scholarly journals Direct and indirect associations between personal protective equipment use and cleaning quality in a tertiary hospital in China: an observational study

The Lancet ◽  
2019 ◽  
Vol 394 ◽  
pp. S65
Author(s):  
Qiuxia Yang ◽  
Xinping Zhang
Keyword(s):  
Observational Study ◽  
Personal Protective Equipment ◽  
Tertiary Hospital ◽  
Protective Equipment

scholarly journals Preparedness and response of a tertiary hospital to the COVID-19 pandemic in Nigeria: challenges, opportunities and lessons

2021 ◽  
Author(s):  
Darlington E Obaseki ◽  
Iriagbonse I Osaigbovo ◽  
Esohe O Ogboghodo ◽  
Omokhoa Adeleye ◽  
Obehi A Akoria ◽  
...  
Keyword(s):  
Public Health ◽  
Personal Protective Equipment ◽  
Tertiary Hospital ◽  
Lessons Learned ◽  
Protective Equipment ◽  
Scientific Journals ◽  
Healthcare Facilities ◽  
Public Health Agencies ◽  
Health Agencies ◽  
Individual Healthcare

Abstract Africa was the last continent to be affected by the COVID-19 pandemic. Much of the discourse on Africa's response captured in scientific journals revolves around nations, public health agencies and organizations, but little is documented about how individual healthcare facilities have fared. This article reports the challenges faced in a tertiary hospital in Nigeria, including space constraints, diagnostic challenges, shortages in personal protective equipment and health worker infections. The opportunities and strengths that aided the response are also highlighted. The lessons learned will be useful to similar facilities. More information about health facility response at various levels is needed to comprehensively assess Africa's response to the pandemic.

scholarly journals Biosafety conducts adopted by orthodontists

2018 ◽  
Vol 23 (3) ◽  
pp. 73-79 ◽  
Author(s):  
Camila Gonçalves Jezini Monteiro ◽  
Mariana Martins e Martins ◽  
Adriana de Alcantara Cury-Saramago ◽  
Henry Pinheiro Teixeira
Keyword(s):  
Observational Study ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Training Time ◽  
Disinfection Methods ◽  
Significant Difference ◽  
High Incidence ◽  
E Mail

ABSTRACT Objective: This cross-sectional observational study was designed to assess the biosafety conducts adopted by orthodontists, and possible differences regarding training time. Methods: Both the application of methods for sterilization/disinfection of instruments and materials, and the use of personal protective equipment (PPE) were collected through questionnaires via e-mail. Results: The questionnaires were answered by 90 orthodontists with a mean age of 37.19 ± 9.08 years and mean training time of 13.52 ± 6.84 years. Regarding orthodontic pliers, 63.23% use an autoclave, except 1 who does not perform any procedure. All participants use autoclave to sterilize instruments, and 95.6% of respondents perform cleaning with chemicals prior to sterilization. Most of them (65.56%) use an autoclave to sterilize orthodontic bands, with some still associating disinfection methods, while few (18.89%) do nothing at all. There was a high incidence of the answer “nothing” for the methods used for elastic, accessories, bandages, metal springs, and arches. All respondents use mask and gloves in attendance, 78.92% use aprons, 58.92% use protective goggles, and 50.01% use cap. Training time significantly influenced (p = 0.003) only the use of glutaraldehyde for sterilization/disinfection of pliers. Conclusions: The sterilization and cleaning of pliers, instruments, and bands, besides the use of PPE, received more uniform and positive responses, while other items suggest disagreements and possible failures. Only orthodontists trained for more than 13 years choose using glutaraldehyde for pliers sterilization/disinfection, the only adopted method with a significant difference in relation to training time.

scholarly journals Survey of the Level of Preparedness and Fears of Anaesthesia Staff regarding the Management of COVID-19 patients in ABUTH Zaria-Nigeria

2020 ◽  
Author(s):  
Saidu Yusuf Yakubu
Keyword(s):  
Marital Status ◽  
Teaching Hospital ◽  
Life Insurance ◽  
Personal Protective Equipment ◽  
Hospital Management ◽  
Tertiary Hospital ◽  
Professional Role ◽  
University Teaching ◽  
Protective Equipment ◽  
Low Resource

Abstract Objectives: Data was collected to determine the level of preparedness and fears of anaesthesia staff regarding the management of COVID-19 patients in a low resource tertiary hospital in Zaria, Nigeria. Information obtained was used to request for missing equipment from the hospital management and to allay the fears of staff during the COVID-19 pandemic. Results: Data reported was from the survey of consenting anaesthesia staff at the Ahmadu Bello University Teaching Hospital Zaria. Information obtained include age, gender, marital status, professional role, level of preparedness, availability of working materials/equipment, fear of COVID-19, level of stress, stigmatization and the willingness or otherwise to volunteer in the management of COVID-19 patients. All 45 respondents stated that they do not have a life insurance. Forty four (97.8%) lack access to COVID-19 testing while 36 (80%) have not received any training on COVID-19 and the use of personal protective equipment. Twenty eight of 43 staff said that they were not willing or prepared to participate in the management of COVID-19 patients. Data will be useful to other researchers with a similar challenge. Data obtained was deposited at https://dx.doi.org/10.17632/stdmys22gk.1.

scholarly journals Analysis of Droplet Splatter Patterns During Coblation Tonsil Surgery in the Covid-19 Pandemic

2021 ◽  
pp. 000348942110189
Author(s):  
Grace C. Khong ◽  
Jaya Bhat ◽  
Ravi S. Sharma ◽  
Samuel C. Leong
Keyword(s):  
Observational Study ◽  
Personal Protective Equipment ◽  
Mitigation Strategies ◽  
Head Model ◽  
Protective Equipment ◽  
Data Sets ◽  
Level Of Evidence ◽  
Tonsil Surgery ◽  
Surgical Field

Objectives: To assess droplet splatter around the surgical field and surgeon during simulated Coblation tonsil surgery to better inform on mitigation strategies and evaluate choice of personal protective equipment. Methods: This was an observational study performed using a life-size head model to simulate tonsil surgery and fluorescein-soaked strawberries to mimic tonsils. The Coblation wand was activated over the strawberries for 5 minutes. This was repeated 5 times with 2 surgeons (totalling 10 data sets). The presence of droplet around the surgical field and anatomical subsites on the surgeon was assessed in binary fashion: present or not present. The results were collated as frequency of droplet detection and illustrated as a heatmap; 0 = white, 1-2 = yellow, 3-4 = orange, and 5 = red. Results: Fluorescein droplets were detected in all 4 quadrants of the surgical field. The frequency of splatter was greatest in the upper (nearest to surgeon) and lower quadrants. There were detectable splatter droplets on the surgeon; most frequently occurring on the hands followed by the forearm. Droplets were also detected on the visor, neck, and chest albeit less frequently. However, none were detected on the upper arms. Conclusion: Droplet splatter can be detected in the immediate surgical field as well as on the surgeon. Although wearing a face visor does not prevent splatter on the surgical mask or around the eyes, it should be considered when undertaking tonsil surgery as well as a properly fitted goggle. Level of evidence: 5

scholarly journals Availability, Accessibility and Proper Use of Personal Protective Equipment in Wards at Queen Elizabeth Central Hospital (QECH) Blantyre, Malawi: An Observational Study

2020 ◽  
Vol 32 (3) ◽  
pp. 124-131
Author(s):  
Davie Madziatera
Keyword(s):  
Observational Study ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Low Cost ◽  
College Education ◽  
Protective Equipment ◽  
Management Support ◽  
Central Hospital ◽  
Section Design ◽  
Queen Elizabeth Central Hospital

BackgroundThe purpose of this study was to evaluate the availability, accessibility and proper use of personal protective equipment (PPE) in the wards at Queen Elizabeth Central Hospital (QECH).Methods: We conducted an observational study with a cross-section design. Convenience sampling method was used for selection of healthcare workers (HCWs) in wards. HCWs filled a checklist on accessibility of PPEs and they were observed on proper use of PPE while conducting clinical procedures. Nurse ward in-charge was asked to fill out a checklist on availability of PPE in their ward.Results PPE was available in 75.8% of wards, not available in 12.5%. Goggles were absent in 70.8% of wards. PPEs were 71.4% accessible and 28.6% inaccessible to healthcare workers in the wards. The most inaccessible PPEs were goggles (83.2%) and footwear (73.7%) while facemasks, sterile and non-sterile gloves and aprons were readily accessible. Non sterile gloves were 100% available and accessible. Only 13.5% of the HCWs had good compliance with PPE standard procedures. The average PPE compliance score of those who had been trained was 6 % greater than those who were not trained. ConclusionThis study identified areas of improvement in healthcare system delivery regarding standard precautions with emphasis on PPE. Improvements in training during professional college education and in-service refresher training could improve compliance with appropriate use of PPE for relatively low cost. Management support could improve availability and accessibility of PPE in the wards at QECH, with active supervision to improve adherence levels to personal protective equipment usage. The study can also help in the development of policies and guidelines regarding PPE usage by showing that most HCWs need to be trained in proper PPE usage.

scholarly journals KEPATUHAN TENAGA KERJA DALAM MENGGUNAKAN APD

2019 ◽  
Vol 3 (1) ◽  
pp. 37-43
Author(s):  
Fety 'Izza Luthfiyah
Keyword(s):  
Observational Study ◽  
Personal Protective Equipment ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Total Study Population ◽  
Production Department ◽  
Training And Supervision ◽  
Study Population

Workers when at working area must use (Personal Protective Equipment) PPE, even though the company has implemented technical controls and administrative controls. But, use of PPE at work is still not good. The purpose of this study was to analyse the compliance of workers in using PPE in production department of PT X. this study was an descriptive observational study with a cross sectional study design. The total study population was 30 people with total sampling. Data were by means as of questionnaire. The result of the study were the average age and length of work of workers in production department of PT X were µ = 29,47 ± 4,99 years old and µ = 7,9 ± 3,96 years. Workers in production department of PT X 60% use PPE and 40% not use PPE. The factor that influence compliance with PPE use was comfort of PPE and factors that don’t affect compliance with PPE use were availability of PPE, PPE training, and supervision of PPE. It is recommended for the company need to approach individually to the workers and need to implement a reward policy.   Keywords: compliance, PPE, worker, factors

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