Dhahri Adeel Abbas, Iqbal Muhammad Rafaih, Ali Khan Abul Fazal
The Princess Alexandra Hospital NHS Trust, Hamstel Road, Harlow, CM20 1QX, United Kingdom.
Khuda Bux Dhahri Clinic, Tando Agha Hyderabad, 71000, Sindh, Pakistan.
Ann Med Surg (Lond). 2020 Nov;59:127-130. doi: 10.1016/j.amsu.2020.09.027. Epub 2020 Sep 23.
COVID-19 pandemic has caused a healthcare crisis across the world. Low-economic countries like Pakistan lag behind in an adequate response including supply of Personal Protective Equipment (PPE), leading to panic among healthcare workers. We aim to evaluate hospital settings and state in Pakistan regarding availability of resources and views of healthcare workers on COVID-19.
A questionnaire survey was carried out among healthcare workers in public and private sector hospitals across Pakistan for a period of one month. The primary measured outcomes were presence of local Standard Operating Procedures (SOPs), availability and training of PPE, specific isolation wards and staff wellbeing support by the hospital management.
There were 337 participants, 307 (91.1%) doctors and 11 nurses (3.3%). About two-third of the participants (n = 199, 59%) reported non-availability of PPE and 40% (n = 136) denied availability of local Standard Operating Procedures. About a quarter of the participants (n = 94, 27.8%) had training in Donning and Doffing. Most of the participants (n = 277, 82.1%) felt that it was necessary to have testing available for frontline workers.
There is lack of PPE and adequate facilities in hospitals as COVID-19 continue to spread in Pakistan. Local medical governing bodies and societies should come forward with guidelines to ascertain wellbeing of the healthcare workers.
新冠疫情在全球引发了一场医疗危机。像巴基斯坦这样经济欠发达国家在包括个人防护装备（PPE）供应在内的充分应对方面滞后，这导致医护人员陷入恐慌。我们旨在评估巴基斯坦医院的环境和状况，包括资源可用性以及医护人员对新冠疫情的看法。
在巴基斯坦公立和私立医院的医护人员中开展了为期一个月的问卷调查。主要测量结果包括当地标准操作程序（SOP）的存在情况、PPE的可用性和培训情况、特定隔离病房以及医院管理层对员工福祉的支持。
共有337名参与者，其中307名（91.1%）为医生，11名（3.3%）为护士。约三分之二的参与者（n = 199，59%）报告称没有PPE，40%（n = 136）否认有当地标准操作程序。约四分之一的参与者（n = 94，27.8%）接受过穿脱培训。大多数参与者（n = 277，82.1%）认为有必要为一线工作人员提供检测。
随着新冠疫情在巴基斯坦持续蔓延，医院缺乏PPE和足够的设施。当地医学管理机构和协会应出台指导方针，以确保医护人员的福祉。
