A cross-sectional study on knowledge, attitude, and practices of donning and doffing of personal protective equipment: An institutional survey of health-care staff during the COVID-19 pandemic

Garg, Kamakshi; Grewal, Anju; Mahajan, Rajesh; Kumari, Samriti; Mahajan, Aashita

doi:10.4103/aer.aer_53_20

Cited by 20 publications

(14 citation statements)

References 13 publications

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“…Twenty percent of subjects who got the infection reported having worked in a ward with positive COVID patients, compared to 14% of those who didn't work in contact with infected subjects: a logistic regression model highlighted this association (OR adj = 1.54). It was also observed that almost all operators declared that they had received adequate instructions for their use, which is in line with other hospital investigations [19,20]. Unfortunately, not all hospitals were able to supplying adequate equipment to their staff, especially at the beginning of the pandemic [21].…”

Section: Discussionsupporting

confidence: 64%

Clinical Characteristics and Potential Risk Factors Associated with the SARS-CoV-2 Infection: Survey on a Health Care Workers (HCWs) Population in Northern Italy

Novelli

Fassio

Resani

et al. 2022

IJERPH

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During the two years of the COVID-19 pandemic, more than 400 million cases all over the world have been identified. Health care workers were among the first to deal with this virus and consequently a high incidence of infection was reported in this population. The aim of the survey was to investigate health care workers’ (HCWs) clinical characteristics and potential risk factors associated with the SARS-CoV-2 infection in a referral hospital in Northern Italy after the first and second waves of the pandemic. We administered a questionnaire during the flu vaccination campaign that took place at the end of 2020; among 1386 vaccinated HCWs, data was collected and analyzed for 1065 subjects. 182 HCWs (17%) declared that they had tested positive on at least a molecular or a serological test since the beginning of the pandemic. Comparing the infected vs. not infected HCWs, median age, BMI, smoking habit, presence of hypertension or other comorbidities were not significantly different, while having worked in a COVID ward was associated with the infection (ORadj = 1.54, 95% CI: 1.07–2.20). Respondents declared that more than 70% of contacts occurred in the hospital with patients or colleagues, while about 15% in domestic environments. Among the infected, the most reported symptoms were fever (62.1%), asthenia (60.3%), anosmia/ageusia (53.5%), arthralgia/myalgia (48.3%), headache or other neurological symptoms (46.6%), cough (43.1%) and flu-like syndrome (41.4%). The percentage of subjects who have been infected with SARS-CoV-2 seems to be higher in HCWs than in the general population; hence, in hospitals, protective measures and preventive strategies to avoid the spreading of the contagion remain crucial.

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Section: Discussionsupporting

confidence: 64%

Clinical Characteristics and Potential Risk Factors Associated with the SARS-CoV-2 Infection: Survey on a Health Care Workers (HCWs) Population in Northern Italy

Novelli

Fassio

Resani

et al. 2022

IJERPH

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“…Section of attitude regarding donning and doffing of PPE included 8 questions with responses documented in the form of a five-point Likert scale: Strongly disagree, Disagree, Neutral, Agree and, Strongly Agree. The practice section consisted of 17 questions adopted from Garg et al [17] and modified, to assess the reported practice while donning and doffing of PPE among health care workers. A score of "1" was attributed for the correct practice response and a score of "0" was attributed for incorrect practice response.…”

Section: Study Toolmentioning

confidence: 99%

Knowledge, attitude and reported practice regarding donning and doffing of personal protective equipment among frontline healthcare workers against COVID-19 in Nepal: A cross-sectional study

Pandey

Poudel

Gaire

et al. 2021

PLOS Glob Public Health

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Background Coronavirus Disease 2019 (COVID-19) is a respiratory infection with a high rate of transmission primarily via airborne route and direct contact. Proper use of personal protective equipment (PPE) is a proven and effective way to prevent COVID-19 spread in healthcare settings. This study was done aiming to assess the knowledge, attitude, and reported practice, and identify the associated factors regarding donning and doffing of PPE among frontline healthcare workers in Nepal. Methods A cross-sectional study was conducted from 25th April to 30th July 2021 among 205 frontline healthcare workers of Nepal selected randomly from among the contacts of the investigators. A structured self-administered questionnaire prepared in google form was used as a study tool and shared via social media to the participants to obtain information on socio-demographic and workplace characteristics along with their knowledge, attitude, and reported practice regarding donning and doffing of PPE. Result A total of 79.5% of participants had satisfactory knowledge while 75.6% had satisfactory practice scores regarding donning and doffing of PPE. Factors such as the profession of the participants (p-value = 0.048), their workplace (p-value = 0.005), provision of PPE at workplace (p-value = 0 .009), and availability of designated space at workplace for methodical donning and doffing of PPE (p-value = 0.010) were significantly associated with satisfactory knowledge score whereas availability of designated space at workplace for donning and doffing of PPE was significantly associated with good practice score (p-value = 0.009). Conclusion This study demonstrated an overall good knowledge, attitude, and reported practice regarding donning and doffing of PPE among frontline healthcare workers in Nepal. However, the reported shortcomings like poor knowledge regarding the sequence of donning and doffing and corresponding flawed practice behaviors need to be addressed.

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“…By comparison, HCWs who use N95 FFRs often affirm knowing how to don and doff their respirators, yet they often do not report correct practice 17,31–33 . In one study, for example, 54% to 57% reported performing a user seal check, which is an expected practice for using N95 FFRs 33 .…”

Section: Discussionmentioning

confidence: 98%

“…25 By comparison, HCWs who use N95 FFRs often affirm knowing how to don and doff their respirators, yet they often do not report correct practice. 17,[31][32][33] In one study, for example, 54% to 57% reported performing a user seal check, which is an expected practice for using N95 FFRs. 33 Similarly, in a direct observation study of US HCWs using N95 FFRs, only 15.5% performed a user seal check, 54.6% placed the straps correctly, 43.3% used the straps to remove the respirator, and 55.3% properly disposed of the respirator.…”

Section: Discussionmentioning

confidence: 99%

Characteristics Associated With Health Care Worker Knowledge and Confidence in Elastomeric Half-Mask Respirator Use

Thurman¹,

Zhuang²,

Chen³

et al. 2022

J Occup Environ Med

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A cross-sectional study on knowledge, attitude, and practices of donning and doffing of personal protective equipment: An institutional survey of health-care staff during the COVID-19 pandemic

Cited by 20 publications

References 13 publications

Clinical Characteristics and Potential Risk Factors Associated with the SARS-CoV-2 Infection: Survey on a Health Care Workers (HCWs) Population in Northern Italy

Clinical Characteristics and Potential Risk Factors Associated with the SARS-CoV-2 Infection: Survey on a Health Care Workers (HCWs) Population in Northern Italy

Knowledge, attitude and reported practice regarding donning and doffing of personal protective equipment among frontline healthcare workers against COVID-19 in Nepal: A cross-sectional study

Characteristics Associated With Health Care Worker Knowledge and Confidence in Elastomeric Half-Mask Respirator Use

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