Skip to main navigation menu Skip to main content Skip to site footer

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

El ocaso de la Bata Blanca: ¿otro efecto de la COVID-19? The decline of the White Coat: another effect of COVID-19?




Section
Artículos de COVID 19

How to Cite
Echeverry Raad, J. . (2021). El ocaso de la Bata Blanca: ¿otro efecto de la COVID-19? The decline of the White Coat: another effect of COVID-19?. Archivos De Medicina , 21(2). https://doi.org/10.30554/archmed.21.2.4069.2021
Download Citation

Dimensions
PlumX

How to Cite

Echeverry Raad, J. . (2021). El ocaso de la Bata Blanca: ¿otro efecto de la COVID-19? The decline of the White Coat: another effect of COVID-19?. Archivos De Medicina , 21(2). https://doi.org/10.30554/archmed.21.2.4069.2021

Download Citation

Jairo Echeverry Raad

Jairo Echeverry Raad,

Médico Especialista en Pediatría. Profesor Titular en tenencia de cargo, Departamento de Pediatría e Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia. Bogotá Colombia. 


Most read articles by the same author(s)

The white coat, one of the symbols of modern Medicine, has perhaps entered its last period of validity after the advent of the COVID-19 pandemic, since contrary to the reasons that originated and popularized its use, not only it is not an elements of personal protection but easily becomes vectors of cross infection and nosocomial microbial resistance. To the indelible stain on the profession that the health market has caused, the unethical behavior of colleagues has been added, for whom personal profit exceeds their vocation of service, distorting the neatness and immaculate cleanliness of the exercise that the gown embodied. Despite the above, some of the medical schools refuse to do so, initiating their students in the apostolate with the ceremonies of their delivery. It is possible that the culture of its use will return when it has contamination alarms, which repel particles and allows it to remain "sterile" but, mainly, when it represents the humility and social service of Medicine. This dilemma of wearing it should be resolved after adjusting a series of cultural and time variables, mode and context in the different scenarios, in the possibility that through this attire it is possible to enhance the doctor-patient relationship that promotes a healing function as a utilitarian element . The time will come when, due to our genuine attitudes, health workers will be seen "in white" because, paraphrasing, we try to heal and save a few times, listening with compassion and empathy to our fellow men and always accompanying and comforting them.


Article visits 639 | PDF visits 295


Downloads

Download data is not yet available.
  1. Sayburn A. Covid-19: PHE upgrades PPE advice for all patient contacts with risk of infection. BMJ. 2020;
  2. :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
  4. during the COVID-19 crisis. Eur Heart J. 2020; 41(19):1786-1787. https://doi.org/10.1093/eurheartj/ehaa283
  5. Feinstein, JA. Short White Coat: Lessons from Patients on Becoming a Doctor. Bloomington: Universe,
  6. Inc.; 2009.
  7. Cohen JB, Lotito MJ, Trivedi UK, Denker MG, Cohen DL, Townsend RR. Cardiovascular Events and Mortality
  8. in White Coat Hypertension: A Systematic Review and Meta-analysis. Ann Intern Med. 2019; 170(12):853-
  9. https://doi.org/10.7326/M19-0223
  10. Pioli MR, Ritter AM, de Faria AP, Modolo R. White coat syndrome and its variations: differences and clinical
  11. impact. Integr Blood Press Control. 2018; 11:73-79. DOI: 10.2147/IBPC.S152761
  12. Suwantarat N, Supple LA, Cadnum JL, Sankar T, Donskey CJ. Quantitative assessment of interactions between
  13. hospitalized patients and portable medical equipment and other fomites. Am J Infect Control. 2017;
  14. (11):1276-1278. DOI: 10.1016/j.ajic.2017.05.003
  15. Bearman G, Bryant K, Leekha S, Mayer J, Munoz-Price S, Murthy R, et al. Healthcare personnel attire in nonoperating-
  16. room settings. Infect Control Hosp Epidemiol. 2014; 35(2):107-121. DOI: 10.1086/675066
  17. Munoz-Price LS, Arheart KL, Mills JP, Cleary T, DePascale D, Jimenez A, et al. Associations between bacterial
  18. contamination of health care workers’ hands and contamination of white coats and scrubs. Am J Infect
  19. Control. 2012; 40(9):e245-e248. DOI: 10.1016/j.ajic.2012.03.032
  20. Alhmidi H, Koganti S, Cadnum JL, Jencson AL, John A, Donskey CJ. Dissemination of a nonpathogenic viral
  21. DNA surrogate marker from high-touch surfaces in rooms of long-term care facility residents. Am J Infect
  22. Control. 2017; 45(10):1165-1167. DOI: 10.1016/j.ajic.2017.04.007
  23. John A, Alhmidi H, Cadnum JL, Jencson AL, Donskey CJ. Contaminated Portable Equipment Is a Potential
  24. Vector for Dissemination of Pathogens in the Intensive Care Unit. Infect Control Hosp Epidemiol. 2017;
  25. (10):1247-1249. DOI: 10.1017/ice.2017.160
  26. Wong D, Nye K, Hollis P. Microbial flora on doctors’ white coats. BMJ. 1991; 303(6817):1602-1604.
  27. DOI: 10.1136/bmj.303.6817.1602
  28. Klugman CM. How Health Humanities Will Save the Life of the Humanities. J Med Humanit. 2017; 38(4):419-
  29. DOI: 10.1007/s10912-017-9453-5
  30. Tsang S. Arrow physicians: are economics and medicine philosophically incompatible? J Eval Clin Pract.
  31. ; 21(3):419-426. DOI: 10.1111/jep.12348
  32. Burden M, Cervantes L, Weed D, Keniston A, Price CS, Albert RK. Newly Cleaned Physician Uniforms and
  33. Infrequently Washed White Coats Have Similar Rates of Bacterial Contamination After an 8-Hour Workday:
  34. A Randomized Controlled Trial. Journal of Hospital Medicine 2011; 6(4):177–182.
  35. DOI: 10.1002/jhm.864
  36. Harnett PR. Should doctors wear white coats? Med J Aust. 2001; 174(7):343-344.
  37. DOI: 10.5694/j.1326-5377.2001.tb143310.x
  38. Hardy S, Corones A. Dressed to heal: the changing semiotics of surgical dress. Fash Theory. 2015; 20(1):1-
  39. DOI: 10.1080/1362704X.2015.1077653
  40. Branch WT Jr. Deconstructing the white coat. Ann Intern Med. 1998; 129(9):740-742.
  41. DOI: 10.7326/0003-4819-129-9-199811010-00012
  42. Shryock RH. The Development of Modern Medicine. New York, NY: Alfred A. Knopf, Inc.; 1947:p. 248-272.
  43. Blumhagen DW. The doctor’s white coat. The image of the physician in modern America. Ann Intern Med.
  44. ; 91(1):111-116. DOI: 10.7326/0003-4819-91-1-111
  45. Douse J, Derrett-Smith E, Dheda K, Dilworth J. Should doctors wear white coats? Postgrad Med J. 2004;
  46. (943):284-286. DOI: 10.1136/pgmj.2003.017483
  47. Lynn LA, Bellini LM. Portable knowledge: a look inside white coat pockets. Ann Intern Med. 1999; 130(3):247-
  48. DOI: 10.7326/0003-4819-130-3-199902020-00039
  49. Blackwell B. Wearing a white coat. Gen Hosp Psychiatry. 1993; 15(2):90-91. DOI: 10.1016/0163-8343(93)90103-u
  50. Abagnale FW, Redding S. Catch Me If You Can: The True Story of a Real Fake. New York: B/D/W/Y. Broadway
  51. Books, Random House LLC NY.; 1980.
  52. Olvera-Lopez E, McCaffery E, Kasubhai M. White coat wearing and laundering frequency among internal
  53. medicine department physicians. Am J Infect Control. 2020; 48(7):834-836. DOI: 10.1016/j.ajic.2019.10.017
  54. Archivos de Medicina Volumen 21 Nº 2 - Julio-Diciembre de 2021
  55. Universidad de Manizales - Facultad de Ciencias de la Salud
  56. Kuehn BM. Time to hang up the white coat? Epidemiologists suggest ways to prevent clothing from
  57. spreading infection. JAMA. 2014; 311(8):786-787. DOI: 10.1001/jama.2014.794
  58. Bond L, Clamp PJ, Gray K, Van Dam V. Patients’ perceptions of doctors’ clothing: should we really be ‘bare
  59. below the elbow’? J Laryngol Otol. 2010; 124(9):963-966. DOI: 10.1017/S0022215110001167
  60. Bearman GM, Rosato A, Elam K, Sanogo K, Stevens MP, Sessler CN, Wenzel RP. A crossover trial of antimicrobial
  61. scrubs to reduce methicillin-resistant Staphylococcus aureus burden on healthcare worker
  62. apparel. Infect Control Hosp Epidemiol. 2012; 33(3):268-275. DOI: 10.1086/664045
  63. Sanders S. The stethoscope and cross-infection revisited. Br J Gen Pract. 2005; 55(510):54-55.
  64. Smith MA, Mathewson JJ, Ulert IA, Scerpella EG, Ericsson CD. Contaminated stethoscopes revisited. Arch
  65. Intern Med. 1996; 156(1):82-84.
  66. Vajravelu RK, Guerrero DM, Jury LA, Donskey CJ. Evaluation of stethoscopes as vectors of Clostridium
  67. difficile and methicillin-resistant Staphylococcus aureus. Infect Control Hosp Epidemiol. 2012; 33(1):96-98.
  68. DOI: 10.1086/663338
  69. Datz C, Jungwirth A, Dusch H, Galvan G, Weiger T. What’s on doctors’ ball point pens? Lancet. 1997;
  70. (9094):1824-1824. DOI: 10.1016/S0140-6736(05)63642-2
  71. Gudakova I, Kim J, Meredith JF, Webb G. Microbial Contamination on Touch Surfaces in Sick- and Well-
  72. Child Waiting Rooms in Pediatric Outpatient Facilities. Pediatr Infect Dis J. 2017; 36(12):e303-e306.
  73. DOI: 10.1097/INF.0000000000001759
  74. Pappas DE, Hendley JO, Schwartz RH. Respiratory viral RNA on toys in pediatric office waiting rooms.
  75. Pediatr Infect Dis J. 2010; 29(2):102-104. DOI: 10.1097/inf.0b013e3181b6e482
  76. Charnock C. Swabbing of waiting room magazines reveals only low levels of bacterial contamination. Br
  77. J Gen Pract. 2005; 55(510):37-39.
  78. Barrett TG, Booth I. Sartorial eloquence: does it exist in the paediatrician-patient relationship? BMJ. 1994;
  79. (6970):1710-1712. DOI: 10.1136/bmj.309.6970.1710
  80. Sebo P, Herrmann F, Haller DM. White coat in primary care: what do patients think today? Cross-sectional
  81. study. Swiss Med Wkly. 2014; 144:1-6. DOI: 10.4414/smw.2014.14072
  82. De Lott LB, Panarelli JF, Samimi D, Petrilli C, Snyder A, Kuhn L, et al. Patient Preferences for Physician Attire
  83. in Ophthalmology Practices. J Acad Ophthalmol. 2019; 11(1):e36-e42. DOI: 10.1055/s-0039-1688913
  84. Esezobor CI, Adeniyi OF, Makwe CC, Kanu OO, Bello T. What do medical interns in Nigeria think of the white
  85. coat? A cross sectional study. Nig Q J Hosp Med. 2013; 23(1):22-26.
  86. Yamada Y, Takahashi O, Ohde S, Deshpande GA, Fukui T. Patients’ preferences for doctors’ attire in Japan.
  87. Intern Med. 2010; 49(15):1521-1526. DOI: 10.2169/internalmedicine.49.3572
  88. Gooden BR, Smith MJ, Tattersall SJ, Stockler M. Hospitalised patients’ views on doctors and white coats.
  89. Med J Aust. 2001; 175(4):219-222.
  90. Zahrina AZ, Haymond P, Rosanna PC, Ho R, Rajini AR, Low BT, et al. Does the attire of a primary care physician
  91. affect patients’ perceptions and their levels of trust in the doctor? Malays Fam Physician. 2018; 13(3):3-11.
  92. Gonzalez-Del Rey JA, Paul RI. Preferences of parents for pediatric emergency physicians’ attire. Pediatr
  93. Emerg Care. 1995; 11(6):361-364. DOI: 10.1097/00006565-199512000-00007
  94. Dover S. Glasgow patients’ attitude to doctors’ dress and appearance. Health Bull (Edinb). 1991;
  95. (6):293-296.
  96. Newman AW, Wright SW, Wrenn KD, Bernard A. Should physicians have facial piercings? J Gen Intern Med.
  97. ; 20(3):213-218. DOI: 10.1111/j.1525-1497.2005.40172.x
  98. Clinicians for the Restoration of Autonomous Practice (CRAP) Writing Group. EBM: unmasking the ugly truth.
  99. BMJ. 2002; 325(7378):1496-1498. DOI: 10.1136/bmj.325.7378.1496
  100. Decamp M. Physicians, social media, and conflict of interest. J Gen Intern Med. 2012; 28(2):299-303.
  101. DOI: 10.1007/s11606-012-2251-x
  102. Rosenquist JN. The Stress of Bayesian Medicine - Uncomfortable Uncertainty in the Face of Covid-19. N
  103. Engl J Med. 2021; 384(1):7-9. DOI: 10.1056/NEJMp2018857
  104. Bentley M, Dummond N, Isaac V, Hodge H, Walters L. Doctors’ rural practice self-efficacy is associated
  105. with current and intended small rural locations of practice. Aust J Rural Health. 2019; 27:146-152.
  106. DOI: 10.1111/ajr.12486
  107. Verbeek JH, Rajamaki B, Ijaz S, Sauni R,Toomey E, Blackwood B, et al. Personal protective equipment
  108. for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare
  109. staff. Cochrane Database of Systematic Reviews. 2020; 4(4):1-106.
  110. DOI: 10.1002/14651858.CD011621.pub4
  111. Artículo de Reflexión sobre COVID-19
  112. El ocaso de la Bata Blanca en Medicina pp 611-619
  113. Organización Panamericana de la Salud, Organización Mundial de la Salud Guía para el cuidado crítico de
  114. pacientes adultos graves con coronavirus (covid-19) en las américas. Versión corta. Washington: Organización
  115. Panamericana de la Salud, Organización Mundial de la Salud; 2020.
  116. Dancer S. Pants, policies and paranoia. J Hosp Infect. 2010; 74(1):10-15. DOI: 10.1016/j.jhin.2009.10.012
  117. Wear D. On white coats and professional development: the formal and the hidden curricula. Ann Intern
  118. Med 1998; 129(9): 734-737. DOI: 10.7326/0003-4819-129-9-199811010-00010
  119. Haque OS, Waytz A. Dehumanization in Medicine: Causes, Solutions, and Functions. Perspect Psychol Sci.
  120. ; 7(2):176-186. DOI: 10.1177/1745691611429706
  121. La Rosa M, Spencer N, Abdelwahab M, Zambrano G, Saoud F, Jelliffe K, et al. The Effect of Wearing White
  122. Coats on Patients’ Appreciation of Physician Communication during Postpartum Rounds: A Randomized
  123. Controlled Trial. Am J Perinatol. 2019; 36(1):62-66. DOI: 10.1055/s-0038-1660470
  124. Petrilli CM, Mack M, Petrilli JJ, Hickner A, Saint S, Chopra V. Understanding the role of physician attire on
  125. patient perceptions: a systematic review of the literature-targeting attire to improve likelihood of rapport
  126. (TAILOR) investigators. BMJ Open. 2015; 5(1):1-18. DOI: 10.1136/bmjopen-2014-006578
  127. Columbia University – Inving Medical Center - Celebrates 25th Anniversary of White Coat Ceremony New
  128. York, NY. 2018 Accesible en :
  129. https://www.cuimc.columbia.edu/news/columbia-celebrates-25th-anniversary-white-coat-ceremony.
Sistema OJS 3.4.0.10 - Metabiblioteca |