Your browser doesn't support javascript.
Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study.
Liu, Min; Cheng, Shou-Zhen; Xu, Ke-Wei; Yang, Yang; Zhu, Qing-Tang; Zhang, Hui; Yang, Da-Ya; Cheng, Shu-Yuan; Xiao, Han; Wang, Ji-Wen; Yao, He-Rui; Cong, Yu-Tian; Zhou, Yu-Qi; Peng, Sui; Kuang, Ming; Hou, Fan-Fan; Cheng, K K; Xiao, Hai-Peng.
  • Liu M; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Cheng SZ; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Xu KW; Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
  • Yang Y; The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
  • Zhu QT; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Zhang H; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Yang DY; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Cheng SY; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Xiao H; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China xiaohp@mail.sysu.edu.cn.
  • Wang JW; Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
  • Yao HR; Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
  • Cong YT; The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
  • Zhou YQ; The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
  • Peng S; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Kuang M; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
  • Hou FF; Nan Fang Hospital, Southern Medical University, Guangzhou, China.
  • Cheng KK; Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
  • Xiao HP; The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China xiaohp@mail.sysu.edu.cn.
BMJ ; 369: m2195, 2020 06 10.
Article in English | MEDLINE | ID: covidwho-1430181
ABSTRACT

OBJECTIVE:

To examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).

DESIGN:

Cross sectional study.

SETTING:

Four hospitals in Wuhan, China.

PARTICIPANTS:

420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing. MAIN OUTCOME

MEASURES:

Covid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.

RESULTS:

The average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).

CONCLUSION:

Before a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Health Personnel / Coronavirus Infections / Pandemics / Personal Protective Equipment Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: BMJ Journal subject: Medicine Year: 2020 Document Type: Article Affiliation country: Bmj.m2195

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Health Personnel / Coronavirus Infections / Pandemics / Personal Protective Equipment Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: BMJ Journal subject: Medicine Year: 2020 Document Type: Article Affiliation country: Bmj.m2195