Chughtai Abrar Ahmad, MacIntyre C Raina, Zheng Yang, Wang Quanyi, Toor Zafar Iqbal, Dung Tham Chi, Hien Nguyen Tran, Seale Holly
School of Public Health & Community Medicine, UNSW Medicine, University of New South Wales, Australia.
School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Australia and National Centre for Immunization Research and Surveillance of Vaccine Preventable Diseases (NCIRS), The Children's Hospital at Westmead, Australia.
J Infect Prev. 2015 Mar;16(2):68-74. doi: 10.1177/1757177414560251. Epub 2014 Dec 10.
There is an ongoing debate regarding the type of respiratory protection that should be recommended for use for healthcare workers.
A cross-sectional survey was conducted in three countries: China, Pakistan and Vietnam.
In China and Pakistan, the infection control guidelines were developed to be in line with the recommendations from the World Health Organization (WHO) and the Centers for Disease Control and Prevention, while in the Vietnamese guidelines the recommendations correspond with the WHO suggestions only. The guidelines from all three countries document the need for training and fit testing; however there is no system to monitor the training and fit testing programs. Across the three countries, there was some inconsistency with regard to the types of products (i.e. masks vs. respirators) recommended for influenza, severe acute respiratory syndrome (SARS) and tuberculosis.
Available evidence should be examined and a comprehensive policy should be developed on the use of masks and respirators. The policy should address critical areas such as regulation, training, fit testing and reuse.
关于应为医护人员推荐使用何种类型的呼吸防护装备，目前仍存在争议。
在中国、巴基斯坦和越南三个国家开展了一项横断面调查。
在中国和巴基斯坦，感染控制指南的制定与世界卫生组织（WHO）及疾病控制与预防中心的建议一致，而越南的指南仅与WHO的建议相符。所有三个国家的指南都记录了培训和适合性测试的必要性；然而，没有监测培训和适合性测试项目的系统。在这三个国家中，对于流感、严重急性呼吸综合征（SARS）和结核病推荐使用的产品类型（即口罩与呼吸器）存在一些不一致之处。
应审查现有证据，并制定关于口罩和呼吸器使用的综合政策。该政策应涵盖监管、培训、适合性测试和重复使用等关键领域。
