Emergency Preparedness Research, Evaluation, & Practice (EPREP) Program, Division of Policy Translation & Leadership Development, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America.
IRCCS Burlo Garofolo, Trieste, Italy.
PLoS One. 2020 Oct 12;15(10):e0239024. doi: 10.1371/journal.pone.0239024. eCollection 2020.
During the course of the Novel Coronavirus (SARS-CoV-2) pandemic, Italy has reported one of the highest number of infections. Nearly ten percent of reported coronavirus infections in Italy occurred in healthcare workers. This study aimed to understand physicians' access to personal protective equipment (PPE) and to information about their use, risk perception and strategies adopted to prevent contracting the infection.
We undertook a cross-sectional, online self-reported survey implemented between March 31 and April 5 2020 of Italian physicians.
Responses were received from 516 physicians, only 13% of which reported to have access to PPE every time they need them. Approximately half of the physicians reported that the information received about the use of PPE was either clear (47%) or complete (54%). Risk perception about contracting the infection was influenced by receiving adequate information on the use of PPE. Access to adequate information on the use of PPE was associated with better ability to perform donning and doffing procedures [OR = 2.2 95% C.I. 1.7-2.8] and reduced perception of risk [OR = 0.5, 95% C.I. 0.4-0.6].
Results from this rapid survey indicate that while ramping up supplies on PPE for healthcare workers is certainly of mandatory importance, adequate training and clear instructions are just as important.
在新型冠状病毒（SARS-CoV-2）大流行期间，意大利报告的感染病例数位居世界前列。意大利近十分之一的冠状病毒感染病例发生在医护人员身上。本研究旨在了解医生获取个人防护设备（PPE）的情况，以及他们对 PPE 使用、感染风险认知和采取的预防感染策略的信息。
我们于 2020 年 3 月 31 日至 4 月 5 日期间，对意大利医生进行了一项横断面、在线自我报告调查。
共收到 516 名医生的回复，其中只有 13%的医生表示每次需要 PPE 时都能获得 PPE。大约一半的医生报告说，他们收到的关于 PPE 使用的信息要么清晰（47%），要么完整（54%）。对感染风险的认知受到获得足够 PPE 使用信息的影响。获得足够的 PPE 使用信息与更好的穿戴和脱卸程序能力有关[OR=2.2 95%CI 1.7-2.8]，并降低风险认知[OR=0.5，95%CI 0.4-0.6]。
这项快速调查的结果表明，虽然为医护人员增加 PPE 供应是绝对重要的，但适当的培训和明确的说明同样重要。
