About: Why “good enough” isn’t good enough: scientific data, not supply chain deficiencies should be driving CDC recommendations.

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About: Why “good enough” isn’t good enough: scientific data, not supply chain deficiencies should be driving CDC recommendations. Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Why “good enough” isn’t good enough: scientific data, not supply chain deficiencies should be driving CDC recommendations.
Creator	Rodriguez, Diana Morgan, Elizabeth
Source	Elsevier; Medline; PMC
abstract	Abstract: Obstetricians and clinicians previously requested clarification from the Centers for Disease Control and Prevention (CDC) on the need for full personal protective equipment including N95 respirators during the second stage of labor. The CDC responded with new guidance excluding the second stage of labor from its list of aerosol generating procedures (AGPs), based on research from which experience on labor and delivery units was notably absent. Additional literature that explores other modes of aerosol generation, such as coughing, vomiting, passing flatus and loud vocalization, all of which are prevalent during the labor course, was notably omitted. It is clear that the CDC based their guidance not from the application of scientific principles but pragmatism due to the lack of equipment, and our colleagues were urged to follow suit. If we replace recommendations based on scientific principles with recommendations based on supply chain deficiencies, we become complacent with that which is “good enough under the circumstances.” This is a dangerous precedent on which to base our Professional Society guidelines. We should continue to address these inadequate responses even as CDC guidelines evolve and the pandemic winds down. We will certainly face similar conflict again, whether during a fall resurgence of the current pandemic or future infectious disease outbreak.
has issue date	2020-06-25(xsd:dateTime)
bibo:doi	10.1016/j.ajogmf.2020.100165
bibo:pmid	32838268
has license	els-covid
sha1sum (hex)	4bb57a490180e3cc96a85ef96eec3762a2a7e8a7
schema:url	https://doi.org/10.1016/j.ajogmf.2020.100165
resource representing a document's title	Why “good enough” isn’t good enough: scientific data, not supply chain deficiencies should be driving CDC recommendations.
has PubMed Central identifier	PMC7315143
has PubMed identifier	32838268
schema:publication	Am J Obstet Gynecol MFM
resource representing a document's body	covid:4bb57a490180e3cc96a85ef96eec3762a2a7e8a7#body_text
is schema:about of	named entity 'scientific data' named entity 'infection' named entity 'labor and delivery' named entity 'OSHA' named entity 'SARS-CoV-2' named entity 'CDC' named entity 'CDC' named entity 'U.S. Department of Labor' named entity 'infectious disease' named entity 'CDC' named entity 'Pragmatism' named entity 'labor and delivery' named entity 'labor and delivery' named entity 'evidence-based' named entity 'N95' named entity 'epidemic' named entity 'Professional Society' named entity 'ACOG' named entity 'precedent' named entity 'scientific principles' named entity 'scientific data' named entity 'supply chain' named entity 'Occupational Safety and Health Administration' named entity 'supply chain' named entity 'scientific data' named entity 'pragmatism' named entity 'CDC' named entity 'supply chain' named entity 'Word Count' named entity '168' named entity 'WORD' named entity 'COUNT' named entity 'MAIN' named entity 'CHAIN' named entity 'CDC' named entity 'TITLE' named entity 'SUPPLY' named entity 'CDC' named entity 'Main' named entity 'good' named entity 'Abstract' named entity 'ABSTRACT' named entity 'RECOMMENDATIONS' named entity 'GOOD' named entity 'WHY' named entity 'SCIENTIFIC DATA' named entity 'Count' named entity 'Title' named entity 'CDC' named entity 'Word' named entity 'good' named entity 'supply chain' named entity 'TEXT' named entity 'ISN' named entity 'DRIVING' named entity 'ENOUGH'
is part of of	Abstract: Obstetricians and clinicians previously requested clarification from the Centers for Disease Control and Prevention (CDC) on the need for full personal protective equipment including N95 respirators during the second stage of labor. The CDC responded with new guidance excluding the second stage of labor from its list of aerosol generating procedures (AGPs), based on research from which experience on labor and delivery units was notably absent. Additional literature that explores other modes of aerosol generation, such as coughing, vomiting, passing flatus and loud vocalization, all of which are prevalent during the labor course, was notably omitted. It is clear that the CDC based their guidance not from the application of scientific principles but pragmatism due to the lack of equipment, and our colleagues were urged to follow suit. If we replace recommendations based on scientific principles with recommendations based on supply chain deficiencies, we become complacent with that which is “good enough under the circumstances.” This is a dangerous precedent on which to base our Professional Society guidelines. We should continue to address these inadequate responses even as CDC guidelines evolve and the pandemic winds down. We will certainly face similar conflict again, whether during a fall resurgence of the current pandemic or future infectious disease outbreak. Why “good enough” isn’t good enough: scientific data, not supply chain deficiencies should be driving CDC recommendations. covid:4bb57a490180e3cc96a85ef96eec3762a2a7e8a7#body_text

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