Potential Role of Personal Protective Equipment Use in the Protection Against COVID-19 Infection Among Health Care Workers

Wang, Wei; Min, Yuanzeng; Yang, Chun-Mei; Hong, Haiou; Xue, Tian; Gao, Yong; Jin, Tengchuan; Lü, Zeng; Zhang, Liangming; Zheng, Xueying; Luo, Sihui; Bao, Wei; Weng, Jianping

doi:10.1101/2020.04.24.20070169

Cited by 13 publications

(15 citation statements)

References 24 publications

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“…The authors’ findings are encouraging, and in line with a recent preprint study from Hefei and Wuhan that also reported that none of 426 frontline healthcare workers provided with appropriate access to PPE contracted covid-19 5. These studies underscore that adequate training and uninterrupted availability of sufficient, adequate PPE protects healthcare workers from harm, and such provision remains critical to their safety during a pandemic likely to continue for the foreseeable future.…”

supporting

confidence: 72%

Complete protection from covid-19 is possible for health workers

Karlsson

Fraenkel

2020

BMJ

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supporting

confidence: 72%

Complete protection from covid-19 is possible for health workers

Karlsson

Fraenkel

2020

BMJ

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“…Lack of appropriate PPE itself can put the HCPs at risk of contracting the virus and infecting other healthcare workers and their family. Although this problem did not only exist in Ethiopia, it was also reported from China [18] and other countries. In one study in Jordan, only 18.5% of frontline doctors reported that all PPE were available and most shortage was reported in protective facemasks [19].…”

Section: Discussionmentioning

confidence: 95%

Availability of personal protective equipment and satisfaction of healthcare professionals during COVID-19 pandemic in Ethiopia

Deressa

Worku

Abebe

et al. 2020

Preprint

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Healthcare professionals (HCPs) are at the frontline in the fight against COVID-19 and are at an increased risk of becoming infected with coronavirus. Risk of infection can be minimized by use of proper personal protective equipment (PPE). This study assessed the availability of PPE and satisfaction of HCPs in six public hospitals in Addis Ababa, Ethiopia. A cross-sectional study was conducted from 9th to 26th June 2020. The study hospitals included: Tikur Anbessa Specialized Hospital, Zewditu Memorial Hospital, Ghandi Memorial Hospital, Menelik II Hospital, Yekatit 12 Hospital Medical College and St. Paul Hospital Millennium Medical College. Data were collected using a self-administered questionnaire. Descriptive statistics were used to describe the data and Chi-square test was used to assess the association between the groups. Bivariate and multivariable logistic regression models were used to assess factors associated with the satisfaction level of healthcare workers with regard to the availability and use of proper PPE during the current COVID-19 pandemic. A total of 1,134 (92.3%) valid questionnaires from a possible 1,228 were included in the analysis. The mean (SD) age of the participants was 30.26 (6.43) year and 52.6% were females. Nurses constituted about 40% of the overall sample, followed by physicians (22.2%), interns (10.8%), midwives (10.3%) and others (16.7%). An overall shortage of PPE was reported in all study hospitals. The majority (77%) of the healthcare professionals reported that their hospital did not have adequate PPE. A critical shortage of N95 respirator was particularly reported, the self-reported availability of N95 increased from 13% to 24% before and during COVID-19, respectively. The self-reported use of N95 increased from 9% to 21% before and during COVID-19, respectively. Almost 72% of the respondents were dissatisfied with the availability of PPE in their hospital. The independent predictors of the respondents satisfaction level about PPE were male gender (adjusted OR=1.39, 95% CI:1.05-1.85), healthcare workers who reported that PPE was adequately available in the hospital (adjusted OR=7.53, 95% CI:5.08-11.16), and preparedness to provide care to COVID-19 cases (adjusted OR=1.65, 95% CI:1.22-2.12). A critical shortage of appropriate PPE both before and during COVID-19 was identified. The high level of dissatisfaction with the availability of PPE might potentially lead to a lower level of preparedness and readiness to fight against COVID-19. Therefore, urgent efforts are needed to adequately supply the healthcare facilities with appropriate PPE to alleviate the challenges.

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“…Protection against infection with SARS-CoV-2 has been demonstrated in health care workers with the use of PPE. 22 , 23 …”

Section: Recommendationsmentioning

confidence: 99%

Key populations for early COVID-19 immunization: preliminary guidance for policy

Ismail

Zhao

Tunis

et al. 2020

CMAJ

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Immunization with a safe and effective vaccine could hasten control of the coronavirus disease 2019 (COVID-19) pandemic and minimize morbidity, death and societal disruption that have resulted from it.Early release, published at www.cmaj.ca on November 3, 2020. Subject to revision. CMAJ GUIDELINETo achieve this objective, this guideline identifies key populations for early COVID-19 immunization. Sequencing of key populations will be determined once more information about SARS-CoV-2 vaccines is available from late-phase clinical trial data. At the time of writing, it is too early to tell how these vaccines will perform in terms of efficacy and duration of protection. These factors will be reflected in NACI's vaccine-specific guideline, which will be developed when vaccine(s) become authorized for use in Canada. ScopeNACI recommendations on key populations for early COVID-19 immunization apply to publicly funded immunization programs and not to individuals wishing to prevent COVID-19 with privately purchased vaccines. Although the target users for these recommendations are policy-makers (e.g., federal, provincial and territorial decision-makers for public health program planning), health care providers and the public are also users of NACI guidance.Specific recommendations for SARS-CoV-2 vaccines in key popu lations will depend on as yet unknown factors such as vaccine efficacy in different populations, the epidemiologic context at the time vaccine(s) become(s) accessible and total vaccine supply. When this information is available, NACI will provide additional evidence-informed guidance on options for COVID-19 immunization, which will inform publicly funded immunization programs, as well as individuals and health care providers wishing to advise their patients on options for publicly funded SARS-CoV-2 vaccines. NACI does not provide advice on vaccine stockpiling, procurement or allocation of vaccine among provinces and territories.

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Potential Role of Personal Protective Equipment Use in the Protection Against COVID-19 Infection Among Health Care Workers

Cited by 13 publications

References 24 publications

Complete protection from covid-19 is possible for health workers

Complete protection from covid-19 is possible for health workers

Availability of personal protective equipment and satisfaction of healthcare professionals during COVID-19 pandemic in Ethiopia

Key populations for early COVID-19 immunization: preliminary guidance for policy

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