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Availability and crisis standards of care for personal protective equipment during fall 2020 of the COVID-19 pandemic: A national study by the APIC COVID-19 task force
BACKGROUND: The COVID-19 pandemic resulted in personal protective equipment (PPE) shortages in spring 2020, necessitating crisis protocols. METHODS: An online survey was administered to all Association for Professionals in Infection Control and Epidemiology members in October, 2020 to assess PPE ava...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7997145/ https://www.ncbi.nlm.nih.gov/pubmed/33775741 http://dx.doi.org/10.1016/j.ajic.2021.03.015 |
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author | Rebmann, Terri Alvino, Rebecca T. Holdsworth, Jill E. |
author_facet | Rebmann, Terri Alvino, Rebecca T. Holdsworth, Jill E. |
author_sort | Rebmann, Terri |
collection | PubMed |
description | BACKGROUND: The COVID-19 pandemic resulted in personal protective equipment (PPE) shortages in spring 2020, necessitating crisis protocols. METHODS: An online survey was administered to all Association for Professionals in Infection Control and Epidemiology members in October, 2020 to assess PPE availability and crisis standards utilized in fall, 2020. RESULTS: In total, 1,081 infection preventionists participated. A quarter lacked sufficient disinfection supplies, N95s, isolation gowns, and gloves; 10%-20% lacked eye protection and hand hygiene supplies. Significantly more were reusing respirators than masks (65.6% vs 46.8%, respectively; P < .001); a third (32.0%, n = 735) were reusing isolation gowns. About half (45.9%, n = 496) were decontaminating respirators. Determinants of believing current PPE reuse protocols were safe and evidence-based included the infection preventionists being involved in developing COVID-19 protocols (both), having respirator reuse protocols that involve ≤ 5 reuses (both), using reusable respiratory protection (both), decontaminating respirators (perceived safe), and not reusing masks (perceived safe; P < .05 for all). CONCLUSIONS: Although most health care facilities had adequate PPE in fall 2020, PPE supply chains were still disrupted, resulting in the need to reuse or decontaminate PPE. Ongoing gaps in PPE access need to be addressed in order to minimize health care associated infections and occupational illness. |
format | Online Article Text |
id | pubmed-7997145 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-79971452021-03-29 Availability and crisis standards of care for personal protective equipment during fall 2020 of the COVID-19 pandemic: A national study by the APIC COVID-19 task force Rebmann, Terri Alvino, Rebecca T. Holdsworth, Jill E. Am J Infect Control Major Article BACKGROUND: The COVID-19 pandemic resulted in personal protective equipment (PPE) shortages in spring 2020, necessitating crisis protocols. METHODS: An online survey was administered to all Association for Professionals in Infection Control and Epidemiology members in October, 2020 to assess PPE availability and crisis standards utilized in fall, 2020. RESULTS: In total, 1,081 infection preventionists participated. A quarter lacked sufficient disinfection supplies, N95s, isolation gowns, and gloves; 10%-20% lacked eye protection and hand hygiene supplies. Significantly more were reusing respirators than masks (65.6% vs 46.8%, respectively; P < .001); a third (32.0%, n = 735) were reusing isolation gowns. About half (45.9%, n = 496) were decontaminating respirators. Determinants of believing current PPE reuse protocols were safe and evidence-based included the infection preventionists being involved in developing COVID-19 protocols (both), having respirator reuse protocols that involve ≤ 5 reuses (both), using reusable respiratory protection (both), decontaminating respirators (perceived safe), and not reusing masks (perceived safe; P < .05 for all). CONCLUSIONS: Although most health care facilities had adequate PPE in fall 2020, PPE supply chains were still disrupted, resulting in the need to reuse or decontaminate PPE. Ongoing gaps in PPE access need to be addressed in order to minimize health care associated infections and occupational illness. Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. 2021-06 2021-03-26 /pmc/articles/PMC7997145/ /pubmed/33775741 http://dx.doi.org/10.1016/j.ajic.2021.03.015 Text en © 2021 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier 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 Rebmann, Terri Alvino, Rebecca T. Holdsworth, Jill E. Availability and crisis standards of care for personal protective equipment during fall 2020 of the COVID-19 pandemic: A national study by the APIC COVID-19 task force |
title | Availability and crisis standards of care for personal protective equipment during fall 2020 of the COVID-19 pandemic: A national study by the APIC COVID-19 task force |
title_full | Availability and crisis standards of care for personal protective equipment during fall 2020 of the COVID-19 pandemic: A national study by the APIC COVID-19 task force |
title_fullStr | Availability and crisis standards of care for personal protective equipment during fall 2020 of the COVID-19 pandemic: A national study by the APIC COVID-19 task force |
title_full_unstemmed | Availability and crisis standards of care for personal protective equipment during fall 2020 of the COVID-19 pandemic: A national study by the APIC COVID-19 task force |
title_short | Availability and crisis standards of care for personal protective equipment during fall 2020 of the COVID-19 pandemic: A national study by the APIC COVID-19 task force |
title_sort | availability and crisis standards of care for personal protective equipment during fall 2020 of the covid-19 pandemic: a national study by the apic covid-19 task force |
topic | Major Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7997145/ https://www.ncbi.nlm.nih.gov/pubmed/33775741 http://dx.doi.org/10.1016/j.ajic.2021.03.015 |
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