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Appropriate use of personal protective equipment among healthcare workers in public sector hospitals and primary healthcare polyclinics during the SARS outbreak in Singapore.
Occup Environ Med. 2005 Jul; 62(7):473-7.OE

Abstract

BACKGROUND

Singapore was affected by an outbreak of severe acute respiratory syndrome (SARS) from 25 February to 31 May 2003, with 238 probable cases and 33 deaths.

AIMS

To study usage of personal protective equipment (PPE) among three groups of healthcare workers (HCWs: doctors, nurses, and administrative staff), to determine if the appropriate PPE were used by the different groups and to examine the factors that may determine inappropriate use.

METHODS

A self-administered questionnaire survey of 14,554 HCWs in nine healthcare settings, which included tertiary care hospitals, community hospitals, and polyclinics, was carried out in May-July 2003. Only doctors, nurses, and clerical staff were selected for subsequent analysis.

RESULTS

A total of 10 236 valid questionnaires were returned (70.3% response); 873 doctors, 4404 nurses, and 921 clerical staff were studied. A total of 32.5% of doctors, 48.7% of nurses, and 77.1% of the administrative staff agreed that paper and/or surgical masks were "useful in protecting from contracting SARS". Among this group, 23.6% of doctors and 42.3% of nurses reported working with SARS patients. The view that a paper and/or surgical mask was adequate protection against SARS was held by 33.3% of doctors and 55.9% of nurses working at the A&E unit, 30.5% of doctors and 49.4% of nurses from medical wards, and 27.5% of doctors and 37.1% of nurses from intensive care units. Factors which predicted for agreement that paper and/or surgical masks were protective against SARS, included HCW's job title, reported contact with SARS patients, area of work, and Impact Events Scale scores.

CONCLUSION

A variety of factors determine appropriate use of personal protective equipment by HCWs in the face of a major SARS outbreak.

Authors+Show Affiliations

Faculty of Medicine, National University of Singapore, Singapore. cofcse@nus.edu.sgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15961624

Citation

Chia, S E., et al. "Appropriate Use of Personal Protective Equipment Among Healthcare Workers in Public Sector Hospitals and Primary Healthcare Polyclinics During the SARS Outbreak in Singapore." Occupational and Environmental Medicine, vol. 62, no. 7, 2005, pp. 473-7.
Chia SE, Koh D, Fones C, et al. Appropriate use of personal protective equipment among healthcare workers in public sector hospitals and primary healthcare polyclinics during the SARS outbreak in Singapore. Occup Environ Med. 2005;62(7):473-7.
Chia, S. E., Koh, D., Fones, C., Qian, F., Ng, V., Tan, B. H., Wong, K. S., Chew, W. M., Tang, H. K., Ng, W., Muttakin, Z., Emmanuel, S., Fong, N. P., Koh, G., & Lim, M. K. (2005). Appropriate use of personal protective equipment among healthcare workers in public sector hospitals and primary healthcare polyclinics during the SARS outbreak in Singapore. Occupational and Environmental Medicine, 62(7), 473-7.
Chia SE, et al. Appropriate Use of Personal Protective Equipment Among Healthcare Workers in Public Sector Hospitals and Primary Healthcare Polyclinics During the SARS Outbreak in Singapore. Occup Environ Med. 2005;62(7):473-7. PubMed PMID: 15961624.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Appropriate use of personal protective equipment among healthcare workers in public sector hospitals and primary healthcare polyclinics during the SARS outbreak in Singapore. AU - Chia,S E, AU - Koh,D, AU - Fones,C, AU - Qian,F, AU - Ng,V, AU - Tan,B H, AU - Wong,K S, AU - Chew,W M, AU - Tang,H K, AU - Ng,W, AU - Muttakin,Z, AU - Emmanuel,S, AU - Fong,N P, AU - Koh,G, AU - Lim,M K, PY - 2005/6/18/pubmed PY - 2005/7/26/medline PY - 2005/6/18/entrez SP - 473 EP - 7 JF - Occupational and environmental medicine JO - Occup Environ Med VL - 62 IS - 7 N2 - BACKGROUND: Singapore was affected by an outbreak of severe acute respiratory syndrome (SARS) from 25 February to 31 May 2003, with 238 probable cases and 33 deaths. AIMS: To study usage of personal protective equipment (PPE) among three groups of healthcare workers (HCWs: doctors, nurses, and administrative staff), to determine if the appropriate PPE were used by the different groups and to examine the factors that may determine inappropriate use. METHODS: A self-administered questionnaire survey of 14,554 HCWs in nine healthcare settings, which included tertiary care hospitals, community hospitals, and polyclinics, was carried out in May-July 2003. Only doctors, nurses, and clerical staff were selected for subsequent analysis. RESULTS: A total of 10 236 valid questionnaires were returned (70.3% response); 873 doctors, 4404 nurses, and 921 clerical staff were studied. A total of 32.5% of doctors, 48.7% of nurses, and 77.1% of the administrative staff agreed that paper and/or surgical masks were "useful in protecting from contracting SARS". Among this group, 23.6% of doctors and 42.3% of nurses reported working with SARS patients. The view that a paper and/or surgical mask was adequate protection against SARS was held by 33.3% of doctors and 55.9% of nurses working at the A&E unit, 30.5% of doctors and 49.4% of nurses from medical wards, and 27.5% of doctors and 37.1% of nurses from intensive care units. Factors which predicted for agreement that paper and/or surgical masks were protective against SARS, included HCW's job title, reported contact with SARS patients, area of work, and Impact Events Scale scores. CONCLUSION: A variety of factors determine appropriate use of personal protective equipment by HCWs in the face of a major SARS outbreak. SN - 1470-7926 UR - https://www.unboundmedicine.com/medline/citation/15961624/Appropriate_use_of_personal_protective_equipment_among_healthcare_workers_in_public_sector_hospitals_and_primary_healthcare_polyclinics_during_the_SARS_outbreak_in_Singapore_ L2 - https://oem.bmj.com/lookup/pmidlookup?view=long&pmid=15961624 DB - PRIME DP - Unbound Medicine ER -