Availability of personal protective equipment and diagnostic and treatment facilities for healthcare workers involved in COVID-19 care: A cross-sectional study in Brazil, Colombia, and Ecuador.
Availability of personal protective equipment and diagnostic and treatment facilities for healthcare workers involved in COVID-19 care: A cross-sectional study in Brazil, Colombia, and Ecuador.
复制标题
DOI：
10.1371/journal.pone.0242185
复制
发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Mira JJ
中科院分区：
文献类型：
--
作者：
Martin-Delgado J;Viteri E;Mula A;Serpa P;Pacheco G;Prada D;Campos de Andrade Lourenção D;Campos Pavan Baptista P;Ramirez G;Mira JJ
许多受影响的县在冠状病毒病（COVID-19）大流行期间经历了个人防护设备（PPE）短缺。我们的目的是调查医疗保健专业人员的需求和他们在最初爆发期间面临的技术困难。于2020年4月，我们对三个拉丁美洲国家人口最多城市的医护人员进行了一项跨部门网络调查。总共有1，082名参与者。其中，534人（49.4%）、263人（24.3%）和114人（10.5%）分别是医生、护士和其他专业人员。至少70%的参与者报告缺乏PPE。最常见的短缺是长袍连体服（643件，59.4%）、N95口罩（600件，55.5%）和面罩（569件，52.6%）短缺。从事产生气溶胶的手术的专业人员报告短缺的频率更高（p<0.05）。在急诊科和初级保健单位工作的专业人员比在重症监护室和医院病房工作的专业人员报告的短缺更多（p<0.001）。多达556名（51.4%）参与者报告缺乏使用PPE的足够知识。在公共机构工作的专业人员与在私营机构工作的同行相比，感觉准备不足，接受的培训较少，没有协议（p<0.001）。虽然研究样本对应于参与国家不同城市的不同医院中心，但抽样是非随机的。拉丁美洲的医疗保健专业人员可能比其他国家的医疗保健专业人员面临更多困难，10名专业人员中有7名报告说他们没有必要的资源来照顾COVID-19患者。在未来爆发疫情的情况下，应解决技术和后勤困难，因为它们对医护人员产生负面影响。临床试验注册：NCT 04486404
Many affected counties have had experienced a shortage of personal protective equipment (PPE) during the coronavirus disease (COVID-19) pandemic. We aimed to investigate the needs of healthcare professionals and the technical difficulties faced by them during the initial outbreak. A cross-sectional web-based survey was conducted among the healthcare workforce in the most populous cities from three Latin American countries in April 2020. In total, 1,082 participants were included. Of these, 534 (49.4%), 263 (24.3%), and 114 (10.5%) were physicians, nurses, and other professionals, respectively. At least 70% of participants reported a lack of PPE. The most common shortages were shortages in gown coverall suits (643, 59.4%), N95 masks (600, 55.5%), and face shields (569, 52.6%). Professionals who performed procedures that generated aerosols reported shortages more frequently (p<0.05). Professionals working in the emergency department and primary care units reported more shortages than those working in intensive care units and hospital-based wards (p<0.001). Up to 556 (51.4%) participants reported the lack of sufficient knowledge about using PPE. Professionals working in public institutions felt less prepared, received less training, and had no protocols compared with their peers in working private institutions (p<0.001). Although the study sample corresponded to different hospital centers in different cities from the participating countries, sampling was non-random. Healthcare professionals in Latin America may face more difficulties than those from other countries, with 7 out of 10 professionals reporting that they did not have the necessary resources to care for patients with COVID-19. Technical and logistical difficulties should be addressed in the event of a future outbreak, as they have a negative impact on healthcare workers. Clinical trial registration: NCT04486404
登录
查看更多内容
影响因子：
5
作者：
Mira JJ;Vicente MA;Lopez-Pineda A;Carrillo I;Guilabert M;Fernández C;Pérez-Jover V;Martin Delgado J;Pérez-Pérez P;Cobos Vargas A;Astier-Peña MP;Martínez-García OB;Marco-Gómez B;Abad Bouzán C
通讯作者：
Abad Bouzán C
影响因子：
2.4
作者：
De Groot, Kim;Maurits, Erica E. M.;Francke, Anneke L.
通讯作者：
Francke, Anneke L.
DOI：
10.1016/s0140-6736(03)13168-6
发表时间：
2003-05-03
期刊：
Lancet (London, England)
影响因子：
--
作者：
Seto WH;Tsang D;Yung RW;Ching TY;Ng TK;Ho M;Ho LM;Peiris JS;Advisors of Expert SARS group of Hospital Authority
通讯作者：
Advisors of Expert SARS group of Hospital Authority
影响因子：
13.2
作者：
Paffenholz, Pia;Peine, Arne;Loosen, Sven H.
通讯作者：
Loosen, Sven H.
影响因子：
3.7
作者：
Tabah, Alexis;Ramanan, Mahesh;Montero, Jose Garnacho
通讯作者：
Montero, Jose Garnacho