Institute for Biosecurity, Department of Epidemiology & Biostatistics, Saint Louis University, College for Public Health and Social Justice, Saint Louis, MO.
West Coast University, Los Angeles, CA.
Am J Infect Control. 2021 Apr;49(4):434-437. doi: 10.1016/j.ajic.2020.08.029. Epub 2020 Aug 26.
SARS-CoV-2, the virus that causes COVID-19 disease was first discovered in China in December, 2019. The disease quickly spread globally, with the first US case identified in January, 2020; it was declared a pandemic on March 11, 2020. Soon after, anecdotal reports indicated that many US hospitals and healthcare facilities were running low on personal protective equipment (PPE) and supplies.
An online survey was administered to all Association for Professionals in Infection Control and Epidemiology members in March, 2020 to assess access to PPE, hand hygiene products, and disinfection supplies.
In all, 1,201 infection preventionists participated. Participants reported running a bit low to almost being out of all PPE types. More had sufficient gloves (63.4%) compared to all other PPE types (P < .001 for all). Face shields and N95 respirators were the least available (13.6% and 18.2% had sufficient supplies, respectively; p < .001 for all). Many (66.9%) had sufficient hand soap, but far fewer had sufficient hand sanitizer (29.5%, X = 211.1, P < .001). Less than half (45.4%, n = 545) had sufficient disinfection supplies.
Many US healthcare facilities had very low amounts of PPE, hand hygiene products, and disinfection supplies early on during the pandemic. A lack of these supplies can lead to occupational exposures and illness as well as healthcare-associated transmission of COVID-19 and other diseases.
导致 COVID-19 疾病的 SARS-CoV-2 病毒于 2019 年 12 月在中国首次发现。该疾病迅速在全球范围内传播,美国首例病例于 2020 年 1 月确诊;2020 年 3 月 11 日宣布为大流行。此后不久,传闻报告表明,许多美国医院和医疗机构的个人防护设备(PPE)和用品短缺。
2020 年 3 月,向所有感染控制和流行病学专业人员协会成员进行了在线调查,以评估 PPE、手部卫生产品和消毒用品的获取情况。
共有 1201 名感染预防人员参与。参与者报告说,所有类型的 PPE 都有点短缺,几乎要用完了。与所有其他 PPE 类型相比,参与者拥有足够的手套(63.4%)(所有比较均 P<.001)。面屏和 N95 口罩的供应最少(分别有 13.6%和 18.2%的人有足够的供应,所有比较均 P<.001)。许多人(66.9%)有足够的肥皂,但只有少数人有足够的洗手液(29.5%,X=211.1,P<.001)。不到一半(45.4%,n=545)有足够的消毒用品。
在大流行早期,许多美国医疗机构的 PPE、手部卫生产品和消毒用品严重短缺。缺乏这些用品会导致职业暴露和疾病,以及 COVID-19 和其他疾病的医源性传播。