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Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals
BACKGROUND: The proper use of personal protective equipment (PPE) by health care workers (HCWs) is vital in preventing the spread of infection and has implications for HCW safety. METHODS: An observational study was performed in 11 hospitals participating in the Canadian Nosocomial Infection Surveil...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc.
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132671/ https://www.ncbi.nlm.nih.gov/pubmed/23073484 http://dx.doi.org/10.1016/j.ajic.2012.04.332 |
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author | Mitchell, Robyn Roth, Virginia Gravel, Denise Astrakianakis, George Bryce, Elizabeth Forgie, Sarah Johnston, Lynn Taylor, Geoffrey Vearncombe, Mary |
author_facet | Mitchell, Robyn Roth, Virginia Gravel, Denise Astrakianakis, George Bryce, Elizabeth Forgie, Sarah Johnston, Lynn Taylor, Geoffrey Vearncombe, Mary |
author_sort | Mitchell, Robyn |
collection | PubMed |
description | BACKGROUND: The proper use of personal protective equipment (PPE) by health care workers (HCWs) is vital in preventing the spread of infection and has implications for HCW safety. METHODS: An observational study was performed in 11 hospitals participating in the Canadian Nosocomial Infection Surveillance Program between January 7 and March 30, 2011. Using a standardized data collection tool, observers recorded HCWs selecting and removing PPE and performing hand hygiene on entry into the rooms of febrile respiratory illness patients. RESULTS: The majority of HCWs put on gloves (88%, n = 390), gown (83%, n = 368), and mask (88%, n = 386). Only 37% (n = 163) were observed to have put on eye protection. Working in a pediatric unit was significantly associated with not wearing eye protection (7%), gown (70%), gloves (77%), or mask (79%). Half of the observed HCWs (54%, n = 206) removed their PPE in the correct sequence. Twenty-six percent performed hand hygiene after removing their gloves, 46% after removing their gown, and 57% after removing their mask and/or eye protection. CONCLUSION: Overall adherence with appropriate PPE use in health care settings involving febrile respiratory illness patients was modest, particularly on pediatric units. Interventions to improve PPE use should be targeted toward the use of recommended precautions (eg, eye protection), HCWs working in pediatric units, the correct sequence of PPE removal, and performing hand hygiene. |
format | Online Article Text |
id | pubmed-7132671 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-71326712020-04-08 Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals Mitchell, Robyn Roth, Virginia Gravel, Denise Astrakianakis, George Bryce, Elizabeth Forgie, Sarah Johnston, Lynn Taylor, Geoffrey Vearncombe, Mary Am J Infect Control Major Article BACKGROUND: The proper use of personal protective equipment (PPE) by health care workers (HCWs) is vital in preventing the spread of infection and has implications for HCW safety. METHODS: An observational study was performed in 11 hospitals participating in the Canadian Nosocomial Infection Surveillance Program between January 7 and March 30, 2011. Using a standardized data collection tool, observers recorded HCWs selecting and removing PPE and performing hand hygiene on entry into the rooms of febrile respiratory illness patients. RESULTS: The majority of HCWs put on gloves (88%, n = 390), gown (83%, n = 368), and mask (88%, n = 386). Only 37% (n = 163) were observed to have put on eye protection. Working in a pediatric unit was significantly associated with not wearing eye protection (7%), gown (70%), gloves (77%), or mask (79%). Half of the observed HCWs (54%, n = 206) removed their PPE in the correct sequence. Twenty-six percent performed hand hygiene after removing their gloves, 46% after removing their gown, and 57% after removing their mask and/or eye protection. CONCLUSION: Overall adherence with appropriate PPE use in health care settings involving febrile respiratory illness patients was modest, particularly on pediatric units. Interventions to improve PPE use should be targeted toward the use of recommended precautions (eg, eye protection), HCWs working in pediatric units, the correct sequence of PPE removal, and performing hand hygiene. Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. 2013-03 2012-10-13 /pmc/articles/PMC7132671/ /pubmed/23073484 http://dx.doi.org/10.1016/j.ajic.2012.04.332 Text en Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Major Article Mitchell, Robyn Roth, Virginia Gravel, Denise Astrakianakis, George Bryce, Elizabeth Forgie, Sarah Johnston, Lynn Taylor, Geoffrey Vearncombe, Mary Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals |
title | Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals |
title_full | Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals |
title_fullStr | Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals |
title_full_unstemmed | Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals |
title_short | Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals |
title_sort | are health care workers protected? an observational study of selection and removal of personal protective equipment in canadian acute care hospitals |
topic | Major Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132671/ https://www.ncbi.nlm.nih.gov/pubmed/23073484 http://dx.doi.org/10.1016/j.ajic.2012.04.332 |
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