School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.
University of Bath, Bath, United Kingdom.
J Infect Public Health. 2019 Jul-Aug;12(4):522-527. doi: 10.1016/j.jiph.2019.01.064. Epub 2019 Feb 7.
Like other low-income countries, limited data are available on the use of personal protective equipment (PPE) in Pakistan. We conducted a systematic review of studies on PPE use for respiratory infections in healthcare settings in Pakistan. MEDLINE, Embase and Goggle Scholar were searched for clinical, epidemiological and laboratory-based studies in English, and 13 studies were included; all were observational/cross-sectional studies. The studies examined PPE use in hospital (n=7), dental (n=4) or laboratory (n=2) settings. Policies and practices on PPE use were inconsistent. Face masks and gloves were the most commonly used PPE to protect from respiratory and other infections. PPE was not available in many facilities and its use was limited to high-risk situations. Compliance with PPE use was low among healthcare workers, and reuse of PPE was reported. Clear policies on the use of PPE and available PPE are needed to avoid inappropriate practices that could result in the spread of infection. Large, multimethod studies are recommended on PPE use to inform national infection-control guidelines.
与其他低收入国家一样，巴基斯坦个人防护设备 (PPE) 使用情况的数据有限。我们对巴基斯坦医疗机构中用于呼吸道感染的 PPE 使用情况进行了系统评价。我们检索了 MEDLINE、Embase 和 Goggle Scholar 上发表的英文临床、流行病学和基于实验室的研究，共纳入了 13 项研究；这些研究均为观察性/横断面研究。这些研究检查了医院（n=7）、牙科（n=4）或实验室（n=2）环境中的 PPE 使用情况。PPE 使用的政策和实践并不一致。口罩和手套是用于防止呼吸道和其他感染的最常用 PPE。许多机构都没有 PPE，其使用仅限于高风险情况。医护人员对 PPE 使用的依从性较低，并且报告了 PPE 的重复使用。需要制定关于 PPE 使用的明确政策和提供 PPE，以避免可能导致感染传播的不当做法。建议进行关于 PPE 使用的大型、多方法研究，为国家感染控制指南提供信息。
