NHS 医院在 COVID-19 期间个人防护设备的供应情况:全国性调查。

Availability of Personal Protective Equipment in NHS Hospitals During COVID-19: A National Survey.

机构信息

Ear, Nose and Throat Surgery Department, Lewisham and Greenwich NHS Trust, London UK.

Department of General Surgery, Manchester University NHS Foundation Hospital, Manchester, UK.

出版信息

Ann Work Expo Health. 2021 Jan 14;65(1):136-140. doi: 10.1093/annweh/wxaa087.

Abstract

OBJECTIVES

The continuous supply of personal protective equipment (PPE) in the National Health Service (NHS) is paramount to reduce transmission of COVID-19 to patients, public, and staff.

METHODS

A 16-question survey was created to assess the availability and personal thoughts of healthcare professionals regarding PPE supply in England. The survey was distributed via social media (Facebook© and Twitter©) to UK COVID-19 healthcare professional groups, with responses collected over 3 weeks in March 2020 during the beginning of the pandemic.

RESULTS

A total of 121 responses from physicians in 35 different hospitals were collected (105 inpatient wards, 16 from intensive care units). In inpatient wards, eye and face protection were unavailable to 19% (20/105). Fluid-resistant surgical masks were available to 97% (102/105) whereas filtering facepiece class 3 (FFP3) respirator for 53% (56/105) of respondents. Gloves were accessible for all respondents (100%). Body protection was available primarily as a plastic apron 84% (88/105). All of respondents working in intensive care had access to full-body PPE, except FFP3 respirators (available in 88%, 14/16). PPE is 'Always' available for 30% (36/121) of all respondents. There was a statistically significant difference between London and non-London respondents that 'Always' had PPE available (44 versus 19%, P = 0.003).

CONCLUSIONS

Our survey demonstrated an overall lack of PPE volume supply in the UK hospitals during March 2020, demonstrating a lack of preparedness for a pandemic. PPE was more readily available in London which was the epicentre of the outbreak. Eye and full body protection are in most lack of supply.

摘要

目的

在国民保健制度(NHS)中持续供应个人防护设备(PPE)对于减少 COVID-19 向患者、公众和员工传播至关重要。

方法

创建了一个 16 个问题的调查,以评估英国医疗保健专业人员对 PPE 供应的可用性和个人看法。该调查通过社交媒体(Facebook©和 Twitter©)分发给英国 COVID-19 医疗保健专业人员团体,在 2020 年 3 月大流行开始时的 3 周内收集了回应。

结果

从 35 家不同医院的医生那里共收集了 121 份回应(105 份住院病房,16 份来自重症监护病房)。在住院病房中,19%(20/105)无法获得眼部和面部保护。97%(102/105)的受访者可获得防液体手术口罩,而 53%(56/105)的受访者可获得过滤式面罩 3 级(FFP3)呼吸保护器。所有受访者均可获得手套(100%)。身体保护主要以塑料围裙的形式提供,占 84%(88/105)。除 FFP3 呼吸保护器外(可在 88%的受访者中使用,即 14/16),所有在重症监护病房工作的受访者都可以使用全身 PPE。所有受访者中有 30%(36/121)“总是”有 PPE。伦敦和非伦敦受访者“总是”有 PPE 的比例存在统计学差异(44%比 19%,P=0.003)。

结论

我们的调查显示,2020 年 3 月英国医院的 PPE 总体供应不足,表明对大流行的准备不足。在伦敦,PPE 更容易获得,而伦敦是疫情的中心。眼部和全身保护的供应最为不足。

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