The Use of Personal Protective Equipment in a Biosafety Level 2 Prospective Observational Study.

IF 1 Q4 CRITICAL CARE MEDICINE

Critical Care Nursing Quarterly Pub Date : 2021-10-01 DOI:10.1097/CNQ.0000000000000377

Natálie Hrdinová, Simona Saibertová, Andrea Pokorná

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引用次数: 1

Abstract

Adequate safety precautions and proper use of personal protective equipment (PPE) in hospitalized patients with health care-associated infections (HAIs) are the most effective preventions in their spread. Observational study was conducted in one inpatient facility in the Czech Republic before the COVID-19 pandemic (April 2019 to February 2020). Data were analyzed using Minitab at a significance level of .05. The execution of preventative measures in patients hospitalized with a HAI (n = 44) and the use of PPE by health care workers (n = 514) have been observed. The presence of defined PPE items usage differs on the basis of the department type (P = .0004). The correctness of PPE use differs on the basis of profession (P < .001), hand disinfection before PPE use (P < .001), use of all PPE (P < .001), and hand hygiene after PPE use (P < .001). General nurses had a higher observed frequency of hand hygiene (53.3%) than physicians (42.4%). The correct order of operations when using PPE differs on the basis of the department type (P < .001) and their architecture arrangement (open, semiopen, box) (P < .001). Critical preventative measures shortage was found at all units. Insufficient execution of the correct procedure of actions in the use of PPE was observed among health care workers. The best results have been observed among nurses.

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个人防护装备在生物安全2级前瞻性观察研究中的使用

在患有卫生保健相关感染的住院患者中采取充分的安全预防措施和正确使用个人防护装备是防止其传播的最有效措施。观察性研究是在2019年4月至2020年2月COVID-19大流行之前在捷克共和国的一家住院医院进行的。数据采用Minitab分析，显著性水平为0.05。观察了因HAI住院的患者(n = 44)采取预防措施的情况，以及卫生保健工作者(n = 514)使用个人防护装备的情况。在部门类型的基础上，已定义的PPE物品使用情况有所不同(P = .0004)。PPE使用的正确性在不同职业(P < 0.001)、PPE使用前的手部消毒(P < 0.001)、PPE全部使用(P < 0.001)、PPE使用后的手部卫生(P < 0.001)上存在差异。普通护士的手部卫生检出率(53.3%)高于内科医生(42.4%)。PPE使用时的正确操作顺序因部门类型(P < .001)及其架构安排(开放式、半开放式、盒式)而异(P < .001)。各单位均发现严重预防措施不足。观察到卫生保健工作者在使用个人防护装备方面没有充分执行正确的行动程序。在护士中观察到最好的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Critical Care Nursing Quarterly CRITICAL CARE MEDICINE-

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.