ABSTRACT
The risk of face seal leak while using N-95 respirators is experienced by health workers and thus failing fit test are quite common. Finding solutions to overcome face seal leaks is crucial; one of which is by sealing the N-95 respirator. The seal used in this research was Tegaderm® a transparent film dressing or a plastic tape which is known to have the advantages of strong adhesion, high level of pore density and standardized medical grade. This study tries to determine the effectiveness of plastic tape adhesive on the N-95 type 1860 respirator in overcoming face seal leak qualitative fit test using Bitrex immediately after being worn and after 4 h of using it. The study used a quantitative approach with an incidence study design conducted pre and post experimental without comparison to see the effectiveness of plastic tape sealing. The subjects for the research were 81 health workers in the CMH environment who were at risk of being exposed to COVID-19. The study found a significant difference in the Bitrex fit test immediately after sealing the N-95 type 1860 respirator with plastic tape; 100% passed the fit test immediately after sealing, and 64.2% passed the fit test after 4 h of working. The effectiveness of sealing using plastic tape is considered to be quite good to overcome face seal leak on the N-95 type 1860 respirator. Health care workers need to be more vigilance to ensure better face seal.
ABSTRACT
World Health Organization (WHO) announced a newly discovered virus that first identified in Wuhan China on December 2019 namely SARS-CoV-2 as the cause of corona virus disease (COVID-19) which had become global pandemic. Doctors as medical practitioners are categorized as vulnerable group to be infected by corona virus and many otorhinolaryngologists had been infected and even died in performing medical services. Among the causative factors why otorhinolaryngologists could get infected by corona virus is their behavior. Purpose: to assess the behavioral level of otorhinolaryngologists in medical services during COVID-19 pandemic. Method: descriptive study with a cross sectional design. Research samples were otorhinolaryngologists in Indonesia who met the inclusions criteria. The samples were selected by consecutive sampling method and obtained 1299 subjects. Behavioral level was assessed from 3 aspects: knowledge attitude and practice which comprised of 12 questions. Result: it was found that 461 respondents had a good behavioral level (35.5%) 677 respondents had moderate levels (52.1%) and 161 respondents had low level (12.4%). There was a statistically significant correlation between knowledge with behavioral level attitude with behavioral level and practice with behavioral level (p=0.001). Conclusion: the study of behavioral level of otorhinolaryngologists in medical service during COVID-19 pandemic obtained the highest number was moderate level 677 respondents (57.2%) and there was a statistically significant correlations between the variable of knowledge with behavioral level the variable of attitude with behavioral level and the variable of practice with behavioral level (p=0.001).