Personal Protective Equipment Management and Policies: European Network for Highly Infectious Diseases Data from 48 Isolation Facilities in 16 European Countries (original) (raw)
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Muhammadiyah International Public Health and Medicine Proceeding, 2021
Hospitals are included in the criteria for workplaces with hazards that can have an impact on health, both for health workers as well as for visitors and hospital patients, especially during the COVID-19 pandemic. Therefore, compliance and completeness of the use of PPE, especially in the Covid19 isolation room is very important. This research is a descriptive observational study, with a population and sample of 16 people. The survey was conducted using a developed questionnaire. Data collection was carried out using instruments in the form of questionnaires and observation checklist sheets. The survey was conducted using a developed questionnaire. Compliance and completeness of the use of PPE for inpatients in COVID-19 isolation at FMC Hospital is 100%. The respondents which are medical staff use complete level 3 PPE which consists of eye protection and face shield, head cover/head cap, N95 mask or equivalent, Coverall / Gown/apron, sterile rubber surgical gloves disposable, boots/...
International Journal Of Community Medicine And Public Health, 2020
Highly infectious disease epidemics such as COVID-19 put healthcare workers at higher risk of infection than regular people as they come into more potential contact with contaminated respiratory droplets and so caution is warranted in the use of personal protective equipment (PPE) to lessen risk. It is not clear what kind of PPE best offers protection and the best way to remove PPE. PPE is used by Healthcare workers in the COVID-19 virus disease situation. Its use is an integral part of the strategy to combat COVID-19 and prevent its spread. Optimal PPE use is hard and thus healthcare workers may alter the delivery of care because of improper PPE use. Preventing contamination of PPE during donning and doffing therefore becomes crucial and requires improvisation. Donning and doffing of PPE should include adherence to protocols as well as COVID- 19 specific design of PPE and further research into the risks, benefits, and best practices of PPE use. Lastly, training of users must be str...
Rational Use of Personal Protective Equipment – Covid 19 Pandemic
Pakistan Armed Forces Medical Journal, 2020
Objective: To evaluate coherence with reasonable and judicious use of personal protective equipment. Study Design: Cross-sectional study. Place and Duration of Study: Tertiatry Care Hospital, from Feb 2020 to May 2020. Methodology: Methodology constituted of a paper-based and web-based questionnaire based on relevant studies and World Health Organization (WHO) Guidelines. A pilot study carried out at 15-20 participants for questionnaire validation and reviewed by independent experts for face validity, a final questionnaire comprised of 13 multiple-choice questions in addition to information on demographic profile and professional overview. The minimum sample size required for the study was 573, where the prevalence of knowledge of use of personal protective equipment by doctors was considered to be 31.5%. Results: A total of 640 participants enrolled in the study and data extracted from their responses. Age range 24-61 years of sample was with mean age was 36.66 ± 9.0 years. One hun...
Health Workers are the spearhead of the government in handling Covid 19 patients so it is necessary to get special attention in handling Covid 19 patients. In handling Covid-19, the use of APD by health workers directly involved in the handling of patients, especially those who have been confirmed by Covid-19, is very important.APD used is APD that has met the standards so that it is effective to prevent the spread of the virus or contract Covid-19. The purpose of the research is to identify the application of Personal Protective Equipment (APD) by Health Workers who handle directly or indirectly Covid 19 patients. This type of research is observational with cross-sectional research design that is conducting direct observations on the application of APD in Government Hospitals in Bogor and then analyzed based on the standards of APD use applicable in the hospital. The study population is doctors, nurses, radiographers, health analysts who handle covid 19 patients either directly or indirectly who are in the treatment room and hospital support room of 87 people. Data collection is done by observation when doing care to patients. The research was conducted from September to October 2020. The collected APD usage data is then processed manually, analyzed descriptively, and compared to standards related to research. Compliance of health workers is carried out by analyzing the observation data and then compared with the standards of hospitals on the use of APD in each room. Types of APD refer to the Ministry of Health Guidelines. The results of the study obtained a percentage in the use of APD where the respondents who obeyed was 10% (9 people) Doctors/general practitioners, 60% (60 people) nurses, 9% (8 people) Radiographers, 18% (16 people) health analysts. The respondents who did not comply were 2% (2 people) nurses. Most of the respondents of health workers as much as 98% in the hospital already have a high level of vigilance to wear APD by following the standards. While only 2% of respondents still do not follow the standard of APD usage.
International Archives of Occupational and Environmental Health
Purpose This systematic review aimed to evaluate the effectiveness of the use of personal protective equipment (PPE) in closed environments, similar to waiting or exam rooms of healthcare facilities, in the face of exposure to a bioaerosol. Methods Combinations of words were selected for six electronic databases and for the gray literature. To consider the eligibility of the studies to be included/excluded, the acronym "PECOS" was used: humans and/or experimental models that simulate aerosol (Population); aerosol exposure and the use of masks/respirators (exposition/intervention); controlled or not controlled (comparison); effectiveness of PPE and the receiver exposure (outcomes); and randomized clinical studies or not, observational or laboratory simulation studies (Studies design). Results A total of 4820 references were retrieved by the search strategy. Thirty-five articles were selected for complete reading, of which 13 articles were included for qualitative synthesis. A surgical mask or N95 respirator reduced the risk of transmission, even over short distances. The use of masks, even those with less filtering power, when used by all individuals in the same environment is more effective in reducing risk than the use of respirators with high filtering power for only some of the individuals present. Conclusion The use of mask in closed environments is effective in reducing the risk of transmission and contagion of a contaminated bioaerosol, with greater effectiveness when these devices are used by the source and receiver, regardless of the equipment's filtering power. (PROSPERO 2020 CRD 42020183759).
Journal of Hospital Administration
Objective: The purpose of this study is to identify failures in proper Personal Protective Equipment (PPE) usage in a healthcare hospital environment to enhance PPE compliance through proper donning and doffing procedures.Methods: We used naturalistic observation (shadowing) of PPE donning and doffing by healthcare medical staff in their hospital work setting to identify non-conformities to compliant donning and doffing of PPE.Results: We found an average of 1.84 non-conformances per healthcare worker across the donning procedures and 2.06 non-conformances in the doffing procedures per healthcare provider. Nurses experienced 1.94 average non-conformances in the donning procedures, while physicians average 1.75 non-conformances. Nurses experienced 2.29 average doffing nonconformances, while physicians averaged 1.85 average doffing non-conformances during the study. PPE compliance is critical to protect both healthcare workers and patients in the healthcare setting, as well as buildin...
The effect of the Sars-Cov-2 pandemic on the use of personal protective equipment in hospitals
Journal of Material Cycles and Waste Management
The Covid pandemic has strongly affected the use of personal protective equipment (PPE) in the medical sector. Our aim was to assess the influence of Covid on PPE use within a German hospital by analyzing PPE use in four years prior to Covid and in 2020/2021. Numbers of items and mass of different types of PPE were determined based on procurement data. The results show that for the use of gloves the pandemic only had a small effect on the number of items. For body protection there was a clear trend toward a decrease in the number of items used in the years before the pandemic due to actions by the hospital toward a better environmental footprint which was partially reversed by the pandemic. The number of masks on the other hand doubled during the pandemic. Expressed in mass of PPE per patient and day, 15 g of masks, 121 g of gloves, and 183 g of body protection are used, resulting in a total of 319 g of PPE per patient and day. As medical waste has a specific treatment, no direct en...
Personal protective equipment (PPE) and infection among healthcare workers – what is the evidence?
2020
The worldwide outbreak of coronavirus disease-19 (COVID-19) has already put healthcare workers (HCWs) at a high risk of infection. The question of how to give HCWs the best protection against infection is a priority. Our literature review has indicated that the degree of protection required in looking after people with COVID-19 infection, is dependent on the particular environment to which the HCW is exposed. Covering more of the body could provide better protection for HCWs. Of importance, it is not just the provision of PPE but the skills in donning and doffing of PPE that are important, this being a key time for potential transmission of pathogen to the HCW and in due time from them to others. In relation to face masks, the evidence indicates that a higher-level specification of face masks (N95) seems to be essential to protect HCWs from Coronavirus infection. Evidence specifically around PPE and protection from the COVID-19 virus is minimal and at the level of anecdotal reports only.