medigraphic.com
ENGLISH

Archivos de Medicina

Archivos de Medicina (Manizales)
  • Mostrar índice
  • Números disponibles
  • Información
    • Información general        
    • Directorio
  • Publicar
    • Instrucciones para autores        
  • medigraphic.com
    • Inicio
    • Índice de revistas            
    • Registro / Acceso
  • Mi perfil

2021, Número 2

<< Anterior Siguiente >>

Arch Med 2021; 21 (2)


El ocaso de la Bata Blanca: ¿otro efecto de la COVID-19?

Echeverry-Raad J
Texto completo Cómo citar este artículo Artículos similares

Idioma: Español
Referencias bibliográficas: 57
Paginas: 611-619
Archivo PDF: 673.15 Kb.


PALABRAS CLAVE

equipo de protección personal, infección hospitalaria, COVID-19, humanismo.

RESUMEN

El presente documento tiene por objeto reflexionar sobre algunas circunstancias que dieron origen y perpetuaron la bata blanca como distintivo de la profesión médica, así como para prevenir del riesgo infeccioso que supone la práctica médica, hecho más manifiesto ahora por el advenimiento y globalización de la pandemia por COVID-19, que amenazan su utilización a futuro. El riesgo contaminante y de infección cruzada de la bata blanca se incrementa con el tiempo de uso.
Esta cosideraciòn biológica se suma al descrédito social experimentado por la medicina en el marco de los sistemas sanitarios modernos que pretenden cobertura y eficiencia. En la transferencia de esta falta de preeminencia de la profesión a sus símbolos, la bata ha perdido para el imaginario el significado de idoneidad, pulcritud y compasión que se supone que representa.
En un marco utilitarista, la bata blanca debería contribuir en la sanación por su efecto simbólico, que supera el riesgo biológico que entraña.
Mientras se conciben batas blancas anticontaminantes, sea o no durante crisis sani-tarias como las pandemias, los trabajadores de la salud por sus genuinas actitudes, deberían ser vistos “de blanco” ya que, parafraseando, aquellos que las portan, curan y salvan unas cuantas veces, alivian el dolor y el sufrimiento en otro tanto pero, escu-chan con compasión, empatía, y acompañan y consuelan siempre (casi sin esperar nada a cambio).


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Tubino P, Alves E. Evolução Histórica da Vestimenta do Médico. Rev Med Pesq. 2009;1(2):87–102.

  2. Sayburn A. Covid-19: PHE upgrades PPE advice for all patient contacts with risk of infection.BMJ. 2020; 369:1-3. https://doi.org/10.1136/bmj.m1391

  3. John TJ, Hassan K, Weich H. Donning and doffing of personal protective equipment (PPE) for angiography during the COVID-19 crisis. Eur Heart J. 2020; 41(19):1786-1787. https://doi.org/10.1093/eurheartj/ehaa283

  4. Feinstein, JA. Short White Coat: Lessons from Patients on Becoming a Doctor. Bloomington: Universe, Inc.; 2009.

  5. Cohen JB, Lotito MJ, Trivedi UK, Denker MG, Cohen DL, Townsend RR. Cardiovascular Events and Mortality in White Coat Hypertension: A Systematic Review and Meta-analysis. Ann Intern Med. 2019; 170(12):853-862. https://doi.org/10.7326/M19-0223

  6. Pioli MR, Ritter AM, de Faria AP, Modolo R. White coat syndrome and its variations: differences and clinical impact. Integr Blood Press Control. 2018; 11:73-79. DOI: 10.2147/IBPC.S152761

  7. Suwantarat N, Supple LA, Cadnum JL, Sankar T, Donskey CJ. Quantitative assessment of interactions bet-ween hospitalized patients and portable medical equipment and other fomites.Am J Infect Control. 2017; 45(11):1276-127

  8. DOI: 10.1016/j.ajic.2017.05.003 8. Bearman G, Bryant K, Leekha S, Mayer J, Munoz-Price S, Murthy R, et al. Healthcare personnel attire in non-operating-room settings.Infect Control Hosp Epidemiol. 2014; 35(2):107-121. DOI: 10.1086/675066

  9. Munoz-Price LS, Arheart KL, Mills JP, Cleary T, DePascale D, Jimenez A, et al. Associations between bacterial contamination of health care workers’ hands and contamination of white coats and scrubs. Am J Infect Control. 2012; 40(9):e245-e248. DOI: 10.1016/j.ajic.2012.03.032

  10. Alhmidi H, Koganti S, Cadnum JL, Jencson AL, John A, Donskey CJ. Dissemination of a nonpathogenic viral DNA surrogate marker from high-touch surfaces in rooms of long-term care facility residents. Am J Infect Control. 2017; 45(10):1165-1167. DOI: 10.1016/j.ajic.2017.04.007

  11. John A, Alhmidi H, Cadnum JL, Jencson AL, Donskey CJ. Contaminated Portable Equipment Is a Potential Vector for Dissemination of Pathogens in the Intensive Care Unit.Infect Control Hosp Epidemiol. 2017; 38(10):1247-1249. DOI: 10.1017/ice.2017.160

  12. Wong D, Nye K, Hollis P. Microbial flora on doctors’ white coats. BMJ. 1991; 303(6817):1602-1604. DOI: 10.1136/bmj.303.6817.1602

  13. Klugman CM. How Health Humanities Will Save the Life of the Humanities.J Med Humanit. 2017; 38(4):419-430. DOI: 10.1007/s10912-017-9453-5

  14. Tsang S. Arrow physicians: are economics and medicine philosophically incompatible?J Eval Clin Pract.2015; 21(3):419-426. DOI: 10.1111/jep.12348

  15. Burden M, Cervantes L, Weed D, Keniston A, Price CS, Albert RK. NewlyCleaned Physician Uniforms and Infrequently Washed White Coats Have Similar Rates of Bacterial Contamination After an 8-Hour Work-day: A Randomized Controlled Trial. Journal of Hospital Medicine 2011; 6(4):177–182. DOI: 10.1002/jhm.864

  16. Harnett PR. Should doctors wear white coats?Med J Aust. 2001; 174(7):343-344. DOI: 10.5694/j.1326-5377.2001.tb143310.x

  17. Hardy S, Corones A. Dressed to heal: the changing semiotics of surgical dress.Fash Theory. 2015; 20(1):1-23. DOI: 10.1080/1362704X.2015.1077653

  18. Branch WT Jr. Deconstructing the white coat.Ann Intern Med. 1998; 129(9):740-742. DOI: 10.7326/0003-4819-129-9-199811010-00012

  19. Shryock RH. The Development of Modern Medicine. New York, NY: Alfred A. Knopf, Inc.; 1947:p. 248-272.

  20. Blumhagen DW. The doctor’s white coat. The image of the physician in modern America.Ann Intern Med.1979; 91(1):111-116. DOI: 10.7326/0003-4819-91-1-111

  21. Douse J, Derrett-Smith E, Dheda K, Dilworth J. Should doctors wear white coats?Postgrad Med J. 2004; 80(943):284-286. DOI: 10.1136/pgmj.2003.017483

  22. Lynn LA, Bellini LM. Portable knowledge: a look inside white coat pockets.Ann Intern Med. 1999; 130(3):247-50. DOI: 10.7326/0003-4819-130-3-199902020-00039

  23. Blackwell B. Wearing a white coat.Gen Hosp Psychiatry. 1993; 15(2):90-91. DOI: 10.1016/0163-8343(93)90103-u

  24. Abagnale FW, Redding S. Catch Me If You Can: The True Story of a Real Fake. New York: B/D/W/Y. Broadway Books, Random House LLC NY.; 1980.

  25. Olvera-Lopez E, McCaffery E, Kasubhai M. White coat wearing and laundering frequency among internal medicine department physicians. Am J Infect Control. 2020; 48(7):834-836. DOI: 10.1016/j.ajic.2019.10.017

  26. Kuehn BM. Time to hang up the white coat?Epidemiologists suggest ways to prevent clothing from spreading infection.JAMA. 2014; 311(8):786-787. DOI: 10.1001/jama.2014.794

  27. Bond L, Clamp PJ, Gray K, Van Dam V. Patients’ perceptions of doctors’ clothing: should we really be ‘bare below the elbow’?J Laryngol Otol. 2010; 124(9):963-966. DOI: 10.1017/S0022215110001167

  28. Bearman GM, Rosato A, Elam K, Sanogo K, Stevens MP, Sessler CN, Wenzel RP. A crossover trial of an-timicrobial scrubs to reduce methicillin-resistant Staphylococcus aureus burden on healthcare worker apparel. Infect Control Hosp Epidemiol. 2012; 33(3):268-275. DOI: 10.1086/664045

  29. Sanders S. The stethoscope and cross-infection revisited. Br J Gen Pract. 2005; 55(510):54-55.

  30. Smith MA, Mathewson JJ, Ulert IA, Scerpella EG, Ericsson CD. Contaminated stethoscopes revisited. Arch Intern Med. 1996; 156(1):82-84.

  31. Vajravelu RK, Guerrero DM, Jury LA, Donskey CJ. Evaluation of stethoscopes as vectors of Clostridium difficile and methicillin-resistant Staphylococcus aureus. Infect Control Hosp Epidemiol. 2012; 33(1):96-98. DOI: 10.1086/663338

  32. Datz C, Jungwirth A, Dusch H, Galvan G, Weiger T. What’s on doctors’ ball point pens?Lancet. 1997; 350(9094):1824-1824. DOI: 10.1016/S0140-6736(05)63642-2

  33. Gudakova I, Kim J, Meredith JF, Webb G. Microbial Contamination on Touch Surfaces in Sick- and Well-Child Waiting Rooms in Pediatric Outpatient Facilities.Pediatr Infect Dis J. 2017; 36(12):e303-e306. DOI: 10.1097/INF.0000000000001759

  34. Pappas DE, Hendley JO, Schwartz RH. Respiratory viral RNA on toys in pediatric office waiting rooms.Pediatr Infect Dis J. 2010; 29(2):102-104. DOI: 10.1097/inf.0b013e3181b6e482

  35. Charnock C. Swabbing of waiting room magazines reveals only low levels of bacterial contamination. Br J Gen Pract. 2005; 55(510):37-39.

  36. Barrett TG, Booth I. Sartorial eloquence: does it exist in the paediatrician-patient relationship?BMJ. 1994; 309(6970):1710-1712. DOI: 10.11 36/bmj.309.6970.1710

  37. Sebo P, Herrmann F, Haller DM. White coat in primary care: what do patients think today? Cross-sectional study.Swiss Med Wkly. 2014; 144:1-6. DOI: 10.4414/smw.2014.14072

  38. De Lott LB, Panarelli JF, Samimi D, Petrilli C, Snyder A, Kuhn L, et al. Patient Preferences for Physician Attire in Ophthalmology Practices.J Acad Ophthalmol. 2019; 11(1):e36-e42. DOI: 10.1055/s-0039-1688913

  39. Esezobor CI, Adeniyi OF, Makwe CC, Kanu OO, Bello T. What do medical interns in Nigeria think of the white coat?A cross sectional study. Nig Q J Hosp Med. 2013; 23(1):22-26.

  40. Yamada Y, Takahashi O, Ohde S, Deshpande GA, Fukui T. Patients’ preferences for doctors’ attire in Japan. Intern Med. 2010; 49(15):1521-1526. DOI: 10.2169/internalmedicine.49.3572

  41. Gooden BR, Smith MJ, Tattersall SJ, Stockler M. Hospitalised patients’ views on doctors and white coats.Med J Aust. 2001; 175(4):219-222.

  42. Zahrina AZ, Haymond P, Rosanna PC, Ho R, Rajini AR, Low BT, et al. Does the attire of a primary care physician affect patients’ perceptions and their levels of trust in the doctor?Malays Fam Physician. 2018; 13(3):3-11.

  43. Gonzalez-Del Rey JA, Paul RI. Preferences of parents for pediatric emergency physicians’ attire. Pediatr Emerg Care. 1995; 11(6):361-364. DOI: 10.1097/00006565-199512000-00007

  44. Dover S. Glasgow patients’ attitude to doctors’ dress and appearance.Health Bull (Edinb). 1991; 49(6):293-296.

  45. Newman AW, Wright SW, Wrenn KD, Bernard A. Should physicians have facial piercings? J Gen Intern Med. 2005; 20(3):213-218. DOI: 10.1111/j.1525-1497.2005.40172.x

  46. Clinicians for the Restoration of Autonomous Practice (CRAP) Writing Group. EBM: unmasking the ugly truth. BMJ. 2002; 325(7378):1496-1498. DOI: 10.1136/bmj.325.7378.1496

  47. Decamp M. Physicians, social media, and conflict of interest. J Gen Intern Med. 2012; 28(2):299-303. DOI: 10.1007/s11606-012-2251-x

  48. Rosenquist JN. The Stress of Bayesian Medicine - Uncomfortable Uncertainty in the Face of Covid-19.N Engl J Med. 2021; 384(1):7-9. DOI: 10.1056/NEJMp2018857

  49. Bentley M, Dummond N, Isaac V, Hodge H, Walters L. Doctors’ rural practice self-efficacy is associated with current and intended small rural locations of practice.Aust J Rural Health. 2019; 27:146-152. DOI: 10.1111/ajr.12486

  50. Verbeek JH, Rajamaki B, Ijaz S, Sauni R,Toomey E, Blackwood B, et al.Personal protective equipment for preventing highly infectious diseases due to exposure to contaminatedbody fluids in healthcare staff. Cochrane Database of Systematic Reviews. 2020; 4(4):1-106. DOI: 10.1002/14651858.CD011621.pub4

  51. Organización Panamericana de la Salud, Organización Mundial de la Salud Guía para el cuidado crítico de pacientes adultos graves con coronavirus (covid-19) en las américas. Versión corta. Washington: Organi-zación Panamericana de la Salud, Organización Mundial de la Salud; 2020.

  52. Dancer S. Pants, policies and paranoia. J Hosp Infect. 2010; 74(1):10-15. DOI: 10.1016/j.jhin.2009.10.012

  53. Wear D. On white coats and professional development: the formal and the hidden curricula. Ann Intern Med 1998; 129(9): 734-737. DOI: 10.7326/0003-4819-129-9-199811010-00010

  54. Haque OS, Waytz A. Dehumanization in Medicine: Causes, Solutions, and Functions.Perspect Psychol Sci.2012; 7(2):176-186. DOI: 10.1177/1745691611429706

  55. La Rosa M, Spencer N, Abdelwahab M, Zambrano G, Saoud F, Jelliffe K, et al. The Effect of Wearing White Coats on Patients’ Appreciation of Physician Communication during Postpartum Rounds: A Randomized Controlled Trial. Am J Perinatol. 2019; 36(1):62-66. DOI: 10.1055/s-0038-1660470

  56. Petrilli CM, Mack M, Petrilli JJ, Hickner A, Saint S, Chopra V. Understanding the role of physician attire on patient perceptions: a systematic review of the literature-targeting attire to improve likelihood of rapport (TAILOR) investigators.BMJ Open. 2015; 5(1):1-18. DOI: 10.1136/bmjopen-2014-006578

  57. Columbia University – Inving Medical Center - Celebrates 25th Anniversary of White Coat Ceremony New York, NY. 2018 Accesible en https://www.cuimc.columbia.edu/news/columbia-celebrates-25th-anniversary-white-coat-ceremony




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Arch Med. 2021;21

ARTíCULOS SIMILARES

CARGANDO ...