Aggarwal Ayushi, Darwish Oliver A, Karvar Mehran, Ma Chenhao, Wu Mengfan, Haug Valentin, Orgill Dennis P, Panayi Adriana C
University of Maryland School of Medicine, Baltimore, Maryland, USA.
Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Disaster Med Public Health Prep. 2021 Jun 8:1-4. doi: 10.1017/dmp.2021.176.
The aim of this study was to determine the extent that appropriate personal protective equipment (PPE), per Centers for Disease Control and Prevention (CDC) guidance, was used during the coronavirus diseases 2019 (COVID-19) pandemic by health-care personnel (HCP) in Louisiana in 5 clinical settings.
An online questionnaire was distributed to the LA Nursery registry. Appropriate use of PPE in each of the 5 clinical scenarios was defined by the authors based on CDC guidelines. The scenarios ranged from communal hospital space to carrying out aerosol generating procedures (AGPs). A total of 1760 HCP participated between June and July 2020.
The average adherence in LA was lowest for the scenario of carrying out AGPs at 39.5% compliance and highest for the scenario of patient contact when COVID-19 not suspected at 82.8% compliance. Adherence among parishes varied widely. Commentary to suggest a shortage of PPE supply and the practice of re-using PPE was strong.
Use of appropriate PPE varied by setting. It was higher in scenarios where only face masks (or respirators) were the standard (ie, community hospital or when COVID-19 not suspected) and lower in scenarios where additional PPE (eg, gloves, eye protection, and isolation gown) was required.
本研究旨在确定2019年冠状病毒病（COVID-19）大流行期间，路易斯安那州的医护人员（HCP）在5种临床环境中，按照疾病控制与预防中心（CDC）的指导使用适当个人防护装备（PPE）的程度。
向路易斯安那州护士登记处发放了一份在线调查问卷。作者根据CDC指南确定了5种临床场景中PPE的适当使用情况。这些场景从医院公共区域到进行气溶胶生成程序（AGP）不等。2020年6月至7月期间，共有1760名医护人员参与。
在路易斯安那州，进行AGP场景的平均依从率最低，为39.5%，而在未怀疑COVID-19时进行患者接触场景的依从率最高，为82.8%。各教区之间的依从率差异很大。关于PPE供应短缺和重复使用PPE做法的评论很多。
适当PPE的使用因场景而异。在仅以口罩（或呼吸器）为标准的场景（如社区医院或未怀疑COVID-19时）中使用率较高，而在需要额外PPE（如手套、眼部防护和隔离衣）的场景中使用率较低。
