Ultrasound Infection Control in Management of COVID-19


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Lung ultrasonography has shown major utility for management of COVID-19, or the Coronavirus, with respiratory involvement due to its safety, repeatability, absence of radiation, low cost and point of care use.1

During these critical times, CIVCO is here to serve you. CIVCO is a trusted partner to clinicians and ultrasound manufacturers around the world in the efforts to control the spread of infection.

The safety of patients, front-line healthcare professionals, and our employees is our first and utmost priority in this united fight against COVID-19.

Standard Precautions


The implementation of standard precautions are the minimum steps to prevent the spread of infection and protect healthcare professionals. According to the American Professionals in Infection Control (APIC), standard precautions include:7

  • Hand hygiene
  • Use of personal protective equipment (PPE)2
    • Either an N95 mask, for which one has been fit-tested, or a powered air-purifying respirator (PAPR)
    • A face shield or goggles
    • A gown
    • Gloves
  • Safe injection practices
  • Safe handling of potentially contaminated equipment or surfaces in the patient environment
  • Respiratory hygiene/cough etiquette.

Per World Health Organization guidance, the correct and consistent use of PPE also helps reduce the spread of pathogens. PPE effectiveness depends strongly on adequate and regular supplies, adequate staff training, appropriate hand hygiene, and appropriate human behavior.5

Envision

The safe handling of potentially contaminated equipment includes preventing the spread of infection when using ultrasound. Disposable covers, such as long ultrasound probe sheath covers, should be considered to reduce droplet and contact contamination of equipment and other environmental surfaces.2

  • A long sheath cover of the ultrasound unit and cable should be used to minimize contamination of the equipment.
  • Non-essential parts of the ultrasound cart may best be covered with drapes to minimize droplet exposure.

CIVCO ultrasound probe covers serve as effective viral barriers to protect against microbial migration of viruses such as SARS-CoV-24. Our covers have been tested by an independent laboratory to evaluate the barrier properties to penetration by bloodborne pathogens and are effective against human viruses 27 nanometers (nm) and larger. The SARS-CoV virus is estimated to be 60-140 nm in diameter.6

Device & Transducer Covers


Product Description Ref # Quantity per Box Length Width Couplant Sterile
CIV-Flex Covers
Handheld Wired (Device and Transducer)
610-367 12 96" 6" Tapered to 3" Sterile Gel Included Sterile
610-1119 24 96" 4 Sterile Gel Included Sterile
610-1121 24 96" 7" Sterile Gel Included Sterile

Gel & Bands


Product Description Ref # Quantity per Box Sterile
20gm Aquasonic gel packs (single use) 610-1122 4 x 100 Non-Sterile
20gm Aquasonic gel packs (single use) 610-117 48 Sterile
Elastic Bands (.63") 610-689 100 Non-Sterile

Implement Environmental Infection Control3

  • Dedicated medical equipment should be used when caring for patients with known or suspected COVID-19.
    • All non-dedicated, non-disposable medical equipment used for patient care should be cleaned and disinfected according to manufacturer’s instructions and facility policies.
  • Ensure that environmental cleaning and disinfection procedures are followed consistently and correctly.
  • Routine cleaning and disinfection procedures are appropriate for SARS-CoV-2 in healthcare settings, including those patient-care areas in which aerosol-generating procedures are performed. For example, using cleaners and water to pre-clean surfaces prior to applying an EPA-registered, hospital-grade disinfectant to frequently touched surfaces or objects for appropriate contact times as indicated on the product’s label.

Disinfecting Sprays


NOTE: Due to shortages in disinfecting wipes, CIVCO Medical Solutions suggests customers purchase disinfectant sprays and refill the spray bottles with disinfectant solution. Lint-Free Wipes are available for purchase to use with disinfectant spray.

Product Description Part # Active Ingredient EPA Registration Number Contact Time
Protex disinfectant spray, 12oz 610-1079 Quaternary ammonium 6836-152-82613 3 min
Protex disinfectant solution, gallon 610-2379 Quaternary ammonium 6836-152-82613 3 min
TrueCare Sterile Lint-Free Wipes, 300 per case 610-1354 N/A N/A N/A
Spray

Additionally, CIVCO offers a full range of high-level disinfection systems and ultrasound probe cleaning accessories for use between patients.

Contact Us


REFERENCES

  1. Peng, Q., Wang, X. & Zhang, L. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic. Intensive Care Med (2020). https://doi.org/10.1007/s00134-020-05996-6
    From https://link.springer.com/article/10.1007%2Fs00134-020-05996-6#citeas
  2. Information for Health Care Professionals when caring for a patient with known or suspected COVID-19 infection. American Society of Anesthesiologists (2020)
    From https://www.asahq.org/about-asa/governance-and-committees/asa-committees/committee-on-occupational-health/coronavirus
  3. From https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html#infection_control
  4. List N: Disinfectants for Use Against SARS-CoV-2. Environmental Protection Agency (2020) Accessed 3.19.2020
    From https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2
  5. World Health Organization (WHO), “Infection prevention and control during healthcare when COVID-19 is suspected,” Interim guidance, 19 March 2020. WHO/2019-nCoV/IPC/2020.3. https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125
  6. Cascella, Marco, et al., “Features, Evaluation and Treatment Coronavirus (COVID-19),” National Institute of Health (NIH). March 20, 2020. https://www.ncbi.nlm.nih.gov/books/NBK554776/
  7. American Professionals in Infection Control (APIC), “Follow all Posted Precaution Signs,” http://professionals.site.apic.org/protect-your-patients/follow-the-rules-for-isolation-precautions/