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Passed on in good faith Source: Cochrane Library


https://www.cochrane.org/news/speci...-19-infection-control-and-prevention-measures

Stay well and stay safe

toeslayer

 

Article in Lasprovincias.es. Thursday 9th April 2020.
Article translated with google from the original which is also below...

Podiatrists detect cases in which children and adolescents with coronavirus have purple lesions on the feet

The General Council of Official Colleges of Podiatrists in Spain has opened a registry of possible cases of Covid-19, after they have detected that many sick people, mainly children and young people, have small dermatological lesions on their feet.
In a statement, the Council explains that numerous cases are being observed in different European countries in which patients with coronavirus have purple lesions (very similar to those of chickenpox, measles or chilblains) on the toes and that "normally heal without leaving marks on the skin."
For this reason, it has established a protocol for the prior diagnosis of these cases for its 7,500 professionals for their treatment and subsequent action, although it stresses that "due to the short time elapsed, it is still not possible to speak of scientific evidence."
But he urges podiatrists to "be very vigilant because this may be a Covid-19 detection sign that may help prevent the spread."
In this sense, the Council reminds that podiatry clinics and consultations are currently closed and only those emergencies that have personal protective equipment and minimum safety conditions for patients and their professionals attend.

Los podólogos detectan casos en los que niños y adolescentes con coronavirus presentan lesiones de color púrpura en los pies

El Consejo General de Colegios Oficiales de Podólogos ha abierto un registro de posibles casos de Covid-19, después de que hayan detectado que numerosas personas enfermas, principalmente niños y jóvenes, tienen pequeñas lesiones dermatológicas en los pies.
En un comunicado, el Consejo explica que se están observando en distintos países europeos numerosos casos en los que enfermos con coronavirus presentan lesiones de color púrpura (muy similares a las de la varicela, el sarampión o los sabañones) en los dedos de los pies y que «normalmente curan sin dejar marcas en la piel».
Por ello, ha establecido un protocolo de diagnóstico previo de estos casos para sus 7.500 profesionales para su tratamiento y actuación posterior, aunque incide en que «por el poco tiempo transcurrido, aún no se puede hablar de evidencia científica».
Pero insta a los podólogos a «aster muy atentos porque este puede ser un signo de detección de la Covid-19 que puede ayudar a evitar el contagio«.
En este sentido, el Consejo recuerda que actualmente las consultas y clínicas podológicas están cerradas y solo atienden las urgencias las que tienen equipos de protección individual y unas condiciones mínimas de seguridad para los pacientes y para sus profesionales.

 

here is the article in english.
Newsbot picked it up but members are probably just scrolling past newsbot feeds
https://7news.com.au/lifestyle/heal...ronavirus-could-show-up-on-your-feet-c-973110

 

In the UK lockdown seems to be taking effect and talk is turning to
re-opening businesses.
Given all the unknowns, eg. Will it be seasonal? Will/when will we have an effective vaccine? When will we have an effective treatment? Is this just phase one? How long is it going to go on? When will the next pandemic occur? And on and on.
What long term sustainable changes need to be made to the structure and function of practices to minimise risk to patients and staff in the long term?
I don’t see this discussion going on (I probably haven’t looked hard enough) but now’s certainly the time for it. In fact a month ago might have been a better time to start it!
I am putting down a few ideas just for starters.

Automatic doors?
Take patient’s temperature on entry?
Shoes off and bagged on entry to premises and use of plastic overshoes?
Masks for patients and practitioners?
Disposable gloves for patients?
Plastic screens between reception staff and patients in waiting room?
Plastic screens between patient and podiatrist in the surgery?
What size of plastic screens?
Hand sanitizer for each patient as they enter and leave premises?
Cleaning routine after each patient.
Mechanics of payment for treatment to minimise risk of cross infection?Change from receptionist to automated appointment system?

best wishes,
Bill

 

Viraclean has been proven to kill Covid 19 and is used at the CQU University clinic. According to the WHO, alchohol cleaners need to be 70% concentration and with no scents.