Investigation of the status and intention of the use of personal protective equipment by different personnel in isolation wards during coronavirus disease 2019 epidemic_West China Medical Journal

Authors：

ZHANG Rui ¹ , LIU Juyuan ¹ , FANG Yao ² , GAO Xiaodong ³ , FU Qiang ⁴ , QIAO Fu ⁵ ,  CAI Meng ¹

1. Department of Hospital Infection Control, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, P. R. China;
2. Department of Discipline Inspection and Supervision, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, P. R. China;
3. Department of Hospital Infection Control, Zhongshan Hospital of Fudan University, Shanghai 200032, P. R. China;
4. China National Health Development Reasearch Center, Beijing 100044, P. R. China;
5. Department of Hospital Infection Control, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

CAI Meng, Email: caimeng1125@sina.com

Keywords：

Coronavirus disease 2019; Isolation ward; Healthcare worker; Personal protective equipment

DOI：

10.7507/1002-0179.202102121

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Objective To understand the current situation of the use and cognition of personal protective equipment (PPE) by healthcare workers in the isolation wards (rooms) during the coronavirus disease 2019 epidemic, and provide data support for the country to further optimize the configuration of PPE and carry out more targeted training and supervision. Methods In March 2020, healthcare workers in isolation wards (rooms) in provinces and cities in the country were investigated by filling in a questionnaire about the use of different levels of PPE. Results A total of 6 859 questionnaires were collected from 29 provinces and cities, containing 5 935 valid questionnaires (86.53%). Among them, there were 448 assisting-Hubei medical team members and 5 487 non-assisting-Hubei healthcare workers. The actual use rate (74.22%) and intended use rate (73.14%) of surgical masks in the cleaning areas were the highest. The actual use rate and intended use rate of working caps in potentially contaminated areas and contaminated areas were higher than 90%. There were various combinations of protective articles, and there were significant differences between actual use and intention (P<0.05). Except for the boot covers (single layer) in the cleaning areas, the working caps, isolation clothing and boot covers (double layer) in the potential pollution areas, and the protective face screens, working caps, three-layer shoe covers and single/double/three-layer boot covers in the pollution areas-splashing operations (P>0.05), the actual utilization rates of protective articles of the assisting-Hubei medical team members were generally higher than those of the non-assisting-Hubei healthcare workers (P<0.05). Conclusions The instructions for the use of PPE in different areas and operations should be further refined, and standardized training should be increased. The phenomenon of non-standard use of protective equipment should be reduced, and a safety barrier should be provided to the healthcare workers.

Citation： ZHANG Rui, LIU Juyuan, FANG Yao, GAO Xiaodong, FU Qiang, QIAO Fu, CAI Meng. Investigation of the status and intention of the use of personal protective equipment by different personnel in isolation wards during coronavirus disease 2019 epidemic. West China Medical Journal, 2021, 36(11): 1508-1514. doi: 10.7507/1002-0179.202102121 Copy

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1. 國家衛生健康委員會辦公廳. 關于印發新型冠狀病毒肺炎診療方案(試行第七版)的通知(國衛辦醫函〔2020〕184 號). (2020-03-03)[2020-04-20]. http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml.
2. 新型冠狀病毒肺炎疫情實時大數據報告.. [2021-02-10]. https://voice.baidu.com/act/newpneumonia/newpneumonia/?from=osari_aladin_banner#tab4.
3. CDC COVID-19 Response Team. Characteristics of health care personnel with COVID-19—United States, February 12-April 9, 2020. (2020-04-14)[2021-02-10]. https://www.cdc.gov/mmwr/volumes/69/wr/mm6915e6.htm.
4. Hakim SA, Abouelezz NF, El Okda EM. Use of personal protective devices among health care workers in a teaching hospital in Cairo, Egypt. Egypt J Occup Med, 2016, 40(2): 287-300.
5. Yassi A, Moore D, Fitzgerald JM, et al. Research gaps inprotecting healthcare workers from SARS and other respiratory pathogens: aninterdisciplinary, multi-stakeholder, evidence-based approach. J Occup Environ Med, 2005, 47(1): 41-50.
6. Bryce E, Forrester L, Scharf S, et al. What do healthcare workers think? A survey of facial protection equipment user preferences. J Hosp Infect, 2008, 68(3): 241-247.
7. Balicer RD, Barnett DJ, Thompson CB, et al. Characterizing hospital workers’ willingness to report to duty in an influenza pandemic through threat- and efficacy-based assessment. BMC Pub Health, 2010, 10: 436.
8. 國務院應對新型冠狀病毒肺炎疫情聯防聯控機制(醫療救治組). 關于印發應對秋冬季新冠肺炎疫情醫療救治工作方案的通知(聯防聯控機制醫療發〔2020〕276 號). (2020-07-20)[2021-02-10]. http://www.gkgzj.com/u/cms/www/202008/11101638nsy4.pdf.
9. 國家衛生健康委員會辦公廳. 國家衛生健康委辦公廳關于加強疫情期間醫用防護用品管理工作的通知(國衛辦醫函〔2020〕98號). (2020-02-03)[2021-02-10]. http://www.gov.cn/zhengce/zhengceku/2020-02/04/content_5474521.htm.
10. 國家衛生健康委員會辦公廳. 國家衛生健康委員會辦公廳關于印發新冠肺炎疫情期間醫務人員防護技術指南(試行)的通知(國衛辦醫函〔2020〕155 號). (2020-02-21)[2021-02-10]. http://www.hnwsjsw.gov.cn/upload/files/2020/2/2517559139.pdf.
11. World Health Organization. Practical guidelines for infection control in health care facilities. (2004)[2021-02-10]. https://iris.wpro.who.int/bitstream/handle/10665.1/5389/9290222387_eng.pdf.
12. Hu X, Zhang Z, Li N, et al. Self-reported use of personal protective equipment among Chinese critical care clinicians during 2009 H1N1 influenza pandemic. PLOS One, 2012, 7(9): e44723.
13. 李六億, 吳安華. 新型冠狀病毒醫院感染防控常見困惑探討. 中國感染控制雜志, 2020, 19(2): 105-108.
14. 李春輝, 黃勛, 蔡虻, 等. 新冠肺炎疫情期間醫療機構不同區域工作崗位個人防護專家共識. 中國感染控制雜志, 2020, 19(3): 199-213.

West China Medical Journal

Investigation of the status and intention of the use of personal protective equipment by different personnel in isolation wards during coronavirus disease 2019 epidemic

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