scholarly journals Training and Fit Testing of Health Care Personnel for Reusable Elastomeric Half-Mask Respirators Compared With Disposable N95 Respirators

JAMA ◽  
2020 ◽  
Author(s):  
Lisa A. Pompeii ◽  
Colleen S. Kraft ◽  
Erik A. Brownsword ◽  
Morgan A. Lane ◽  
Elisa Benavides ◽  
...  
JAMA ◽  
2019 ◽  
Vol 322 (9) ◽  
pp. 824 ◽  
Author(s):  
Lewis J. Radonovich ◽  
Michael S. Simberkoff ◽  
Mary T. Bessesen ◽  
Alexandria C. Brown ◽  
Derek A. T. Cummings ◽  
...  

2015 ◽  
Vol 9 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Gio Baracco ◽  
Sheri Eisert ◽  
Aaron Eagan ◽  
Lewis Radonovich

AbstractSpecific guidance on the size and composition of respiratory protective device (RPD) stockpiles for use during a pandemic is lacking. We explore the economic aspects of stockpiling various types and combinations of RPDs by adapting a pandemic model that estimates the impact of a severe pandemic on a defined population, the number of potential interactions between patients and health care personnel, and the potential number of health care personnel needed to fulfill those needs. Our model calculates the number of the different types of RPDs that should be stockpiled and the consequent cost of purchase and storage, prorating this cost over the shelf life of the inventory. Compared with disposable N95 or powered air-purifying respirators, we show that stockpiling reusable elastomeric half-face respirators is the least costly approach. Disposable N95 respirators take up significantly more storage space, which increases relative costs. Reusing or extending the usable period of disposable devices may diminish some of these costs. We conclude that stockpiling a combination of disposable N95 and reusable half-face RPDs is the best approach to preparedness for most health care organizations. We recommend against stockpiling powered air-purifying respirators as they are much more costly than alternative approaches. (Disaster Med Public Health Preparedness. 2015;9:313-318)


Author(s):  
Loïc Anderegg ◽  
Cole Meisenhelder ◽  
Chiu Oan Ngooi ◽  
Lei Liao ◽  
Wang Xiao ◽  
...  

A lack of N95 respirators during the COVID-19 crisis has placed healthcare workers at risk. It is important for any N95 reuse strategy to determine the effects that proposed protocols would have on the physical functioning of the mask, as well as the practical aspects of implementation. Here we propose and implement a method of heating N95 respirators with moisture (85 °C, 60-85% humidity). We test both mask filtration efficiency and fit to validate this process. Our tests focus on the 3M 1860, 3M 1870, and 3M 8210 Plus N95 models. After five cycles of the heating procedure, all three respirators pass both quantitative fit testing (score of >100) and show no degradation of mask filtration efficiency. We also test the Chen Heng V9501 KN95 and HKYQ N95 finding no degradation of mask filtration efficiency, however even for unheated masks these scored <50 for every fit test. The heating method presented here is scalable from individual masks to over a thousand a day with a single industrial convection oven, making this method practical for local application inside health-care facilities.


Author(s):  
Ekta Kurhade ◽  
Priyanka Paul Madhu ◽  
Kumar Gaurav Chhabra ◽  
Amit Reche ◽  
Dhanashree Rathi ◽  
...  

Background: After the COVID 19 epidemic, acknowledgement of adequate effects, side effects, factors and risk factors faced by health care workers and effective practices of using N-95 respirators among health care workers are necessary. As a result, we set out to assess health-care personnel in central India's knowledge and practice (K and P) of N-95 respirators. Objective: To find out how well health care personnel in central India know about N-95 respirators and how they use them to avoid COVID 19. Methodology: Workers in the health-care industry in Central India will be picked at random. The study will include all health-care employees who are working during the COVID 19 epidemic. Expected Results: In light of the COVID 19 epidemic, it's critical to think about the COVID safety and health implications of the use of N95 masks by health-care professionals. COVID 19 infection can be prevented with this understanding and practice of utilising N 95 respirators. Conclusion: Although N95 respirators proved to have a protective benefit over surgical masks during the COVID pandemic, there are some impacts and side effects of using N95 respirators, therefore sufficient understanding and practice with N95 respirators are required among health care professionals.


2020 ◽  
Vol 14 (5) ◽  
pp. 658-669 ◽  
Author(s):  
Marie A. de Perio ◽  
Chad H. Dowell ◽  
Lisa J. Delaney ◽  
Lewis J. Radonovich ◽  
David T. Kuhar ◽  
...  

ABSTRACTN95 respirators are personal protective equipment most often used to control exposures to infections transmitted via the airborne route. Supplies of N95 respirators can become depleted during pandemics or when otherwise in high demand. In this paper, we offer strategies for optimizing supplies of N95 respirators in health care settings while maximizing the level of protection offered to health care personnel when there is limited supply in the United States during the 2019 coronavirus disease pandemic. The strategies are intended for use by professionals who manage respiratory protection programs, occupational health services, and infection prevention programs in health care facilities to protect health care personnel from job-related risks of exposure to infectious respiratory illnesses. Consultation with federal, state, and local public health officials is also important. We use the framework of surge capacity and the occupational health and safety hierarchy of controls approach to discuss specific engineering control, administrative control, and personal protective equipment measures that may help in optimizing N95 respirator supplies.


2020 ◽  
pp. hpeds.2020-003855
Author(s):  
Andrea Lo Vecchio ◽  
Luca Pierri ◽  
Marco Poeta ◽  
Edoardo Vassallo ◽  
Marco Varelli ◽  
...  

Author(s):  
Wafa A K Abbas ◽  
Muntahaa Rashaan

Literatures proved that Hand hygiene is the most important and effective infection prevention and control measure to prevent the spread of microorganisms causing HAIs and improving hand hygiene is consider a vital intervention to promote optimum patient safety in delivery room. Aim of the study; This study conducted to assess hand hygiene practices of health care personnel in the delivery room at the middle Euphrates teaching hospitals. Methods; A Descriptive qusi-expremental research design begin in 20th February to 26th May 2016, Current study sample involve all midwives and physicians in the delivery room (Total coverage.). Questionnaire used for data collection by interview forms and observational checklist was obtain from the extensive review of relevant literature and related studies Data analyzed through utilize (SPSS) software version (16) where, included descriptive analysis and inferential data analysis. The study conducted among 37 physicians and 97 midwives working in the delivery room are females. The current study indicate that the overall evaluation for the health staff practices regarding hand hygiene is fair at Karbala, Al-Najaf, Babylon and Diwaniah with high difference in health staff practices regarding infection control precautions (hand hygiene) and the different studied governorates at pvalue 0.001. based on the finding of present study majority of health care personnel have fair applies related to hand hygiene practices at different studied governorate hospitals. Updating practice of health care personnel through continuing inservice educational programs. Regular inspection and follow-up from the ministry of health for assurances good hand hygiene, the important of exist motivation system and punishment system to the neglected health care personnel.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 675-684
Author(s):  
Preethi Shankar ◽  
Abilasha R ◽  
Preetha S

Universal precautions are a vital standard set of rules applied to be followed by patients and doctors while carrying out any clinical procedure, but especially in patients with blood-borne diseases or infections. It is carried out to prevent the spread of infection from one person to another. Universal precautions are of great significance to medical personnel, where they expose themselves to numerous infectious diseases. The research aimed to assess and improve knowledge about universal precautions among health care personnel to reduce the rate of harmful exposure and infections among them. A questionnaire comprising 20 questions was created and circulated among 100 health care workers through the online platform &quot;Google forms&quot;. The results were collected and analysed. Statistical analysis was performed using SPSS. It was evident that many people were not aware of the seriousness of universal precautions. Fortunately, many medical personals followed and were aware of universal precaution to an extent. Universal precaution should be followed religiously and judiciously to prevent the spread of deadly diseases.


2021 ◽  
pp. 101053952110110
Author(s):  
Salma Abbas ◽  
Aun Raza ◽  
Ayesha Iftikhar ◽  
Aamir Khan ◽  
Shahzaib Khan ◽  
...  

Health care personnel (HCP) are at high risk for coronavirus disease-2019 acquisition. Serum antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) indicate past infection. Our institution offered SARS-CoV-2 antibody testing to HCP. We surveyed HCP with positive test results to explore past exposure to SARS-CoV-2, details of symptoms during the preceding 6 months, and a history of SARS-CoV-2 polymerase chain reaction testing. A total of 2162 HCP underwent antibody testing. Eight hundred fifty-seven (39.6%) employees tested positive and, of these, 820 (95.7%) participated in the survey. When adjusted for age, males had higher odds of testing positive for SARS-CoV-2 antibodies compared with females (OR = 1.68; 95% CI = 1.37-2.05; P = .00) and clinical staff had higher odds of SARS-CoV-2 seropositivity compared with nonclinical staff (OR = 1.273; 95% CI = 1.06-1.53; P = .01). Implementation of effective infection control measures is essential to protect HCP from coronavirus disease-2019.


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