Journal of critical care · 2020
Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
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Tabah Alexis, Ramanan Mahesh, Laupland Kevin B, Buetti Niccolò, Cortegiani Andrea, Mellinghoff Johannes, Conway Morris Andrew, Camporota Luigi, Zappella Nathalie, Elhadi Muhammed, Povoa Pedro, Amrein Karin, Vidal Gabriela, Derde Lennie, Bassetti Matteo, Francois Guy, Ssi Yan Kai Nathalie, De Waele Jan J, PPE-SAFE contributors
Аннотация
PURPOSE: To survey healthcare workers (HCW) on availability and use of personal protective equipment (PPE) caring for COVID-19 patients in the intensive care unit (ICU).
MATERIALS AND METHOD: A web-based survey distributed worldwide in April 2020.
RESULTS: We received 2711 responses from 1797 (67%) physicians, 744 (27%) nurses, and 170 (6%) Allied HCW. For routine care, most (1557, 58%) reportedly used FFP2/N95 masks, waterproof long sleeve gowns (1623; 67%), and face shields/visors (1574; 62%). Powered Air-Purifying Respirators were used routinely and for intubation only by 184 (7%) and 254 (13%) respondents, respectively. Surgical masks were used for routine care by 289 (15%) and 47 (2%) for intubations. At least one piece of standard PPE was unavailable for 1402 (52%), and 817 (30%) reported reusing single-use PPE. PPE was worn for a median of 4 h (IQR 2, 5). Adverse effects of PPE were associated with longer shift durations and included heat (1266, 51%), thirst (1174, 47%), pressure areas (1088, 44%), headaches (696, 28%), Inability to use the bathroom (661, 27%) and extreme exhaustion (492, 20%).
CONCLUSIONS: HCWs reported widespread shortages, frequent reuse of, and adverse effects related to PPE. Urgent action by healthcare administrators, policymakers, governments and industry is warranted.
MATERIALS AND METHOD: A web-based survey distributed worldwide in April 2020.
RESULTS: We received 2711 responses from 1797 (67%) physicians, 744 (27%) nurses, and 170 (6%) Allied HCW. For routine care, most (1557, 58%) reportedly used FFP2/N95 masks, waterproof long sleeve gowns (1623; 67%), and face shields/visors (1574; 62%). Powered Air-Purifying Respirators were used routinely and for intubation only by 184 (7%) and 254 (13%) respondents, respectively. Surgical masks were used for routine care by 289 (15%) and 47 (2%) for intubations. At least one piece of standard PPE was unavailable for 1402 (52%), and 817 (30%) reported reusing single-use PPE. PPE was worn for a median of 4 h (IQR 2, 5). Adverse effects of PPE were associated with longer shift durations and included heat (1266, 51%), thirst (1174, 47%), pressure areas (1088, 44%), headaches (696, 28%), Inability to use the bathroom (661, 27%) and extreme exhaustion (492, 20%).
CONCLUSIONS: HCWs reported widespread shortages, frequent reuse of, and adverse effects related to PPE. Urgent action by healthcare administrators, policymakers, governments and industry is warranted.
Предметные рубрики MeSH
AdultAfricaAllied Health PersonnelAsiaBetacoronavirusCOVID-19Coronavirus InfectionsEuropeEye Protective DevicesFemaleGloves, ProtectiveHeadacheHealth PersonnelHot TemperatureHumansInfectious Disease Transmission, Patient-to-ProfessionalIntensive Care UnitsMaleMasksMiddle AgedNorth AmericaNursesOccupational HealthOceaniaPandemicsPersonal Protective EquipmentPersonnel Staffing and SchedulingPhysiciansPneumonia, ViralRespiratory Protective DevicesSARS-CoV-2South AmericaSurgical AttireSurveys and QuestionnairesThirst