scholarly journals The Effect of Personal Protective Equipment Uptake on the Risk of Leprosy in Adults: Meta Analysis

2021 ◽  
Vol 6 (1) ◽  
pp. 21-31
Author(s):  
Rizki Kurniawan Saputra ◽  
◽  
Setyo Sri Rahardjo ◽  
Bhisma Murti ◽  
◽  
...  
Author(s):  
Israel Baptista de Souza Borges ◽  
Magali Rezende de Carvalho ◽  
Marcel de Souza Quintana ◽  
Alexandre Barbosa de Oliveira

Objective: to compare the mean development time of the techniques of direct laryngoscopy and insertion of supraglottic devices; and to evaluate the success rate in the first attempt of these techniques, considering health professionals wearing specific personal protective equipment (waterproof overalls; gloves; boots; eye protection; mask). Method: meta-analysis with studies from LILACS, MEDLINE, CINAHL, Cochrane, Scopus and Web of Science. The keywords were the following: personal protective equipment; airway management; intubation; laryngeal masks. Results: in the “reduction of the time of the procedures” outcome, the general analysis of the supraglottic devices in comparison with the orotracheal tube initially presented high heterogeneity of the data (I2= 97%). Subgroup analysis had an impact on reducing heterogeneity among the data. The “laryngeal mask as a guide for orotracheal intubation” subgroup showed moderate heterogeneity (I2= 74%). The “2ndgeneration supraglottic devices” subgroup showed homogeneity (I2= 0%). All the meta-analyses favored supraglottic devices. In the “success in the first attempt” outcome, moderate homogeneity was found (I2= 52%), showing a higher proportion of correct answers for supraglottic devices. Conclusion: in the context of chemical, biological or radiological disaster, the insertion of the supraglottic device proved to be faster and more likely to be successful by health professionals. PROSPERO record (CRD42019136139).


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Zemachu Ashuro ◽  
Yifokire Tefera Zele ◽  
Robel Hussen Kabthymer ◽  
Kuma Diriba ◽  
Aragaw Tesfaw ◽  
...  

Background. Construction is one of the highest risky jobs for accident-related fatalities and injuries globally. This systematic review and meta-analysis aimed to estimate the pooled prevalence of work-related injury and its associated factors among construction workers in Ethiopia. Methods. A systematic literature search was performed by using PubMed, Science Direct, and Google Scholar. A random-effects model was used to estimate the pooled prevalence of work-related injury and its associated factors. The heterogeneity of the studies was assessed by using the I2 test, and the presence of publication bias was evaluated by using funnel plot and Egger’s test. Results. After reviewing 292 articles, we included 10 studies that fulfilled the inclusion criteria in the meta-analysis. The findings from the 10 studies showed that the pooled prevalence of work-related injury in Ethiopia was 46.78% (95% CI: 32.17, 61.38). The subgroup analysis of this study showed that the highest prevalence was reported in Addis Ababa with the prevalence of 55.9% (25.42, 86.4), followed by a study conducted in Oromia Region with a prevalence of 43.3% (33.3, 53.3). Lack of occupational safety training (OR: 2.43, 95% CI: 1.76, 3.35), not using of personal protective equipment (OR: 2.32, 95% CI: 1.80, 2.99), and male workers (OR: 2.44, 95% CI: 1.15, 5.17) were the major factors significantly associated with the occurrence of work-related injury among construction workers. Conclusions. This study confirmed that construction is still a high-risk job with a high prevalence of work-related injury in Ethiopia. The modifiable risk factors such as the use of personal protective equipment (PPE), lack of safety training, and gender were the major associated factors with injury. Therefore, a continuous safety training and awareness creation program on risk-taking behavior should be given to construction workers.


2021 ◽  
Vol 1 ◽  
pp. 153-158
Author(s):  
Yogie Prasethya Al Hakim ◽  
Mokhamad Arifin

AbstractThe COVID-19 virus is very easy to spread, especially through droplets from infected people to others. This makes health workers vulnerable to infection. To overcome this problem. it is necessary to use personal protective equipment (PPE) which aims to protect health workers from the COVID-19 virus. To describe the compliance level of health workers with the personal protective equipment (PPE) in hospitals during the COVID-19 pandemic. A research literature review of 5 articles accessed from online databases such as Google Scholar and PubMed published from 2020-2021. The research used the Systematic Reviews and Meta-Analysis (PRISMA) checklist. The results of this literature review showed that, from a total of 1496 respondents, 1158 respondents (77.4%) had a good level of compliance with personal protective equipment (PPE) usage. Based on the results, it can be concluded that the health workers have a good level of compliance with the PPE usage during the COVID-19 pandemic. This literature review research is expected to be new knowledge, insight, and reference for health workers regarding the compliance with the use of personal protective equipment (PPE), especially during the COVID-19 pandemic. Keywords: Personal Protective Equipment (PPE), COVIID-19, Adherence, Health Workers'. AbstrakVirus COVID-19 sangat mudah menyebar terutama melalui droplet dari orang yang terinfeksi kepada orang lain. Hal ini mengakibatkan petugas kesehatan rawan untuk terinfeksi. Untuk mengatasi masalah tersebut maka diperlukan penggunaaan alat pelindung diri (APD) yang bertujuan untuk melindungi petugas kesehatan dari virus COVID-19. Untuk mengetahui bagaimana tingkat kepatuhan penggunaan alat pelindung diri (APD) tenaga kesehatan di rumah sakit pada masa pandemi COVID-19. Penelitian literature review dari 5 artikel mengakses database online seperti Google Scholar dan PubMed yang di publikasi dari tahun 2020-2021. Instrumen telaah kritis yang digunakan yaitu instrument PRISMA checklist. Hasil penelitian literature review ini menunjukan diketahui dari total responden sebanyak 1496 orang, sebanyak 1158 responden dengan presentase (77,4%) memiliki kepatuhan yang baik dalam penggunaan alat pelindung diri (APD). Pada penelitian literature review kali ini didapatkan hasil berupa tingkat kepatuhan penggunaan APD yang baik oleh petugas kesehatan di masa pandemi COVID-19. Penelitian literature review ini diharapkan dapat menjadi pengetahuan, wawasan dan referensi baru untuk tenaga kesehatan terkait kepatuhan penggunaan alat pelindung diri (APD) terutama pada masa pandemi COVID-19.Kata kunci: Alat Pelindung Diri (APD), COVID-19, Kepatuhan, Tenaga Kesehatan.


2021 ◽  
Vol 14 ◽  
pp. 175628482110421
Author(s):  
Xiangzhou Tan ◽  
Jianping Guo ◽  
Zihua Chen ◽  
Alfred Königsrainer ◽  
Dörte Wichmann

Background: The impact of gastrointestinal endoscopy on COVID-19 infection remains poorly investigated. We herein performed a systematic review and meta-analysis to evaluate the outcomes of COVID-19 in patients undergoing gastrointestinal endoscopy. Method: Ovid Medline, Ovid EMBASE, Ovid the Cochrane Library, and other electronic databases were searched until 30 November 2020 to identify publications with confirmed COVID-19 infection in patients undergoing gastrointestinal endoscopy. The primary outcomes were SARS-CoV-2 transmission, personal protective equipment use, rates of case fatality, complications, and procedural success. Results: A total of 18 articles involving 329 patients were included in this systematic review and meta-analysis. The overall basic reproduction rate is 0.37, while the subgroup results from Asia, Europe, and North America are 0.13, 0.44, and 0.33, respectively. The differences in personal protective equipment use between the positive transmission and non-transmission group are mainly in isolation gowns, N95 or equivalent masks, and goggles or face-shields. The rate of case fatality, complication, and procedural success are 0.17 (95% confidence interval = 0.02–0.38), 0.00 (95% confidence interval = 0.00–0.02), and 0.89 (95% confidence interval = 0.50–1.00), respectively. The fatality rate in Europe was the highest (0.23, 95% confidence interval = 0.04–0.50), which is significantly different from other continents ( p = 0.034). Conclusion: The risk of SARS-CoV-2 transmission within gastrointestinal endoscopy units is considerably low if proper use of personal protective equipment is applied. Similarly, a low fatality and complication rate, as well as a high procedural success rate, indicated that a full recovery of endoscopic units should be considered.


2021 ◽  
Author(s):  
Mitiku Bonsa Debela ◽  
Muluken Azage ◽  
Achenef Motbainor Begosaw

Abstract Working in the industry is commonly associated with a combination of personal and environmental health and safety risks. However, the finding from African countries on the factors contributing to occupational injury is inconsistent and not inclusive. Therefore, this systematic review and meta-analysis were estimated the pooled effect of factors leading to occupational injury among workers in the industries in Africa.Published articles found in Scopus, PubMed/Medline, Science Direct, and Cochrane Library databases were systematically searched. Observational studies revealing the factors leading to occupational injury among workers in the industry in Africa were incorporated. The pooled effect size of the studies was computed using STATA version 14 statistical software. The heterogeneity of the study was assessed using Cochrane Q test statistics, the I-squared values test, and the Galbraith plot. Considering within and between studies variability, the random-effect model was used to determine the pooled effect size. Funnel plot and egger's tests were conducted to evaluate publication bias.Out of 603 accessed studies, 20 studies that fulfilled the eligibility criteria were included to estimate the pooled effect of factors contributing to occupational injury. Accordingly, being temporary employment workers (pooled odds ratio= 2.13 (1.06, 3.21)), not receiving ongoing health and safety training (pooled odds ratio= 1.98 (1.21, 2.76), and the proper and consistent use of personal protective equipment (pooled odds ratio= 0.60 (0.32, 0.88) were factors significantly associated with the odds of experiencing an occupational injury. Being temporary employment workers and not receiving ongoing health and safety training elevates the odds of sustaining occupational injuries. But, the proper and consistent use of personal protective equipment reduces the odds of experiencing an occupational injury. Hence, the government, industrial managers and industrial hygienists, and other stakeholders should implement rigorous law enforcement to ensure compliance, proper implementation of health and safety measures practices, and safety audits.


2020 ◽  
Author(s):  
Petros Galanis ◽  
Irene Vraka ◽  
Despoina Fragkou ◽  
Angeliki Bilali ◽  
Daphne Kaitelidou

SummaryBackgroundHealth care workers (HCWs) represent a high risk population for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.AimTo determine the seroprevalence of SARS-CoV-2 antibodies among HCWs, and to find out the factors that are associated with this seroprevalence.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were applied for this systematic review and meta-analysis. Databases including PubMed/MEDLINE and pre-print services (medRχiv and bioRχiv) were searched from inception up to August 24, 2020.FindingsForty-nine studies, including 127,480 HCWs met the inclusion criteria. The estimated overall seroprevalence of SARS-CoV-2 antibodies among HCWs was 8.7% (95% CI: 6.7-10.9%). Seroprevalence was higher in studies that were conducted in North America (12.7%) compared to those in Europe (8.5%), Africa (8.2), and Asia (4%). Meta-regression showed that increased sensitivity of antibodies test was associated with increased seroprevalence. The following factors were associated with seropositivity: male gender, Black, Asian, and Hispanic HCWs, work in a coronavirus disease 2019 (COVID-19) unit, patient-related work, frontline health care workers, health care assistants, personal protective equipment shortage, self-reported belief for previous SARS-CoV-2 infection, previous positive polymerase chain reaction test, and household contact with suspected or confirmed COVID-19 patients.ConclusionThe seroprevalence of SARS-CoV-2 antibodies among HCWs is high. Excellent adherence to infection prevention and control measures, sufficient and adequate personal protective equipment, and early recognition, identification and isolation of HCWs that are infected with SARS-CoV-2 are imperative to decrease the risk of SARS-CoV-2 infection.


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