Efficacy of personal protective equipment to prevent environmental infection of COVID-19 among healthcare workers: a systematic review.

IF 4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Environmental Health and Preventive Medicine Pub Date : 2023-01-01 DOI:10.1265/ehpm.22-00131

Sani Rachman Soleman, Zhaoqing Lyu, Takuya Okada, Mariko Harada Sassa, Yukiko Fujii, Manal A M Mahmoud, Daniel K Ebner, Kouji H Harada

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引用次数: 1

Abstract

Background: Healthcare workers (HCWs) employed personal protective equipment (PPE) during the COVID-19 pandemic, crucial to protecting themselves from infection. To highlight the efficacy of PPE in preventing environmental infection among HCWs, a systematic review was conducted in line with PRISMA guidance.

Methods: A search of the PubMed and Web of Science databases was conducted from January 2019 to April 2021 using pre-defined search terms. Articles were screened by three researchers. The approved papers were read in full and included in this review if relevance was mutually agreed upon. Data were extracted by study design and types of PPEs.

Results: 47 of 108 identified studies met the inclusion criteria, with seven reviews and meta-analyses, seven cohort, nine case-control, fifteen cross-sectional studies, four before and after, four case series, and one modeling studies. Wearing PPE offered COVID-19 protection in HCWs but required adequate training. Wearing surgical masks provided improved protection over cloth masks, while the benefit of powered air-purifying respirators is less clear, as are individual gowns, gloves, and/or face shields.

Conclusions: Wearing PPE, especially facial masks, is necessary among HCWs, while training in proper use of PPE is also important to prevent COVID-19 infection.

Abstract Image

查看原文本刊更多论文

个人防护装备预防医务人员环境感染COVID-19的效果:系统评价

背景:在COVID-19大流行期间，卫生保健工作者(HCWs)使用个人防护装备(PPE)，这对保护自己免受感染至关重要。为了突出个人防护装备在卫生保健工作者中预防环境感染的有效性，根据PRISMA指南进行了系统评价。方法:2019年1月至2021年4月，使用预定义的搜索词对PubMed和Web of Science数据库进行检索。文章由三位研究者筛选。经批准的论文将全文阅读，如果双方同意相关性，则将其纳入本综述。根据研究设计和pe类型提取数据。结果:108项研究中有47项符合纳入标准，包括7项综述和荟萃分析、7项队列研究、9项病例对照研究、15项横断面研究、4项前后研究、4项病例系列研究和1项模型研究。在卫生保健工作者中，穿戴个人防护装备可提供COVID-19防护，但需要充分的培训。与布口罩相比，佩戴外科口罩提供了更好的保护，而动力空气净化呼吸器的好处就不那么明显了，就像个人防护服、手套和/或面罩一样。结论:卫生保健工作者有必要佩戴个人防护装备，特别是口罩，同时对其进行正确使用个人防护装备的培训对预防COVID-19感染也很重要。

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

Environmental Health and Preventive Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

7.90

自引率

2.10%

发文量

审稿时长

10 weeks

期刊介绍： The official journal of the Japanese Society for Hygiene, Environmental Health and Preventive Medicine (EHPM) brings a comprehensive approach to prevention and environmental health related to medical, biological, molecular biological, genetic, physical, psychosocial, chemical, and other environmental factors. Environmental Health and Preventive Medicine features definitive studies on human health sciences and provides comprehensive and unique information to a worldwide readership.