Personal protective equipment use by health-care workers in intensive care units during the COVID-19 pandemic in Japan: comparative analysis with the PPE-SAFE survey.
Health‐care worker
heat
intensive care unit
personal protective equipment
safety
Journal
Acute medicine & surgery
ISSN: 2052-8817
Titre abrégé: Acute Med Surg
Pays: United States
ID NLM: 101635464
Informations de publication
Date de publication:
Historique:
received:
21
07
2020
revised:
05
09
2020
accepted:
25
09
2020
pubmed:
13
10
2020
medline:
13
10
2020
entrez:
12
10
2020
Statut:
epublish
Résumé
We investigated personal protective equipment (PPE) use and supply shortage, training, and adverse events among health-care workers (HCWs) in the intensive care unit (ICU) during the coronavirus disease (COVID-19) pandemic in Japan and compared the results with an international survey that used the same methodology. This Web-based survey was carried out from 14 April to 6 May, 2020, in Japan and included HCWs directly involved in ICU management of COVID-19 patients. A survey invitation was emailed using the Japanese Society of Intensive Care Medicine's mailing list. We analyzed 460 valid responses from among 976 responses. The N95/FFP2 mask (77%) was the most frequently used, although half of our respondents reported reuse of single-use N95/FFP2 masks. The median duration (1 h) of uninterrupted PPE use per shift was less than that in the international study. The most common PPE-related adverse event was experiencing intense heat (75%). Logistic regression analysis revealed that being a nurse was independently associated with experiencing intense heat. Shortage of PPE and frequent mask reuse were prevalent during the COVID-19 pandemic in Japan. Intense heat is the most significant symptom, especially for nurses, even with short-duration PPE use. Strategies to protect HCWs from dehydration and intense heatstroke are needed.
Identifiants
pubmed: 33042559
doi: 10.1002/ams2.584
pii: AMS2584
pmc: PMC7537292
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e584Informations de copyright
© 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.
Déclaration de conflit d'intérêts
Approval of the research protocol: The study protocol was approved by the Royal Brisbane and Women’s Hospital Human Research Ethics Committee (LNR/2020/QrBW/63041), Brisbane, Australia. Informed consent: N/A. Registration and the registration no. of the study/trial: N/A. Animal studies (if applicable): N/A. Conflicts of interest: None.