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

Video：

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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. 国家卫生健康委员会办公厅. 关于印发新型冠状病毒肺炎诊疗方案(试行第七版)的通知(国卫办医函〔2020〕184 号). (2020-03-03)[2020-04-20]. http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml.
2. 新型冠状病毒肺炎疫情实时大数据报告.. [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. 国务院应对新型冠状病毒肺炎疫情联防联控机制(医疗救治组). 关于印发应对秋冬季新冠肺炎疫情医疗救治工作方案的通知(联防联控机制医疗发〔2020〕276 号). (2020-07-20)[2021-02-10]. http://www.gkgzj.com/u/cms/www/202008/11101638nsy4.pdf.
9. 国家卫生健康委员会办公厅. 国家卫生健康委办公厅关于加强疫情期间医用防护用品管理工作的通知(国卫办医函〔2020〕98号). (2020-02-03)[2021-02-10]. http://www.gov.cn/zhengce/zhengceku/2020-02/04/content_5474521.htm.
10. 国家卫生健康委员会办公厅. 国家卫生健康委员会办公厅关于印发新冠肺炎疫情期间医务人员防护技术指南(试行)的通知(国卫办医函〔2020〕155 号). (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. 李六亿, 吴安华. 新型冠状病毒医院感染防控常见困惑探讨. 中国感染控制杂志, 2020, 19(2): 105-108.
14. 李春辉, 黄勋, 蔡虻, 等. 新冠肺炎疫情期间医疗机构不同区域工作岗位个人防护专家共识. 中国感染控制杂志, 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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