面部和呼吸综合防护的实施考虑：一项定性研究。

IF 3.9 3区医学 Q1 INFECTIOUS DISEASES

Journal of Hospital Infection Pub Date : 2025-03-22 DOI:10.1016/j.jhin.2025.02.022

L. Cordeiro , A. Price , N.A. de Oliveira , C.L. Ciofi-Silva , G. Girelli , Y.L. Lin , A.S. Levin , F. Tumietto , M.C. Padoveze

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引用次数: 0

摘要

背景：实施一种创新形式的个人防护装备（PPE）作为呼吸道传播疾病的感染和预防控制措施是复杂的，有几个要素需要解决。目的：探讨在临床环境中实施面部和呼吸综合防护的考虑。方法：对87名卫生工作者进行多地点定性研究，比较传统PPE或动力空气净化（PAPR）口罩与轻型PAPR （L-PAPR）口罩。基于实施研究统一框架（CFIR）进行半结构化访谈。发现：对L-PAPR实施的见解。其优点包括：增强保护意识，通风良好，卫生工作者和患者的能见度好，面罩内部不起雾，不限制活动，消毒过程容易。为了提高可用性，需要克服一些障碍：减少面部压力；更好地适应眼镜和矫正镜片；减少装配装置的步骤数；为储存、充电和消毒装置提供的基础设施；对卫生工作者进行装配、穿衣和脱布方面的培训；以及实施的成本效益。结论：许多参与者总体上认为L-PAPR具有优势，可被认为是在呼吸道传染病暴发期间实施保护卫生工作者的潜在PPE选择。

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Implementation considerations for integrated face and respiratory protection: a qualitative study

Background

The implementation of an innovative form of personal protective equipment (PPE) as an infection and prevention control measure for respiratory transmissible diseases is complex, with several elements to be addressed.

Aim

To make considerations for integrated face and respiratory protection implementation in clinical settings.

Methods

This was a multi-site qualitative study with 87 health workers that compared traditional PPE or powered air-purifying (PAPR) respirators with lightweight PAPR (L-PAPR). Semi-structured interviews were performed based on the Consolidated Framework for Implementation Research (CFIR).

Findings

Insights into L-PAPR implementation were found. The advantages include enhanced sense of protection, pleasant ventilation, good visibility for both health worker and patient, no fogging of the visor interior, no movement restriction, and easy disinfection process. To enhance usability some barriers should be tackled: reduction of facial pressure; better accommodation for glasses and corrective lenses; reduction of number of steps for assembling the device; infrastructure provision for storage, charging and disinfection of the device; training of health workers for assembling, donning and doffing; and the cost benefit of implementation.

Conclusion

L-PAPR was overall perceived with advantages by many participants, and can be considered a potential option of PPE to be implemented to protect health workers during outbreaks of respiratory transmissible diseases.

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来源期刊

Journal of Hospital Infection 医学-传染病学

CiteScore

12.70

自引率

5.80%

发文量

271

审稿时长

19 days

期刊介绍： The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.