Awareness of Personal Protective Equipment Among Health Care Professionals
Abstract
In accordance to the severity of the outcomes associated with this disease this study was aimed at mapping out the knowledge, attitude and practice of availability and use of PPE use among the health care workers and medical students.
A cross-sectional study design was implied, using non-probability convenience sampling. Data was collected through a self-administered online questionnaire filled out by the corresponding participants in direct contact with Covid-19 patients that included Doctors, Medical students, Nurses and Paramedic staff. The study was conducted in various medical college and hospitals across Karachi over a period of one week (26/05/2020 – 04/06/2020). SPSS Version 22 was used for data analysis. The findings were analysed alongside guidelines from the world Health Organization (WHO). This study was approved by the Ethics review committee, Aga Khan University Hospital, Karachi (Reference number: 2020-4838-10683)
A total of 604 results were analysed. Mean age of participants was 31± 9.3 years and 323 (53.5%) were males. Most data was collected from doctors (68.4%). Only 244 (40.5%) of the participants reported a history of PPE exposure. Almost all of the participants were unaware of the WHO guidelines regarding the PPE and its conservation strategy in time of crisis. Inadequate knowledge coupled with less proficiency in practice proved to be a burden on the already scarce resources of PPE. WHO recommendations regarding the use of PPE during this Pandemic have evolved alongside emerging evidence. PPE has been extensively used and the resources depleting faster than it could be replenished. There are measures being taken on a global scale to overcome this by proposing strategies to conserve the existing PPE.
PPE being an integral part for the safety of HCWs needs to be used according to the appropriate guidelines. Our research highlights a lack of awareness of PPE that needs to be addressed.
How to Cite This Article
Zafar MA, Tirmizi SBI, Shah AM, Ibrahim MT, Nankani A, Ayaz A, et al.. Awareness of Personal Protective Equipment Among Health Care Professionals. J Pak Soc Intern Med. 2021;2(3):250–258. doi:10.70302/jpsim.v2i3.2158
Conflict of Interest
All authors declare no competing interests.
Funding
No specific funding was received for this research.
Funder information follows the Crossref Funder Registry standard.
References
- Coronavirus disease (COVID-19) pandemic. World Health Organization. [Updated 2020, cited July 14th, 2020]. Available from: [https://www.who.int/emergencies/diseases/novel-coronavirus-2019]
- WHO Coronavirus Disease (COVID-19) Dashboard. World Health Organization. [Updated 2020, cited July 14th, 2020]. Available from: [https://covid19.who.int/]
- Report of the WHO-China Joint Mission on Coronavirus Disease 2019 ( COVID-19 ). [Updated 2020, cited July 14th, 2020]. Available from: [https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf]
- Ye Q, Wang B, Mao J. The pathogenesis and treatment of the ‘Cytokine Storm’ in COVID-19. 2020;80(6): 607-13.
- Rowan NJ, Laffey JG. Challenges and solutions for addressing critical shortage of supply chain for personal and protective equipment (PPE) arising from Coronavirus disease (COVID19) pandemic – Case study from the Republic of Ireland. Sci Total Environ. 2020;725(7):138532.
- Mahase E. Coronavirus : covid-19 has killed more people than SARS and MERS combined , despite lower case fatality rate. 2020; doi: 10.1136/bmj.m641. doi:10.1136/bmj.m641
- Ferguson NM, Laydon D, Nedjati-Gilani G, Imai N, Ainslie K, Baguelin M, et al. Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. [Updated 2020, cited July 14th, 2020]; Available from: [https://doi.org/10.25561/77482]. doi:10.25561/77482]
- East M, Syndrome R, Acute S, Syndrome R. Coronavirus disease ( covid-19 ) outbreak : rights , roles and responsibilities of health workers , including key considerations for occupational safety. [Updated 2019, cited July 14th, 2020]; Available from: [https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?sfvrsn=bcabd401_0].
- Kumar J, Katto MS, Siddiqui AA, Sahito B, Jamil M, Rasheed N, et al. Knowledge, Attitude, and Practices of Healthcare Workers Regarding the Use of Face Mask to Limit the Spread of the New Coronavirus Disease (COVID-19). Cureus. 2020;12(4): PMC7241223.
- Keane M, Mendelson D, Bagaric M, Graydon C. Legal Implications of Personal Protective Equipment Use When Treating Patients for COVID-19 (SARS-CoV-2). SSRN Electron J. 2020; doi: https://doi.org/10.1097/ALN.0000000000003288.. doi:10.1097/ALN.0000000000003288
- Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic – a narrative review. Anaesthesia. 2020; 75(7):920-7.
- Bradsher K, Alderma L. The World Needs Masks. China Makes Them, but Has Been Hoarding Them [Internet]. The New York Times. [Updated 2020, cited July 14th, 2020]. Available from: [https://www.nytimes.com/2020/03/13/business/masks-china-coronavirus.html].
- Survey results: PPE and testing for clinicians during COVID-19 — Royal College of Surgeons [Updated 2020, cited July 14th, 2020]. Available from: ]https://www.rcseng.ac.uk/news-and-events/news/archive/ppe-and-testing-covid-survey-results/]
- This E. Rational use of personal protective equipment for coronavirus disease ( COVID-19 ) and considerations during severe shortages. [Updated 2020, cited July 14th, 2020]. Available from [https://data2.unhcr.org/en/documents/details/75543]..
- Coronavirus disease 2019 - Wikipedia. [Updated 2020, cited July 14th, 2020]. Available from; [https://en.wikipedia.org/wiki/COVID-19].
- WHO | Case Definitions for Surveillance of Severe Acute Respiratory Syndrome (SARS). [Updated 2003, cited July 14th, 2020]. Available from; [https://www.who.int/health-topics/severe-acute-respiratory-syndrome/technical-guidance/epidemiology/case-definitions-for-surveillance-of-severe-acute-respiratory-syndrome-(sars)].
- WHO | Personal protective equipment. [Updated 2003, cited July 14th, 2020]. Available from; [https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19-masks].
- Edward Livingston, MD; Angel Desai, MD, MPH; Michael Berkwits, MD M. Sourcing Personal Protective Equipment During the COVID-19 Pandemic. JAMA. 2020;323(19):1912-1914.
- Hu X, Zhang Z, Li N, Liu D, Zhang L, He W, et al. Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic. PLoS One. 2012;7(9):3–9.
- Phan LT, Maita D, Mortiz DC, Weber R, Fritzen-Pedicini C, Bleasdale SC, et al. Personal protective equipment doffing practices of healthcare workers. J Occup Environ Hyg. 2019;16(8):575–81.
- Casanova L, Alfano-Sobsey E, Rutala WA, Weber DJ, Sobsey M. Virus transfer from personal protective equipment to healthcare employees’ skin and clothing. Emerg Infect Dis. 2008;14(8):1291–3.
- Ferioli M, Cisternino C, Leo V, Pisani L, Palange P, Nava S. Protecting healthcare workers from sars-cov-2 infection: Practical indications. Eur Respir Rev. 2020;29(155):1–10.
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