Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff

Verbeek, Jos; Rajamaki, Blair; Ijaz, Sharea; Sauni, Riitta; Toomey, Elaine; Blackwood, Bronagh; Tikka, Christina; Ruotsalainen, Jani; Balcı, Faruk

doi:10.1002/14651858.cd011621.pub5

Cited by 236 publications

(317 citation statements)

References 204 publications

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“…The education or re‐training of proper selection and fit testing of PPE, training on donning, doffing and disposal of PPE training is vital, as up to 90% of staff do not use the correct doffing sequence or technique 18,63‐65 …”

Section: Discussionmentioning

confidence: 99%

“…A recent Cochrane review has found gown to be more protective than aprons against contamination (MD −1.36, 95% CI −1.78 to 0.94). Double gloving leads to less contamination compared to single gloving (RR 0.36, 95% CI 0.16‐0.78) 65 . Alcohol‐based hand rub during doffing may not lead to less contamination than the use of a hypochlorite base solution (MD 4, 95% CI 0.47‐34.24) 65 .…”

Section: Discussionmentioning

confidence: 99%

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The COVID‐19 pandemic, personal protective equipment and respirator: A narrative review

2020

Int. J. Clin. Pract.

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Introduction The coronavirus disease 2019 pandemic has touched almost every continent. Personal protective equipment (PPE) is the final line of protection of healthcare workers (HCW). There is variation as well as controversy of infection control recommendation with regards to the use of PPE for HCW between institutions. The aim of this narrative review is to of examine and summarise the available evidence to guide recommendation for the safety of HCW. Method A literature search was conducted on the PubMed, MedLine and Embase databases with the keywords “personal protective equipment,” “COVID 19,” “n95,” “health care worker” and “mortality.” Results SARS‐nCoV‐2 is highly contagious. About 3.5%‐20% of HCW has been reported to be infected. The mortality ranges from 0.53% to 1.94%. PPE is part of the measure within a package of prevention and control of pandemic, rather than a replacement of. Respirators are more effective than masks in preventing aerosol transmission to HCWs. Extended use may be considered if guidelines are adhered. Powered air‐purifying respirators if available should be used in high‐risk procedures. Conclusion Transmission of viruses is multimodal and in the setting of a novel pathogen with high case fatality with no proven effective interventions, PPE that affords the best protection should be available to HCWs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The COVID‐19 pandemic, personal protective equipment and respirator: A narrative review

2020

Int. J. Clin. Pract.

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“…Unfortunately, although we consider this a strong recommendation, we were unable to find high quality evidence to support it. A recent Cochrane Database Systematic Review has shown that the role and level of protection of personal protective equipment is still unclear [38]. Nevertheless, given the potential associated risk, until proven otherwise, we recommend that gloves are used to protect the patient and the healthcare worker.…”

Section: Samplingmentioning

confidence: 99%

Joint EFLM-COLABIOCLI recommendation for venous blood sampling

Šimundić

Bölenius²,

Cadamuro³

et al. 2019

Annales De Biologie Clinique

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Introduction Scope of the guidance Disclaimer Methodology I. Pre-sampling General considerations on appropriate mode of communication with the patient Patient position Step 1. Patient identification (1C) Step 2. Verify patient is fasting and properly prepared (1B) Step 3. Obtain supplies required for venous blood collection (2C) Step 4. Labeling and/or identifying tubes (1C) II. Sampling Step 5. Put on gloves (1C) Step 6. Apply tourniquet (1A) Step 7. Select venepuncture site (1B) Step 8. Clean sampling site (1B) Step 9. Puncture the vein (1A) Step 10. Drawing blood into the first tube (1A) Step 11. Release the tourniquet (1A) Step 12. Gently invert the tubes once immediately after collection (1B) Step 13. Draw additional tubes following the recommended order of draw (1B) Step 14. Remove the needle from the vein and ensure the safety mechanism is activated (1A) Step 15. Dispose of the needle (1A) Step 16. Bandage the puncture site (1C) Step 17. Tell the patient to apply gentle pressure and do not bend the arm (1C) Step 18. Invert all tubes at least 4 more times (1B) Step 19. Remove gloves (1A) III. Post sampling Step 20. Advise the patient to rest for 5 min (1B) IV. Implementation of the guidelines Potential barriers and challenges Framework for a successful implementation of this recommendation Conclusions References

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“…Obwohl komplexe Schutzkleidung (z. B. Overalls und Powered-Air-purifying-Respirator-(PAPR-)Systeme in bestimmten Situationen einen verbesserten Schutz bieten, wird dieser nicht selten durch Kontamination beim Ausziehen wieder zunichte gemacht [25]. Hinzu kommen die physischen Belastungen, eine schnellere Erschöpfung und vermehrte Fehleranfälligkeit bei der Arbeit, sodass ein unkritischer Einsatz eher vermieden werden sollte.…”

Section: Schutzkleidungunclassified

Hygiene in der Anästhesie in Zeiten der SARS-CoV-2-Pandemie

Schulz-Stübner¹,

Kunitz²

2020

Anästhesiol Intensivmed Notfallmed Schmerzther

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ZusammenfassungUnter den Bedingungen der SARS-CoV-2-Pandemie und der Unsicherheit hinsichtlich der vielen Entscheidungen zugrunde liegenden Daten darf die Basishygiene in der medizinischen Versorgung auch bei Ressourcenengpass nicht vernachlässigt werden. SARS-CoV-2-spezifische Schutzmaßnahmen sind entsprechend einer Risikoanalyse durchzuführen, wobei die Dynamik der Pandemie und lokale Gegebenheiten zu berücksichtigen sind.

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Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff

Abstract: Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database of Systematic Reviews, 2019(7), [CD011621].

Cited by 236 publications

References 204 publications

The COVID‐19 pandemic, personal protective equipment and respirator: A narrative review

The COVID‐19 pandemic, personal protective equipment and respirator: A narrative review

Joint EFLM-COLABIOCLI recommendation for venous blood sampling

Hygiene in der Anästhesie in Zeiten der SARS-CoV-2-Pandemie

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