Tags

Type your tag names separated by a space and hit enter

Personal protective equipment (PPE) and infection among healthcare workers - What is the evidence?
Int J Clin Pract. 2020 Nov; 74(11):e13617.IJ

Abstract

BACKGROUND

The worldwide outbreak of coronavirus disease-19 (COVID-19) has already put healthcare workers (HCWs) at a high risk of infection. The question of how to give HCWs the best protection against infection is a priority.

METHODS

We searched systematic reviews and original studies in Medline (via Ovid) and Chinese Wan Fang digital database from inception to May, 2020, using terms 'coronavirus', 'health personnel', and 'personal protective equipment' to find evidence about the use of full-body PPEs and other PPEs by HCW exposed highly infectious diseases.

RESULTS

Covering more of the body could provide better protection for HCWs. Of importance, it is not just the provision of PPE but the skills in donning and doffing of PPE that are important, this being a key time for potential transmission of pathogen to the HCW and in due time from them to others. In relation to face masks, the evidence indicates that a higher-level specification of face masks and respirators (such as N95) seems to be essential to protect HCWs from coronavirus infection. In community setting, the use of masks in the case of well individuals could be beneficial. Evidence specifically around PPE and protection from the COVID-19 virus is limited.

CONCLUSION

Covering more of the body, and a higher-level specification of masks and respirators could provide better protection for HCWs. Community mask usecould be beneficial. High quality studies still need to examine the protection of PPE against COVID-19.

Authors+Show Affiliations

Faculty of Biology, Medicine and Health, Medicine and Health, Manchester Academic Health Science Centre, the University of Manchester, Manchester, UK.Res Consortium, Andover, Hampshire, UK.Clinical and Experimental Medicine, University of Surrey, Guildford, UK.University of the West Indies, Cave Hill Campus, Bridgetown, Barbados. Division of Cardiovascular, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.Acute Medical Unit, The Royal Cornwall Hospital, Truro, Cornwall, UK.Faculty of Biology, Medicine and Health, Medicine and Health, Manchester Academic Health Science Centre, the University of Manchester, Manchester, UK. Department of Diabetes and Endocrinology, Salford Royal Hosptial, Salford, UK.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32734641

Citation

Tian, Zixing, et al. "Personal Protective Equipment (PPE) and Infection Among Healthcare Workers - what Is the Evidence?" International Journal of Clinical Practice, vol. 74, no. 11, 2020, pp. e13617.
Tian Z, Stedman M, Whyte M, et al. Personal protective equipment (PPE) and infection among healthcare workers - What is the evidence? Int J Clin Pract. 2020;74(11):e13617.
Tian, Z., Stedman, M., Whyte, M., Anderson, S. G., Thomson, G., & Heald, A. (2020). Personal protective equipment (PPE) and infection among healthcare workers - What is the evidence? International Journal of Clinical Practice, 74(11), e13617. https://doi.org/10.1111/ijcp.13617
Tian Z, et al. Personal Protective Equipment (PPE) and Infection Among Healthcare Workers - what Is the Evidence. Int J Clin Pract. 2020;74(11):e13617. PubMed PMID: 32734641.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Personal protective equipment (PPE) and infection among healthcare workers - What is the evidence? AU - Tian,Zixing, AU - Stedman,Michael, AU - Whyte,Martin, AU - Anderson,Simon G, AU - Thomson,George, AU - Heald,Adrian, Y1 - 2020/09/09/ PY - 2020/05/11/received PY - 2020/07/20/accepted PY - 2020/8/1/pubmed PY - 2020/11/20/medline PY - 2020/8/1/entrez SP - e13617 EP - e13617 JF - International journal of clinical practice JO - Int J Clin Pract VL - 74 IS - 11 N2 - BACKGROUND: The worldwide outbreak of coronavirus disease-19 (COVID-19) has already put healthcare workers (HCWs) at a high risk of infection. The question of how to give HCWs the best protection against infection is a priority. METHODS: We searched systematic reviews and original studies in Medline (via Ovid) and Chinese Wan Fang digital database from inception to May, 2020, using terms 'coronavirus', 'health personnel', and 'personal protective equipment' to find evidence about the use of full-body PPEs and other PPEs by HCW exposed highly infectious diseases. RESULTS: Covering more of the body could provide better protection for HCWs. Of importance, it is not just the provision of PPE but the skills in donning and doffing of PPE that are important, this being a key time for potential transmission of pathogen to the HCW and in due time from them to others. In relation to face masks, the evidence indicates that a higher-level specification of face masks and respirators (such as N95) seems to be essential to protect HCWs from coronavirus infection. In community setting, the use of masks in the case of well individuals could be beneficial. Evidence specifically around PPE and protection from the COVID-19 virus is limited. CONCLUSION: Covering more of the body, and a higher-level specification of masks and respirators could provide better protection for HCWs. Community mask usecould be beneficial. High quality studies still need to examine the protection of PPE against COVID-19. SN - 1742-1241 UR - https://www.unboundmedicine.com/medline/citation/32734641/Personal_protective_equipment__PPE__and_infection_among_healthcare_workers___What_is_the_evidence L2 - https://doi.org/10.1111/ijcp.13617 DB - PRIME DP - Unbound Medicine ER -