Research and analysis on the reasonable selection of personal protective equipment for medical staff in the designated hospital for treatment of coronavirus disease 2019_West China Medical Journal

Authors：

JIANG Shan ¹ , GONG Jiewen ¹ , LÜ Ying ¹ , ZHOU Jiebo ¹ , LIU Yatao ¹ , SHI Hao ¹ ,  ZHANG Liang ¹ ,  GE Maojun ²

1. Department of Nosocomial Infection Management, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, P. R. China;
2. Department of Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, P. R. China;

Corresponding author：

ZHANG Liang, Email: sgyyzl@vip.163.com; GE Maojun, Email: gemaojun@hotmail.com

Keywords：

Coronavirus disease 2019; designated hospital; medical staff; willingness of protection; personal protective equipment

DOI：

10.7507/1002-0179.202302040

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To provide theoretical basis for the reasonable selection of personal protective equipment by analyzing the willingness of protection and the contamination of severe acute respiratory syndrome coronavirus 2 of medical staff in the designated hospital for treatment of coronavirus disease 2019. Methods The medical staff of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine who entered the contaminated area from May 1 to 31, 2022 were collected as the study subjects. A simple random sampling method was adopted to investigate the willingness of protection of different medical staff leaving the cabin. Contamination of severe acute respiratory syndrome coronavirus2 was detected by fluorescence polymerase chain reaction. Results A total of 70 medical staff were included. There were 61 nurses and 38 in intensive care unit. The survey showed that 47 medical staff chose disposable isolation clothes, 44 medical staff chose protective face screen and 69 medical staff chose double-layer shoe cover/boot cover. A total of 640 specimens were collected. Six positive samples for severe acute respiratory syndrome coronavirus2 nucleic acid test were detected, with a positive rate of 0.94%. All the positive samples were sampled from the sole of a protective clothing. Six positive samples were willing to choose double-layer shoe cover/boot cover. Conclusions The medical staff in designated hospital for treatment of coronavirus disease 2019 tend to take high protection during daily medical activities. However, personal protective equipment is less likely to be contaminated by severe acute respiratory syndrome coronavirus2, and it should be selected rationally to avoid excessive protection.

Citation： JIANG Shan, GONG Jiewen, LÜ Ying, ZHOU Jiebo, LIU Yatao, SHI Hao, ZHANG Liang, GE Maojun. Research and analysis on the reasonable selection of personal protective equipment for medical staff in the designated hospital for treatment of coronavirus disease 2019. West China Medical Journal, 2023, 38(3): 387-391. doi: 10.7507/1002-0179.202302040 Copy

1.	Giri A, Sapkota B, Shrestha R, et al. A narrative review of personal protective equipment uses in coronavirus disease 2019 and its disposable practices. JMA J, 2021, 4(2): 86-90.
2.	Rahman HS, Aziz MS, Hussein RH, et al. The transmission modes and sources of COVID-19: a systematic review. Int J Surg Open, 2020, 26: 125-136.
3.	国务院应对新型冠状病毒肺炎疫情联防联控机制综合组. 关于印发医疗机构内新型冠状病毒感染预防与控制技术指南(第三版)的通知. 中华人民共和国国家卫生健康委员会公报, 2021(9): 5-18.
4.	张蕊, 刘聚源, 方遥, 等. 新型冠状病毒肺炎疫情期间隔离病区(房)不同人员个人防护用品分级使用现状及意向调查. 华西医学, 2021, 36(11): 1508-1514.
5.	Nguyen LH, Drew DA, Graham MS, et al. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Health, 2020, 5(9): e475-e483.
6.	Thuresson S, Fraenkel CJ, Sasinovich S, et al. Airborne severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in hospitals: effects of aerosol-generating procedures, HEPA-filtration units, patient viral load, and physical distance. Clin Infect Dis, 2022, 75(1): e89-e96.
7.	Yan K, Lin J, Albaugh S, et al. Measuring SARS-CoV-2 aerosolization in rooms of hospitalized patients. Laryngoscope Investig Otolaryngol, 2022, 7(4): 1033-1041.
8.	Ke R, Martinez PP, Smith RL, et al. Daily longitudinal sampling of SARS-CoV-2 infection reveals substantial heterogeneity in infectiousness. Nat Microbiol, 2022, 7(5): 640-652.
9.	Li YH, Fan YZ, Jiang L, et al. Aerosol and environmental surface monitoring for SARS-CoV-2 RNA in a designated hospital for severe COVID-19 patients. Epidemiol Infect, 2020, 148: e154.
10.	Ong SWX, Tan YK, Chia PY, et al. Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. JAMA, 2020, 323(16): 1610-1612.
11.	Singh N, Tang Y, Ogunseitan OA. Environmentally sustainable management of used personal protective equipment. Environ Sci Technol, 2020, 54(14): 8500-8502.
12.	Igalavithana AD, Yuan X, Attanayake CP, et al. Sustainable management of plastic wastes in COVID-19 pandemic: the biochar solution. Environ Res, 2022, 212(Pt E): 113495.
13.	He L, Zeng Y, Zeng C, et al. Positive rate of serology and RT-PCR for COVID-19 among community residents and healthcare workers in Wuhan, China. Jpn J Infect Dis, 2021, 74(4): 333-336.
14.	Sirijatuphat R, Leelarasamee A, Horthongkham N. Prevalence and factors associated with COVID-19 among healthcare workers at a university hospital in Thailand. Medicine (Baltimore), 2022, 101(38): e30837.
15.	Haegdorens F, Franck E, Smith P, et al. Sufficient personal protective equipment training can reduce COVID-19 related symptoms in healthcare workers: a prospective cohort study. Int J Nurs Stud, 2022, 126: 104132.

1. Giri A, Sapkota B, Shrestha R, et al. A narrative review of personal protective equipment uses in coronavirus disease 2019 and its disposable practices. JMA J, 2021, 4(2): 86-90.
2. Rahman HS, Aziz MS, Hussein RH, et al. The transmission modes and sources of COVID-19: a systematic review. Int J Surg Open, 2020, 26: 125-136.
3. 国务院应对新型冠状病毒肺炎疫情联防联控机制综合组. 关于印发医疗机构内新型冠状病毒感染预防与控制技术指南(第三版)的通知. 中华人民共和国国家卫生健康委员会公报, 2021(9): 5-18.
4. 张蕊, 刘聚源, 方遥, 等. 新型冠状病毒肺炎疫情期间隔离病区(房)不同人员个人防护用品分级使用现状及意向调查. 华西医学, 2021, 36(11): 1508-1514.
5. Nguyen LH, Drew DA, Graham MS, et al. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Health, 2020, 5(9): e475-e483.
6. Thuresson S, Fraenkel CJ, Sasinovich S, et al. Airborne severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in hospitals: effects of aerosol-generating procedures, HEPA-filtration units, patient viral load, and physical distance. Clin Infect Dis, 2022, 75(1): e89-e96.
7. Yan K, Lin J, Albaugh S, et al. Measuring SARS-CoV-2 aerosolization in rooms of hospitalized patients. Laryngoscope Investig Otolaryngol, 2022, 7(4): 1033-1041.
8. Ke R, Martinez PP, Smith RL, et al. Daily longitudinal sampling of SARS-CoV-2 infection reveals substantial heterogeneity in infectiousness. Nat Microbiol, 2022, 7(5): 640-652.
9. Li YH, Fan YZ, Jiang L, et al. Aerosol and environmental surface monitoring for SARS-CoV-2 RNA in a designated hospital for severe COVID-19 patients. Epidemiol Infect, 2020, 148: e154.
10. Ong SWX, Tan YK, Chia PY, et al. Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. JAMA, 2020, 323(16): 1610-1612.
11. Singh N, Tang Y, Ogunseitan OA. Environmentally sustainable management of used personal protective equipment. Environ Sci Technol, 2020, 54(14): 8500-8502.
12. Igalavithana AD, Yuan X, Attanayake CP, et al. Sustainable management of plastic wastes in COVID-19 pandemic: the biochar solution. Environ Res, 2022, 212(Pt E): 113495.
13. He L, Zeng Y, Zeng C, et al. Positive rate of serology and RT-PCR for COVID-19 among community residents and healthcare workers in Wuhan, China. Jpn J Infect Dis, 2021, 74(4): 333-336.
14. Sirijatuphat R, Leelarasamee A, Horthongkham N. Prevalence and factors associated with COVID-19 among healthcare workers at a university hospital in Thailand. Medicine (Baltimore), 2022, 101(38): e30837.
15. Haegdorens F, Franck E, Smith P, et al. Sufficient personal protective equipment training can reduce COVID-19 related symptoms in healthcare workers: a prospective cohort study. Int J Nurs Stud, 2022, 126: 104132.

West China Medical Journal

Research and analysis on the reasonable selection of personal protective equipment for medical staff in the designated hospital for treatment of coronavirus disease 2019

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