Early doffing among frontline healthcare workers working in the COVID areas in resource-limited settings: Lessons learned and interventions taken

IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Richa Aggarwal, Ridhima Bhatia, Banupriya Ravichandrane, Karthiga Rajendrakumar, Aasim Ahmed, Debasis Sahoo, KapilDev Soni, Puneet Khanna, Anjan Trikha
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引用次数: 0

Abstract

Background: In the fight against the pandemic, personal protective equipment (PPE) has played a vital role. However, working with PPE has its own difficulties and problems. The aim of this study was to find out the reasons of early doffing, that is, in doffing in emergency situations before the shift among healthcare workers (HCWs) working in PPE in the COVID areas in resource-limited settings. Methods: This cross-sectional, survey-based study was carried out on healthcare workers involved in direct care of patients with COVID-19 in tertiary care COVID center, India. The questionnaire was sent as a Google form through email and social media platforms like WhatsApp and Facebook. The data was reported as the mean ± SD for continuous variables and as the percentage for categorical variables. Findings: Among 252 healthcare workers who participated in the survey, 145 (57.5%) participants doffed early on 300 occasions. Out of these 145, 50% doffed early only once and rest doffed early multiple times. The most common reason of early doffing was found to be breach in PPE (15.33%) followed by fogging (14%) and headache (12%), and most commonly, breach was in mask or coverall/gown (32.6% each). Conclusion: Although PPE decreases the risk of infection, it is challenging for HCWs to work in PPE leading to instances of early doffing. The most common reason for early doffing in our study was the breach in PPE and the most common component of breach was found to be mask and coverall/gown. Therefore, we suggest that the proper sizes of the PPE should be made available and proper training in donning should be imparted to HCWs working in PPE.
在资源有限的情况下,在COVID地区工作的一线卫生保健工作者的早期接种:吸取的教训和采取的干预措施
背景:在抗击新冠肺炎大流行的斗争中,个人防护装备发挥了至关重要的作用。然而,使用个人防护装备有其自身的困难和问题。本研究的目的是找出在资源有限的情况下,在COVID地区从事个人防护的卫生保健工作者(HCWs)在轮班前的紧急情况下过早脱药的原因。方法:对印度三级保健COVID-19中心直接护理COVID-19患者的医护人员进行横断面调查研究。问卷以谷歌表格的形式通过电子邮件和WhatsApp、Facebook等社交媒体平台发送。连续变量的数据以平均值±标准差报告,分类变量的数据以百分比报告。结果:在252名参与调查的医护人员中,有145人(57.5%)在300次中早退。在这145人中,50%的人只早睡了一次,其余的人早睡了好几次。最常见的早脱原因是违反个人防护装备(15.33%),其次是雾化(14%)和头痛(12%),最常见的是违反口罩或工作服/工作服(各32.6%)。结论:尽管个人防护用品降低了感染风险,但卫生保健工作者在个人防护用品中工作是一项挑战,导致早期脱衣。在我们的研究中,最常见的早退原因是PPE的缺失,而最常见的缺失是口罩和工作服。因此,我们建议应提供适当尺寸的个人防护装备,并对在个人防护装备中工作的卫生保健工作者进行适当的穿戴培训。
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来源期刊
Indian Journal of Occupational and Environmental Medicine
Indian Journal of Occupational and Environmental Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.60
自引率
0.00%
发文量
25
期刊介绍: The website of Indian Journal of Occupational and Environmental Medicine aims to make the printed version of the journal available to the scientific community on the web. The site is purely for educational purpose of the medical community. The site does not cater to the needs of individual patients and is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician.
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