Tags

Type your tag names separated by a space and hit enter

Compliance with the Use of Medical and Cloth Masks Among Healthcare Workers in Vietnam.
Ann Occup Hyg. 2016 Jun; 60(5):619-30.AO

Abstract

BACKGROUND

Masks are often worn in healthcare settings to prevent the spread of infection from healthcare workers (HCWs) to patients. Masks are also used to protect the employee from patient-generated infectious organisms but poor compliance can reduce efficacy. The aim of this study was to examine the factors influencing compliance with the use of medical and cloth masks amongst hospital HCWs.

METHODS

HCWs compliance with the use of medical and cloth masks was measured over a 4-week period in a randomized controlled trial in Vietnam. HCWs were instructed to record their daily activities in diary cards. Demographic, clinical, and diary card data were used to determine the predictors of compliance and the relationship of compliance with infection outcomes.

RESULTS

Compliance rates for both medical and cloth masks decreased during the 4 weeks: medical mask use decreased from 77 to 68% (P < 0.001) and cloth masks from 78 to 69% (P < 0.001). The presence of adverse events (adjusted RR 0.90, 95% CI 0.85-0.95), and performing aerosol-generating procedures (adjusted RR 0.78, 95% CI 0.73-0.82) were negatively associated with compliance, while contact with febrile respiratory illness patients was positively associated (adjusted RR 1.14, 95% CI 1.07-1.20). Being compliant with medical or cloth masks use (average use ≥70% of working time) was not associated with clinical respiratory illness, influenza-like illness, and laboratory-confirmed viral infection.

CONCLUSION

Understanding the factors that affect compliance is important for the occupational health and safety of HCWs. New strategies and tools should be developed to increase compliance of HCWs. The presence of adverse events such as discomfort and breathing problems may be the main reasons for the low compliance with mask use and further studies should be conducted to improve the design/material of masks to improve comfort for the wearer.

Authors+Show Affiliations

1.School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Sydney, Australia; abrar.chughtai@unsw.edu.au.1.School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Sydney, Australia;2.National Institute of Hygiene and Epidemiology (NIHE), Hanoi, Vietnam.1.School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Sydney, Australia;1.School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Sydney, Australia;1.School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Sydney, Australia;

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26980847

Citation

Chughtai, Abrar Ahmad, et al. "Compliance With the Use of Medical and Cloth Masks Among Healthcare Workers in Vietnam." The Annals of Occupational Hygiene, vol. 60, no. 5, 2016, pp. 619-30.
Chughtai AA, Seale H, Dung TC, et al. Compliance with the Use of Medical and Cloth Masks Among Healthcare Workers in Vietnam. Ann Occup Hyg. 2016;60(5):619-30.
Chughtai, A. A., Seale, H., Dung, T. C., Hayen, A., Rahman, B., & Raina MacIntyre, C. (2016). Compliance with the Use of Medical and Cloth Masks Among Healthcare Workers in Vietnam. The Annals of Occupational Hygiene, 60(5), 619-30. https://doi.org/10.1093/annhyg/mew008
Chughtai AA, et al. Compliance With the Use of Medical and Cloth Masks Among Healthcare Workers in Vietnam. Ann Occup Hyg. 2016;60(5):619-30. PubMed PMID: 26980847.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Compliance with the Use of Medical and Cloth Masks Among Healthcare Workers in Vietnam. AU - Chughtai,Abrar Ahmad, AU - Seale,Holly, AU - Dung,Tham Chi, AU - Hayen,Andrew, AU - Rahman,Bayzidur, AU - Raina MacIntyre,C, Y1 - 2016/03/15/ PY - 2015/06/23/received PY - 2016/01/19/accepted PY - 2016/3/17/entrez PY - 2016/3/17/pubmed PY - 2017/5/5/medline KW - cloth masks KW - compliance KW - healthcare workers KW - masks KW - medical masks KW - respiratory infections SP - 619 EP - 30 JF - The Annals of occupational hygiene JO - Ann Occup Hyg VL - 60 IS - 5 N2 - BACKGROUND: Masks are often worn in healthcare settings to prevent the spread of infection from healthcare workers (HCWs) to patients. Masks are also used to protect the employee from patient-generated infectious organisms but poor compliance can reduce efficacy. The aim of this study was to examine the factors influencing compliance with the use of medical and cloth masks amongst hospital HCWs. METHODS: HCWs compliance with the use of medical and cloth masks was measured over a 4-week period in a randomized controlled trial in Vietnam. HCWs were instructed to record their daily activities in diary cards. Demographic, clinical, and diary card data were used to determine the predictors of compliance and the relationship of compliance with infection outcomes. RESULTS: Compliance rates for both medical and cloth masks decreased during the 4 weeks: medical mask use decreased from 77 to 68% (P < 0.001) and cloth masks from 78 to 69% (P < 0.001). The presence of adverse events (adjusted RR 0.90, 95% CI 0.85-0.95), and performing aerosol-generating procedures (adjusted RR 0.78, 95% CI 0.73-0.82) were negatively associated with compliance, while contact with febrile respiratory illness patients was positively associated (adjusted RR 1.14, 95% CI 1.07-1.20). Being compliant with medical or cloth masks use (average use ≥70% of working time) was not associated with clinical respiratory illness, influenza-like illness, and laboratory-confirmed viral infection. CONCLUSION: Understanding the factors that affect compliance is important for the occupational health and safety of HCWs. New strategies and tools should be developed to increase compliance of HCWs. The presence of adverse events such as discomfort and breathing problems may be the main reasons for the low compliance with mask use and further studies should be conducted to improve the design/material of masks to improve comfort for the wearer. SN - 1475-3162 UR - https://www.unboundmedicine.com/medline/citation/26980847/Compliance_with_the_Use_of_Medical_and_Cloth_Masks_Among_Healthcare_Workers_in_Vietnam_ L2 - https://academic.oup.com/annweh/article-lookup/doi/10.1093/annhyg/mew008 DB - PRIME DP - Unbound Medicine ER -