. Infection Control & Hospital Epidemiology. 2020:1-9. doi:10.1017/ice.2020.300
News Highlights
Featured Social Media
Visitor Restrictions: Does it make sense to continue to have "COVID carve outs" for specific care situations, but limit visitors in the ICU and on the general medical units with COVID patients? ~Russell Lampen, DO
Re-testing HCW: Has anyone devised a protocol on re-testing asymptomatic positive employees after they were cleared using time based return to work? ~Rachel Guran BSN;MPH;RN;CIC
@ICHEJournal: New in ICHE: #MachineLearning learning for the prediction of #antimicrobialstewardship intervention in hospitalized patients receiving broad-spectrum agents. Full article here
@Dr_Mike_Stevens: Question for #IDtwitter/#MedTwitter: For patients hospitalized with #COVID19 with hypoxia & pneumonia where there is high concern for bacterial superinfection and no risk factors for MRSA or Pseudomonas aeruginosa what would you give empiric coverage with?
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