Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey
Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey
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DOI：
10.1016/j.jcrc.2020.06.005
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发表时间：
2020-10-01
影响因子：
3.7
通讯作者：
Montero, Jose Garnacho
中科院分区：
文献类型：
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作者：
Tabah, Alexis;Ramanan, Mahesh;Montero, Jose Garnacho
目的：调查医护人员（HCW）在重症监护病房（ICU）护理COVID-19患者时个人防护设备（PPE）的可用性和使用情况。材料和方法：2020年4月在全球范围内进行的基于网络的调查。结果：我们收到了来自1797名医生（67%）、744名护士（27%）和170名专职医护人员（6%）的2711份回复。对于常规护理，大多数（1557例，58%）报告使用FFP 2/N95口罩、防水长袖长袍（1623例，67%）和面罩/护目镜（1574例，62%）。动力空气净化呼吸器，我们重复使用常规和孵化仅分别由184（7%）和254（13%）的受访者。289人（15%）使用外科口罩进行常规护理，47人（2%）用于插管。1402人（52%）没有至少一件标准个人防护设备，817人（30%）报告重复使用一次性个人防护设备。穿戴PPE的平均时间为4小时（IQR 2，5）。PPE的不良反应与较长的轮班时间有关，包括热（1266，51%），口渴（1174，47%），压力区（1088，44%），头痛（696，44%）。28%），无法使用浴室（661，27%）和极度疲惫（492，20%）。结论：HCWs报告普遍短缺，频繁重复使用，以及与PPE相关的不良反应。医疗保健管理人员、政策制定者、政府和行业必须采取紧急行动。皇冠版权所有（C）2020由Elsevier Inc. All rights reserved.
Purpose: To survey healthcare workers (HCW) on availability and use of personal protective equipment (PPE) caring for COVID-19 patients in the intensive care unit (ICU).Materials and method: A web-based survey distributed worldwide in April 2020.Results: We received 2711 responses from 1797 (67%) physicians, 744 (27%) nurses, and 170 (6%) Allied HCW. For routine care, most (1557, 58%) reportedly used FFP2/N95 masks, waterproof long sleeve gowns (1623: 67%), and face shields/visors (1574; 62%). Powered Air-Purifying Respirators we re used routinely and for incubation only by 184 (7%) and 254 (13%) respondents, respectively. Surgical masks were used for routine care by 289 (15%) and 47 (2%) for intubations. At least one piece of standard PPE was unavailable for 1402 (52%), and 817 (30%) reported reusing single-use PPE. PPE was worn for a median of 4 h (IQR 2, 5). Adverse effects of PPE were associated with longer shift durations and included heat (1266, 51%), thirst (1174,47%), pressure areas (1088,44%), headaches (696. 28%), Inability to use the bathroom (661, 27%) and extreme exhaustion (492, 20%).Conclusions: HCWs reported widespread shortages, frequent reuse of, and adverse effects related to PPE. Urgent action by healthcare administrators, policymakers, governments and industry is warranted. Crown Copyright (C) 2020 Published by Elsevier Inc. All rights reserved.