About: Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission

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About: Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission
Creator	Lung, David Yu, Winnie Au-Yeung, Cypher Guo, Kiki, Y Lai, Timothy Leung, Polly Lo, Ng, Mandy Suen, Lorna Tong, Danny Yue, Ping
Source	Medline; PMC
abstract	BACKGROUND: Healthcare workers (HCWs) use personal protective equipment (PPE) in Ebola virus disease (EVD) situations. However, preventing the contamination of HCWs and the environment during PPE removal crucially requires improved strategies. This study aimed to compare the efficacy of three PPE ensembles, namely, Hospital Authority (HA) Standard Ebola PPE set (PPE1), Dupont Tyvek Model, style 1422A (PPE2), and HA isolation gown for routine patient care and performing aerosol-generating procedures (PPE3) to prevent EVD transmission by measuring the degree of contamination of HCWs and the environment. METHODS: A total of 59 participants randomly performed PPE donning and doffing. The trial consisted of PPE donning, applying fluorescent solution on the PPE surface, PPE doffing of participants, and estimation of the degree of contamination as indicated by the number of fluorescent stains on the working clothes and environment. Protocol deviations during PPE donning and doffing were monitored. RESULTS: PPE2 and PPE3 presented higher contamination risks than PPE1. Environmental contaminations such as those originating from rubbish bin covers, chairs, faucets, and sinks were detected. Procedure deviations were observed during PPE donning and doffing, with PPE1 presenting the lowest overall deviation rate (%) among the three PPE ensembles (p < 0.05). CONCLUSION: Contamination of the subjects’ working clothes and surrounding environment occurred frequently during PPE doffing. Procedure deviations were observed during PPE donning and doffing. Although PPE1 presented a lower contamination risk than PPE2 and PPE3 during doffing and protocol deviations, the design of PPE1 can still be further improved. Future directions should focus on designing a high-coverage-area PPE with simple ergonomic features and on evaluating the doffing procedure to minimise the risk of recontamination. Regular training for users should be emphasised to minimise protocol deviations, and in turn, guarantee the best protection to HCWs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13756-018-0433-y) contains supplementary material, which is available to authorized users.
has issue date	2018-12-22(xsd:dateTime)
bibo:doi	10.1186/s13756-018-0433-y
bibo:pmid	30607244
has license	cc-by
sha1sum (hex)	533809638564f3d5ce4a13acd1ec0eaadf5bd05d
schema:url	https://doi.org/10.1186/s13756-018-0433-y
resource representing a document's title	Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission
has PubMed Central identifier	PMC6303998
has PubMed identifier	30607244
schema:publication	Antimicrob Resist Infect Control
resource representing a document's body	covid:533809638564f3d5ce4a13acd1ec0eaadf5bd05d#body_text
is schema:about of	named entity 'strategies' named entity 'However' named entity 'HEALTHCARE WORKERS' named entity 'MODEL' named entity 'STYLE' named entity 'DEGREE' named entity 'USE' named entity 'GENERATING' named entity 'REMOVAL' named entity 'DUPONT' named entity 'PATIENT CARE' named entity 'AEROSOL' named entity 'HOSPITAL' named entity 'MEASURING' named entity 'AUTHORITY' named entity 'IMPROVED' named entity 'TO COMPARE' named entity 'BACKGROUND' named entity 'TYVEK' named entity 'EBOLA VIRUS DISEASE' named entity 'STANDARD' covid:arg/533809638564f3d5ce4a13acd1ec0eaadf5bd05d named entity 'PERFORMING' named entity 'CONTAMINATION' named entity 'SELF' named entity 'PERSONAL PROTECTIVE EQUIPMENT' named entity 'EBOLA' named entity 'TO PREVENT' named entity 'EFFICACY' named entity 'STUDY' named entity 'PPE' named entity 'GOWN' named entity 'ROUTINE' named entity 'HEALTHCARE WORKERS' named entity 'TRANSMISSION' named entity 'CONTAMINATION' named entity 'STRATEGIES' named entity 'EBOLA' named entity 'ISOLATION' named entity 'ENVIRONMENT' named entity 'TO PREVENT' named entity 'SET' named entity 'TRANSMISSION' named entity 'PREVENTING' named entity 'PROCEDURES' named entity 'PERSONAL PROTECTIVE EQUIPMENT' named entity 'prevent' named entity 'preventing' named entity 'patient' named entity 'Ebola' named entity 'EVD' named entity 'personal protective equipment (PPE' named entity 'Ebola' named entity 'viral load' named entity 'aerosol' named entity 'PPE' named entity 'Hong Kong' named entity 'infection' named entity 'EVD' named entity 'infection control' named entity 'virus' named entity 'face shield' named entity 'patient care' named entity 'EVD' named entity 'WHO' named entity 'PPE' named entity 'face shield' named entity 'EVD' named entity 'Human-to-human' named entity 'PPE'

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