Personal Protective Equipment in COVID-19: Impacts on Health Performance, Work-Related Injuries, and Measures for Prevention.
Adult
COVID-19
/ epidemiology
China
/ epidemiology
Cross-Sectional Studies
Female
Health Personnel
/ psychology
Humans
Male
Occupational Injuries
/ epidemiology
Occupational Medicine
/ instrumentation
Personal Protective Equipment
/ adverse effects
SARS-CoV-2
Surveys and Questionnaires
Work Performance
/ statistics & numerical data
Journal
Journal of occupational and environmental medicine
ISSN: 1536-5948
Titre abrégé: J Occup Environ Med
Pays: United States
ID NLM: 9504688
Informations de publication
Date de publication:
01 Mar 2021
01 Mar 2021
Historique:
pubmed:
5
1
2021
medline:
12
3
2021
entrez:
4
1
2021
Statut:
ppublish
Résumé
To assess impact of personal protective equipment (PPE) on healthcare providers (HCPs) in caring for COVID-19 patients. A cross-sectional survey was conducted over 50 hospitals in China. Descriptive analyses and Chi-square tests were performed on the collected data. All 104 frontline HCPs report negative impacts of PPE on their clinical performance, 97% of them experienced discomfort and injuries caused by wearing PPE for long hours. Frontline HCPs provided suggestions to alleviate the negative impacts and to enhance communication between healthcare staff and patients. Two hundred eighty two non-frontline HCPs also revealed similar problems; however, we recorded a few discrepancies between answers given by frontline and non-frontline HCPs. Wearing PPE for long hours degrades health performance. Measures were suggested to improve the design of PPE for protecting HCPs and enhancing their services to COVID patients.
Identifiants
pubmed: 33394877
doi: 10.1097/JOM.0000000000002123
pii: 00043764-202103000-00005
pmc: PMC7934332
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
221-225Informations de copyright
Copyright © 2021 American College of Occupational and Environmental Medicine.
Déclaration de conflit d'intérêts
Zheng, Duan, Sun, He, Yang, Li, and Taparia have no relationships/conditions/circumstances that present potential conflict of interest.
Références
Benitez CY, Guemes A, Aranda J, et al. Impact of personal protective equipment on surgical performance during the COVID-19 pandemic. World J Surg 2020; 44:2842–2847.
WHO. Rational Use Of Personal Protective Equipment For Coronavirus Disease 2019 (COVID-19): Interim Guidance, 27 February 2020. Geneva: World Health Organization; 2020.
Whelehan DF, Connelly TM, Ridgway PF. COVID-19 and surgery: a thematic analysis of unintended consequences on performance, practice and surgical training. Surgeon 2020; S1479-666X:30105–30100.
Maynard SL, Kao R, Craig DG. Impact of personal protective equipment on clinical output and perceived exertion. J R Army Med Corps 2016; 162:180–183.
Hegde S. Which type of personal protective equipment (PPE) and which method of donning or doffing PPE carries the least risk of infection for healthcare workers? Evid Based Dent 2020; 21:74–76.
Williams VR, Leis JA, Trbovich P, et al. Improving healthcare worker adherence to the use of transmission-based precautions through application of human factors design: a prospective multi-centre study. J Hosp Infect 2019; 103:101–105.
Wong WY, Kong YC, See JJ, et al. Anaesthetic management of patients with COVID-19: infection prevention and control measures in the operating theatre. Brit J Anaesth 2020; 125:E239–E241.
Jiang Q, Liu Y, Wei W, et al. The prevalence, characteristics, and related factors of pressure injury in medical staff wearing personal protective equipment against COVID-19 in China: a multicentre cross-sectional survey. Int Wound J 2020; 17:1300–1309.
Morabito M, Messeri A, Crisci A, et al. Heat warning and public and workers’ health at the time of COVID-19 pandemic. Sci Total Environ 2020; 738:140347.
Misra A. Doctors and healthcare workers at frontline of COVID 19 epidemic: admiration, a pat on the back, and need for extreme caution. Diabetes Metab Syndr 2020; 14:255–256.
Ong JJY, Bharatendu C, Goh YH, et al. Headaches associated with personal protective equipment - a cross-sectional study among frontline healthcare workers during COVID-19. Headache 2020; 60:864–877.
Chen Q, Liang M, Li Y. Mental health care for medical staff in China during the COVID-19 outbreak (vol 7, e15, 2020). Lancet Psychiat 2020; 7:E27.
Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ 2020; 368:m1211.
Gefen A, Ousey K. Update to device related pressure ulcers: SECURE prevention. COVID-19 face masks and skin damage. J Wound Care 2020; 29:245–259.
Darlenski R, Tsankov N. COVID-19 pandemic and the skin: what should dermatologists know? Clin Dermatol 2020; 38:785–787.
Singh M, Pawar M, Bothra A, et al. Personal protective equipment induced facial dermatoses in healthcare workers managing COVID-19 cases. J Eur Acad Dermatol Venereol 2020; 34:e378–e380.
Desai SR, Kovarik C, Brod B, et al. COVID-19 and personal protective equipment: treatment and prevention of skin conditions related to the occupational use of personal protective equipment. J Am Acad Dermatol 2020; 83:675–677.
Howard BE. High-risk aerosol-generating procedures in COVID-19: respiratory protective equipment considerations. Otolaryngol Head Neck Surg 2020; 163:98–103.
Dalli J, O’Keeffe DA, Khan F, Traynor O, Cahill RA. Powered air purifying respirators (PAPR) for the protection of surgeons during operative tasks: a user perspective assessment. Br J Surg 2020; 107:e328–e330.
Moores TS, Khan SA, Chatterton BD, Harvey G, Lewthwaite SC. A microbiological assessment of sterile surgical helmet systems using particle counts and culture plates: recommendations for safe use whilst scrubbing. J Hosp Infect 2019; 101:354–360.
Fry DE, Harris WE, Kohnke EN, Twomey CL. Influence of double-gloving on manual dexterity and tactile sensation of surgeons. JACS 2010; 1:325–330.
Haines T, Stringer B, Herring J, Thoma A, Harris KA. Surgeons’ and residents’ double-gloving practices at 2 teaching hospitals in Ontario. Can J Surg 2011; 54:95–100.
Wilkinson S, Irvine E, Valsamakis T. Coronavirus disease 2019 communication: novel sign language system to aid surgical tracheostomy whilst wearing a respirator. J Laryngol Otol 2020; 134:642–645.
Leyva-Moraga FA, Leyva-Moraga E, Leyva-Moraga F, et al. Effective surgical communication during the COVID-19 pandemic: sign language. Br J Surg 2020; 107:e429–e430.
Fang J, Liu YT, Lee EY, Yadav K. Telehealth solutions for in-hospital communication with patients under isolation during COVID-19. West J Emerg Med 2020; 21:801–806.
Malhotra P, Khameraj A, Salim T, et al. Reengineering the patient's environment: establishment of a “Red Box” to improve communications with patients on isolation precautions. Am J Infect Control 2019; 47:264–267.
Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. Int J Emerg Med 2020; 13:40.