EEG çalışmalarında viral enfeksiyon bulaşma riskini azaltma yönergeleri

Sağlık ve bilimsel araştırma faaliyetlerinde hem çalışan hem de hasta sağlığını korumak, bu faaliyetlerin kesintisiz devam edebilmesi için önem taşımaktadır. SARS-CoV-2 (COVID-19) salgını, ülkemizde ve dünyada sağlık ve araştırma faaliyetleri dahil bir çok günlük aktiviteyi aksatmaya devam etmektedir. Elektroensefalografi (EEG) çalışmaları, eğitimli bir yürütücünün, bir hasta veya katılımcı ile hazırlık ve çekim süreçleri boyunca uzun bir süreliğine yakın temasta olmasını gerektirmektedir ve bu nedenle bulaşıcı hastalıkların yayılma riskini taşımaktadır. Bu yazı, tetkik ve araştırma amaçlı EEG kullanımlarının, veri kalitesini büyük derecede etkilemeden virüs yayılma riskini asgari seviyede tutarak nasıl yürütülebileceği konusunda öneriler sunmaktadır.

Guidelines for reducing viral infection transmission in EEG studies

Protecting the wellbeing of both personnel and patient in medical and scientific activities is critical for continuing these activities uninterrupted. The SARS-CoV-2(COVID-19) pandemic continues to disrupt many daily activities including medical and scientific. Electroencephalography (EEG) requires an extensive preparation and testing period that involves a highly trained experimenter being in close physical proximity with the participant, thus contains the risk of viral infection transmission.This report proposes suggestions on how to minimize virus transmission risks in EEG research and clinical use, without major compromises in data quality.

___

  • Mackowiak PA. Prior pandemics. looking to the past for insight into the COVID-19 pandemic. Journal of Community Hospital Internal Medicine Perspectives2021; 11(2):163-170.
  • Cheng VC, Lau SK, Woo PC, Yuen KY. Severe acute respiratory syndrome coronavirus as an agent of emerging and reemerging infection. Clinical microbiology reviews 2007; 20(4): 660-694.
  • Kahn LH. Commentary: a one health approach to coronaviruses. International Journal of Epidemiology 2020; 49(3):728-730.
  • Ge XY, Li JL, Yang XL, Chmura AA, Zhu G, Epstein JH, Mazet JK, Hu B, Zhang W, Peng C, Zhang YJ. Isolation and characterization of a bat SARS-like coronavirus that uses the ACE2 receptor.Nature 2013; 503(7477): 535-538.
  • Wolfe ND, Daszak P, Kilpatrick AM, Burke DS. Bushmeat hunting, deforestation, and prediction of zoonotic disease. Emerging infectious diseases 2005; 11(12): 1822.
  • Wilder-Smith A, Teleman MD, Heng BH,Earnest A, Ling AE, Leo YS. Asymptomatic SARS coronavirus infection among healthcare workers, Singapore. Emerging infectious diseases 2005; 11(7): 1142.
  • Kissler SM, Tedijanto C, Goldstein E,Grad YH, Lipsitch M. Projecting the transmission dynamics of SARS-CoV-2 through the postpandemic period.Science 2020; 368(6493): 860-868.
  • Al-Tawfiq JA. Asymptomatic coronavirus infection: MERS-CoV and SARS-CoV-2(COVID-19). Travel medicine and infectious disease 2020; 35: 101608
  • Cohen MX. Analyzing neural time series data: theory and practice. MIT press,2014.
  • Luck SJ, Kappenman ES. The Oxford handbook of event-related potential components. Oxford university press,2011.
  • Bell MA, Cuevas K. Using EEG to study cognitive development: Issues and practices. Journal of cognition and development 2012; 13(3): 281-294.
  • Pizzagalli, DA. (2007).Electroencephalography and high-density electrophysiological source localization.In:Cacioppo, JT.; Tassinary,LG.; Berntson, GG., editors. Handbook ofpsychophysiology. 3rd ed. Cambridge,UK: Cambridge University Press; 2007.p. 56-84.
  • Sethi NK. EEG during the COVID-19 pandemic: what remains the same and what is different. Clinical Neurophysiology 2020; 131(7): 1462.
  • Byambasuren O, Cardona M, Bell K, ClarkJ, McLaws ML, Glasziou P. Estimating the extent of asymptomatic COVID-19 and its potential for community transmission:systematic review and meta-analysis.Official Journal of the Association of Medical Microbiology and Infectious Disease Canada 2020; 5(4): 223-234.
  • T.C. Sağlık Bakanlığı. Ayaktan başvuran hastalar için olası COVID-19 vaka sorgulama kılavuzu. https://covid19. saglik.gov.tr/Eklenti/37810/0/covid19-vaka-sorgulama-kilavuzu-a41pdf.pdf sayfasından 13 Aralık 2020.
  • Marmara Üniversitesi. Koronavirüs Pandemisi Riskine Karşı 14 Kural.https://dhf.marmara.edu.tr/notice/ koronavirus-pandemisi-riskine-karsi-14-kural sayfasından 13 Aralık 2020.
  • T.C. Sağlık Bakanlığı. Risk faktörü.COVID-19 bilgilendirme sayfası. https://covid19.saglik.gov.tr/TR-66506/risk- faktoru.html sayfasından 13 Aralık 2020.
  • HM Government. Working safely during COVID-19 in labs and research facilities. https://assets.publishing.service.gov.uk/media/5eb9752086650c2799a57ac5/working-safely-during-covid-19-labs-research-facilities-041120.pdf sayfasından 13 Aralık 2020.
  • Simmons AM, Luck SJ. Protocol for reducing COVID-19 transmission risk in EEG research. Research Square. 2020.
  • T.C. Sağlık Bakanlığı. Genel Bilgiler,Epidemiyoloji ve Tanı. Bilimsel Danışma Kurulu Çalışması. https:// covid19.saglik.gov.tr/Eklenti/39551/0/covid-19rehberigenelbilgilerepidemiyolojivetanipdf.pdf sayfasından 13 Aralık 2020.
  • Miller, TE, Garcia Beltran, WF, Bard,AZ, et al. Clinical sensitivity and interpretation of PCR and serological COVID-19 diagnostics for patients presenting to the hospital. The FASEB Journal 2020; 34: 13877-13884.
  • Centers for Disease Control and Prevention. Ending Home Isolation for Persons with COVID-19 Not in Healthcare Settings. https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html sayfasından 7 Haziran 2021.
  • Centers for Disease Control and Prevention. CDC Activities and Initiatives Supporting the COVID-19 Response and the President’s Plan for Opening America Up Again. https://www.cdc.gov/coronavirus/2019-ncov/ downloads/php/CDC-Activities-Initiatives-for-COVID-19-Response.pdf sayfasından 13 Aralık 2020.
  • Centers for Disease Control and Prevention. Considerations for Institutes of Higher Education. Coronavirus Disease 2019 (COVID-19). https://www.cdc.gov/coronavirus/2019-ncov/community/colleges-universities/ considerations.html sayfasından 13 Aralık 2020.
  • Rego A, Roley L. In-use barrier integrity of gloves: latex and nitrile superior to vinyl. American journal of infection control 1999; 27(5): 405-410.
  • Osha (2020). Guidance on Preparing Workplaces for COVID-19. United States of America, Department of Labor.https://www.osha.gov/Publications/OSHA3990.pdf sayfasından 13 Aralık 2020.
  • T.C. Sağlık Bakanlığı (2020). Salgın Yönetimi ve Çalışma Rehberi. Bilimsel Danışma Kurulu Çalışması. https:// covid19.saglik.gov.tr/Eklenti/39265/0/covid-19salginyonetimivecalismarehberipdf.pdf sayfasından 13 Aralık 2020.
  • Berardi A, Perinelli DR, Merchant HA,Bisharat L, Basheti IA, Bonacucina G,Cespi M, Palmieri GF. Hand sanitisers amid CoViD-19: A critical review ofalcohol-based products on the marketand formulation approaches to respond to increasing demand. International journal of pharmaceutics 2020; 584:119431.
  • Centers for Disease Control and Prevention. How to Make 0.1%Chlorine Solution. https://www.cdc. gov/coronavirus/2019-ncov/global-covid-19/make-chlorine-solution.html sayfasından 13 Aralık 2020.
  • Godoy LR, Jones AE, Anderson TN,Fisher CL, Seeley KM, Beeson EA,Zane HK, Peterson JW, Sullivan PD.Facial protection for healthcare workers during pandemics: a scoping review.BMJ global health 2020; 5(5):e002553.
  • Qian Y, Willeke K, Grinshpun SA,Donnelly J, Coffey CC. Performance of N95 respirators: filtration efficiency for airborne microbial and inert particles. American Industrial Hygiene Association Journal 1998; 59(2): 128- 132.
  • Hacettepe Üniversitesi. Tıp Fakültesi Nöroloji AD EMG Birimi Pandemi Döneminde EMG Laboratuvarında Çalışma Kılavuzu. https://www.noroloji.org.tr/TNDData/Uploads/files/hacettepe%20emg.pdf sayfasından 13 Aralık 2020.
  • Türkiye İstatistik Kurumu. Sağlık Personeli Sayısı. https://tuikweb.tuik.gov.tr/PreTablo.do?alt_id=1095 sayfasından 13 Aralık 2020.
  • Campanella S, Arikan K, Babiloni C,Balconi M, Bertollo M, Betti V, BianchiL, Brunovsky M, Buttinelli C, Comani S, Di Lorenzo G. Special Report on the Impact of the COVID-19 Pandemic on Clinical EEG and Research and Consensus Recommendations for the Safe Use of EEG. Clinical EEG andNeuroscience 2020; 52(1): 3-28.
  • T.C. Sağlık Bakanlığı. Covid-19 bilgilendirme platformu. https://covid19.saglik.gov.tr/TR-66435/ates.html 13 Aralık 2020.
  • Nevada Üniversitesi, Reno. Safety Checklist for Restarting Laboratory Operations. https://www.unr.edu/main/pdfs/verified-accessible/d i visions-offices/research-innovation/ehs/lab-safety-checklist.pdf sayfasından 13 Aralık 2020
  • Sun C, Zhai Z. The efficacy of social distance and ventilation effectiveness in preventing COVID-19 transmission.Sustainable cities and society 2020;62: 102390.
  • Centers for Disease Control and Prevention. COVID-19 critical infrastructure sector response planning. https://www.cdc.gov/coronavirus/2019-ncov/community/critical-infrastructure-sectors.html adresinden 7 Haziran 2021.
Turkish Journal of Public Health-Cover
  • Başlangıç: 2003
  • Yayıncı: Halk Sağlığı Uzmanları Derneği