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2021 healthcarehygienemagazine
BUILDING BRIDGES BETWEEN INFECTION PREVENTION / EPIDEMIOLOGY , SCIENTIFIC R & D , MANUFACTURING AND REGULATORY / COMPLIANCE vol . 3 no . 3 contents
Cover Story
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Protecting Healthcare Personnel : Addressing Research Gaps , Strengthening Policies and Practice
By Kelly M . Pyrek
Features
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COVID-19 Pandemic Fuels Many of ECRI ’ s Annual List of Top Healthcare Hazards By Kelly M . Pyrek
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COVID-19 Decision-Making in the Clinical Arena Relies on Ambiguity Reduction , Smart Use of Data By Kelly M . Pyrek
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Central Supply is Not What It Used to Be By Mary Olivera , MHA , CRCST , CHL , FCS
on the cover
Columns
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40 the Editor
Screening and Isolation Practices in the Pandemic By Kelly M . Pyrek
the Microscope AMR and COVID-19 : The Intersection of the Pandemic By Rodney E . Rohde , PhD , MS , SM ( ASCP ) CM SVCM , MBCM , FACSc
Infection Prevention
Updating Standards to Improve Patient Safety : Water Management By Sylvia Garcia-Houchins , MBA , RN , CIC
Sterile Processing
Advanced Certification Can Enhance Quality , Safety and Your Career By Julie E . Williamson
Vascular Access Infection Prevention
Survey Reflects Clinicians ’ Struggles with UGPIV Practices and COVID-19 By Nancy Moureau , RN , PhD , CRNI , CPUI , VA-BC
Hand Hygiene
Calculating the True Cost of 200 Direct Observations Per Unit Per Month in 7 Steps By Paul Alper
Patient Safety & Quality
A Needed Time for Recharging : Resetting Resilience During and After a Pandemic By J . Hudson Garrett Jr ., PhD , MSN , MPH , MBA , FNP-BC , IP-BC , PLNC , CFER , AS-BC , VA-BC , MSL-BC , CPPS , CPHQ , NREMT , CADS , FACDONA , FAAPM , FNAP
The UNC School of Medicine lab of Camille Ehre , PhD , produced this striking image of SARS-CoV-2-infected respiratory epithelial cells . Ehre , a member of the UNC Marsico Lung Institute and the UNC Children ’ s Research Institute , captured this image to illustrate how intense the SARS-CoV-2 infection of the airways can be . In a laboratory setting , Ehre and her co-researchers inoculated the SARS-Co-V-2 virus into human bronchial epithelial cells , which were then examined 96 hours later using scanning electron microscopy . The images , re-colorized by UNC medical student Cameron Morrison , show infected ciliated cells with strands of mucus ( yellow ) attached to cilia tips ( blue ). Cilia are the hair-like structures on the surface of airway epithelial cells that transport mucus ( and trapped viruses ) from the lung . A higher power magnification image shows the structure and density of SARS-CoV-2 virions ( red ) produced by human airway epithelia . Virions are the complete , infectious form of the virus released onto respiratory surfaces by infected host cells . This imaging research helps illustrate the incredibly high number of virions produced and released per cell inside the human respiratory system . The large viral burden is a source for spread of infection to multiple organs of an infected individual and likely mediates the high frequency of COVID-19 transmission to others . This image makes a strong case for the use of masks by infected and uninfected individuals to limit SARS-CoV-2 transmission .