Thomas John P, Srinivasan Anand, Wickramarachchi Chandu S, Dhesi Parveen K, Hung Yat Ma, Kamath Ajay V
Norfolk and Norwich University Hospital, Norwich, UK
Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Clin Med (Lond). 2020 May 15;20(3):242-247. doi: 10.7861/clinmed.2020-0143.
Tragically, many of the infections and deaths recorded in the global coronavirus disease 2019 (COVID-19) pandemic have occurred in healthcare workers. Some have attributed this to inadequate provision of personal protective equipment (PPE). In the UK, several organisations have voiced their concerns that the national PPE guidance issued by Public Health England is inadequate. Despite recent revisions to these guidelines, concerns remain that they offer insufficient protection to frontline NHS healthcare workers. In this report, we evaluate whether these concerns are merited, through critical appraisal of the available evidence, review of international PPE guidance, and consideration of the ethical implications.
可悲的是,全球2019冠状病毒病(COVID-19)大流行记录的许多感染病例和死亡病例都发生在医护人员身上。一些人将此归因于个人防护装备(PPE)供应不足。在英国,几家机构表达了他们对英国公共卫生部发布的国家个人防护装备指南不充分的担忧。尽管最近对这些指南进行了修订,但人们仍然担心它们无法为英国国家医疗服务体系(NHS)的一线医护人员提供足够的保护。在本报告中,我们通过对现有证据的批判性评估、对国际个人防护装备指南的审查以及对伦理影响的考虑,来评估这些担忧是否合理。