Rapid review and meta-analysis of the effectiveness of personal protective equipment for healthcare workers during the COVID-19 pandemic

Schoberer, Daniela; Osmancevic, Selvedina; Reiter, Lea; Thonhofer, Nina; Hoedl, Manuela

doi:10.1016/j.puhip.2022.100280

Cited by 24 publications

(19 citation statements)

References 33 publications

(66 reference statements)

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“…Evidence showed that properly using PPE can significantly lower the risk of infection associated with caring for COVID-19 patients [27]. Additionally, to reduce the risk of COVID-19 infection, a recent systematic review advocated the use of PPE by healthcare professionals, particularly N95 masks [28]. The availability of PPE, in addition to alternate remote consultations, enables continued nutrition therapy for COVID-19 patients while ensuring the dietitians' safety.…”

Section: Discussionmentioning

confidence: 99%

A Snapshot of the Experience of Dietitians during the COVID-19 Crisis in Five Arab Countries: Findings from a Regional Cross-Sectional Study

et al. 2022

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COVID-19’s intimidating spread has challenged the resilience of the global health systems, causing shifts in the practices of healthcare workers, including dietitians. The current study aimed to assess the change in dietitians’ practices and duties in hospitals/clinics after the commencement of COVID-19 pandemic. This cross-sectional study was conducted in five Arab countries between November 2020 and January 2021. A convenient sample of 903 dietitians filled an online self-administered questionnaire to meet the study aims. Nearly 40.0% of the dietitians experienced a change in their workload and caseload during the pandemic. Besides, 18.7% of the dietitians had been assigned additional tasks in their facilities. Nearly half the dietitians (46.9%) had started giving remote nutrition consultations, associated with a 21% drop in the number of dietitians offering in-person consultations (p = 0.001). Approximately 58.9% of the dietitians provided nutrition care to COVID-19 patients, with 48.4% having access to personal protective equipment. Moreover, 17.0% of dietitians supported COVID-19 patients with enteral and parenteral nutrition. In addition, 45.0% of dietitians reported that managing COVID-19 was challenging given that it was a newly discovered condition.

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Section: Discussionmentioning

confidence: 99%

A Snapshot of the Experience of Dietitians during the COVID-19 Crisis in Five Arab Countries: Findings from a Regional Cross-Sectional Study

et al. 2022

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“…Any reduction in COVID-19 rate after using ivermectin may also be attributed to donning of personal protective equipment, herd immunity, or vaccination. 36 As recommended by the US Centers for Disease Control and Prevention, prophylactic ivermectin was not recommended for the postexposure population owing to the lack of protective effects. 35 Conversely, the effect of ivermectin was observed in the preexposure group; some countries, such as India and Brazil, have even embraced ivermectin to fight against SARS-COV-2.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the confounders may not have been fully controlled, making the comparability of groups problematic. Any reduction in COVID‐19 rate after using ivermectin may also be attributed to donning of personal protective equipment, herd immunity, or vaccination 36 …”

Section: Discussionmentioning

confidence: 99%

Ivermectin's Role in the Prevention of COVID‐19: A Systematic Review and Meta‐Analysis

Liang

Lin

et al. 2022

The Journal of Clinical Pharma

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This systematic review was performed to determine the population that benefited from prophylactic ivermectin. Seven databases of health-related studies were searched for eligible trials without language restrictions. Randomized controlled trials (RCTs) and cohort studies investigating ivermectin for coronavirus disease 2019 (COVID-19) prevention were included. Data were pooled using a random-effects model, and subgroups were analyzed by study type and the pre-or postexposure population. The certainty of the evidence was determined by the Grading of Recommendations Assessment, Development, and Evaluation approach. Furthermore, 4 RCTs and 4 cohort studies with a moderate to high risk of bias were included in the analysis. The prophylactic use of ivermectin significantly decreased the overall incidence of COVID-19 (odds ratio [OR], 0.26; 95% confidence interval [CI], 0.16-0.44). Nevertheless, the positive result was not supported by the RCT. Ivermectin was associated with a lower risk of COVID-19 (OR, 0.22; 95% CI, 0.12-0.40) in the preexposure population, whereas no protective effect was observed in the postexposure population (OR, 0.39; 95% CI, 0.09-1.67). In summary, prophylactic ivermectin did not prevent COVID-19 in the postexposure population. Although the protective effect of ivermectin was shown in the overall and preexposure populations, the results were unreliable owing to poor-quality evidence.

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“…Recent metaanalysis results showed that wearing face masks, especially N95 masks, can significantly protect healthcare personnel from infection. However, wearing gloves and gowns did not reduce the risk of infection (28). A study result in the US showed that although most participants wore a mask during the COVID-19 pandemic, only one-third of them wore gloves (in high-risk situations), most of whom were older adults and women (29).…”

Section: Discussionmentioning

confidence: 99%

Validation of the Persian Version of the Self-care in COVID-19 Scale (SCOVID Scale) in the Iranian Population

2022

ircmj

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Background: Self-care during Coronavirus Disease 2019 (COVID-19) helps people follow self-care strategies to reduce the spread of the virus. To control the disease, people need to engage in self-care behaviors, which should be investigated by a valid and reliable instrument to yield valid and credible results. Objectives: This study aimed to validate the Persian version of the Self-Care in COVID-19 Scale (SCOVID Scale). Methods: The sample included 582 participants from Tehran’s general population, selected through convenience sampling in 2021. They were divided into two groups, one for exploratory factor analysis (EFA) and the other for confirmatory factor analysis (CFA). Cronbach’s alpha coefficient and McDonald’s omega were used to assess the internal consistency. Standard error of measurement and the interclass correlation coefficient were also employed to examine absolute and relative stability, respectively. Results: In the EFA, three factors, including Precaution, Routine Activities, and Lifestyle, were extracted, explaining 32.31% of the total variance in COVID-19 self-care. Internal consistency of the whole scale using both Cronbach’s alpha coefficient and McDonald’s omega was above 0.7. The goodness of fit indices of the second-order CFA were in the acceptable range (x2=262.365, df=82, P<0.001, RMSEA=0.062, PCFI=0.725, PNFI=0.703, IFI=0.930, and the CFI=0.929). Conclusion: The Persian version of the SCOVID Scale is a valid and reliable instrument that can be used in studies on COVID-19.

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Rapid review and meta-analysis of the effectiveness of personal protective equipment for healthcare workers during the COVID-19 pandemic

Cited by 24 publications

References 33 publications

A Snapshot of the Experience of Dietitians during the COVID-19 Crisis in Five Arab Countries: Findings from a Regional Cross-Sectional Study

A Snapshot of the Experience of Dietitians during the COVID-19 Crisis in Five Arab Countries: Findings from a Regional Cross-Sectional Study

Ivermectin's Role in the Prevention of COVID‐19: A Systematic Review and Meta‐Analysis

Validation of the Persian Version of the Self-care in COVID-19 Scale (SCOVID Scale) in the Iranian Population

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