User acceptance of reusable respirators in health care
User acceptance of reusable respirators in health care
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DOI：
10.1016/j.ajic.2018.11.021
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发表时间：
2019-06-01
影响因子：
4.9
通讯作者：
McDiarmid, Melissa
中科院分区：
文献类型：
--
作者：
Hines, Stella E.;Brown, Clayton;McDiarmid, Melissa
背景资料：将可重复使用的呼吸机，如弹性半面罩呼吸机（EHFR）和动力空气净化呼吸机（PAPR）纳入医院呼吸防护库存，可能是解决流行病期间N95呼吸器短缺问题的一种解决方案。用户接受这些设备是一个潜在的障碍，以实现这样的战略在呼吸保护programmes.Methods：评估用户对各种呼吸机的态度，卫生保健工作者参加了呼吸保护计划在医疗系统使用EHFRs，N95，和PAPRs，并完成了在线问卷调查，解决态度，信念和呼吸机的偏好在不同的风险情况下。结果：在1,152名参与者中，53%目前使用N95，24%使用EHFR，23%使用PAPRs。与EHFR和PAPR用户相比，N95用户在舒适性和通信方面对他们的呼吸机的评价更好（P < .001），然而，EHFR用户对呼吸机的保护感的评价更高（P < .001）。对于所有的用户组，可重复使用的呼吸机更有可能（比值比2.3-7.7）是首选N95过滤面罩呼吸机在较高的风险情况下相比，“通常情况下”scenaries.Conclusions：尽管有些不太有利的评级的舒适性和沟通，经验丰富的EHFR和PAPR用户仍然喜欢可重复使用的呼吸机在某些较高的风险情况下，N95。这表明，可重复使用的呼吸机是卫生保健中N95呼吸机的可接受替代品，并提供了一种可行的解决方案，以防止流行病引起的呼吸器短缺。(C)2018感染控制和流行病学专业人员协会，Inc.爱思唯尔公司出版All rights reserved.
Background: Inclusion of reusable respirators, such as elastomeric half-face respirators (EHFRs) and powered air-purifying respirators (PAPRs), in hospital respiratory protection inventories may represent 1 solution to the problem of N95 respirator shortages experienced during pandemics. User acceptance of these devices is 1 potential barrier to implementing such a strategy in respiratory protection programs.Methods: To assess user attitudes toward various respirators, health care workers enrolled in respiratory protection programs in a medical system using EHFRs, N95s, and PAPRs and completed an online questionnaire that addressed attitudes, beliefs, and respirator preferences under different risk scenarios. Responses were compared between user groups.Results: Of 1,152 participants, 53% currently used N95s, 24% used EHFRs, and 23% used PAPRs. N95 users rated their respirators more favorably compared with EHFR and PAPR users (P < .001) regarding comfort and communication, however, EHFR users rated their respirators much more highly regarding sense of protection (P < .001). For all user groups, reusable respirators were significantly more likely (odds ratios 2.3-7.7) to be preferred over N95 filtering facepiece respirators in higher risk scenarios compared to "usual circumstance" scenarios.Conclusions: Despite somewhat less favorable ratings on comfort and communication, experienced EHFR and PAPR users still prefer reusable respirators over N95s in certain higher risk scenarios. This suggests that reusable respirators are an acceptable alternative to N95 respirators in health care and offer 1 viable solution to prevent pandemic-generated respirator shortages. (C) 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.