Impact of personal protective equipment use on health care workers’ physical health during the COVID-19 pandemic: A systematic review and meta-analysis

Galanis, Petros; Vraka, Irène; Fragkou, Despoina; Bilali, Angeliki; Kaitelidou, Daphne

doi:10.1016/j.ajic.2021.04.084

Cited by 99 publications

(116 citation statements)

References 68 publications

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“…Masks that offer airborne protection increase the risk of these conditions occurring over the nasal bridge and cheeks, and the duration that PPE is worn appears to be the most common risk factor. 103 , 104 Hydrocolloid dressings can be used to prevent the development of adverse skin reactions related to masks. 103 , 104 …”

Section: Recommendationsmentioning

confidence: 99%

Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations

Thomas

Baldwin

Beach

et al. 2022

Journal of Physiotherapy

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This document provides an update to the recommendations for physiotherapy management for adults with coronavirus disease 2019 (COVID-19) in the acute hospital setting. It includes: physiotherapy workforce planning and preparation; a screening tool for determining requirement for physiotherapy; and recommendations for the use of physiotherapy treatments and personal protective equipment. New advice and recommendations are provided on: workload management; staff health, including vaccination; providing clinical education; personal protective equipment; interventions, including awake proning, mobilisation and rehabilitation in patients with hypoxaemia. Additionally, recommendations for recovery after COVID-19 have been added, including roles that physiotherapy can offer in the management of post-COVID syndrome. The updated guidelines are intended for use by physiotherapists and other relevant stakeholders caring for adult patients with confirmed or suspected COVID-19 in the acute care setting and beyond.

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Section: Recommendationsmentioning

confidence: 99%

Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations

Thomas

Baldwin

Beach

et al. 2022

Journal of Physiotherapy

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“…This classification was necessary as the study analysis required a broad distinction between the two groups. Despite these limitations, this study is one of very few in the current literature [2,3] reporting on outcomes of frontline workers using 3DP face shields.…”

Section: Limitationsmentioning

confidence: 98%

“…This, coupled with disrupted supply chains, led to a sudden, acute shortage of supplies and, notably, personal protective equipment (PPE). Among the most urgent concerns was the need to provide adequate protection for highrisk groups such as frontline healthcare workers, for whom PPE is the most significant primary prevention from COVID-19 [2]. Scarcity of PPE during the early months of the COVID-19 pandemic led to rationing and recycling [3].…”

Section: Introductionmentioning

confidence: 99%

3D-Printed Personal Protective Face Shields During the COVID-19 Pandemic: A Survey of Canadian Frontline Workers

Daud¹,

Hussein²,

Zhang³

et al. 2021

Cureus

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BackgroundDuring the coronavirus disease 2019 pandemic, three-dimensional (3D) printing was utilized to rapidly produce face shields for frontline workers in response to an acute shortage of personal protective equipment (PPE). In this study, we examine the perceived utility and performance of 3D-printed (3DP) face shields through a survey of frontline workers in Ontario, Canada. MethodologyFrontline workers who received community-produced 3DP face shields from the Canadian initiative "3DPPE GTHA" (March-December 2020) were invited to participate in the study. The survey response rate was 54.3%. Of 63 respondents, 39 were patient-facing and 24 were community-facing frontline workers. Participants were asked to rate performance measures in 10 categories on a five-point Likert scale. Data were categorized by organization and frontline worker type, and a t-test was used to determine statistically significant differences among subgroups. ResultsThe mean preference for 3DP face shields among respondents was 3.2 out of 5 (95% confidence interval [CI]: 2.1-4.3). Community-facing respondents reported significantly greater overall utility scores for 3DP face shields (3.58, 95% CI: 3.38-3.79) compared to respondents working in a patient-facing profession (2.95, 95% CI: 2.77-3.13; p < 0.05). However, no differences were reported in portability and compatibility with other PPE. Respondents from organizations with large service volumes reported significantly lower overall utility scores (2.67, 95% CI: 2.44-2.89) than respondents in organizations with smaller service volumes (3.45, 95% CI: 3.28-3.62; p < 0.05). ConclusionsCommunity-facing frontline workers and those from smaller service volume organizations endorse higher utility for 3DP face shields than patient-facing frontline workers. Despite this, frontline workers generally rate 3DP face shields positively. 3DP face shields are a viable option for personal and community use and can be used to supplement supply in a community setting.

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“…dressing, better material, masks that fit properly and reduce the time of using PPE) to prevent adverse events associated with the use of PPE and minimize harm to HCW. Creating a safe working environment for health professionals can lead to better management of the COVID-19 pandemic and an increase in professional performance (Galanis et al, 2021).…”

Section: Personal Protective Equipment (Ppe) and Health Care Workers (Hcw)mentioning

confidence: 99%

Development of performance indicators for Occupational Health and Safety: a constructivist multicriteria approach for PPE

Riascos

Ensslin

Merino

2021

Prod.

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. IntroductionAccidents and work-related diseases cost, in the world, at least 2,680 billion euros per year (Elsler et al., 2017) and it is estimated that 7,500 people die due to unsafe and unhealthy working conditions every day (International Labour Organization, 2019). To control and reduce this situation, occupational risk prevention activities are developed, which must be defined according to the context of each organization.These activities are necessary to create safe work environments and contribute to the protection of workers' health (Niu, 2010). This is highlighted by the actions arising from the Occupational Health and Safety Management System (OHSMS) registered in ISO 45001:2018, which aims to prevent injuries and health problems for workers by providing healthy and safe workplaces (International Organization for Standardization, 2018).The performance of this type of systems needs to be constantly evaluated, being necessary the use of indicators (metrics to quantify the processes performance), which allow the identification of weaknesses and potentialities, consequently assisting in decision making and definition of strategies to improve working conditions.

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Impact of personal protective equipment use on health care workers’ physical health during the COVID-19 pandemic: A systematic review and meta-analysis

Cited by 99 publications

References 68 publications

Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations

Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations

3D-Printed Personal Protective Face Shields During the COVID-19 Pandemic: A Survey of Canadian Frontline Workers

Development of performance indicators for Occupational Health and Safety: a constructivist multicriteria approach for PPE

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