Division of Women's Health, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts (Dr Rich-Edwards); Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts (Dr Rich-Edwards and Dr Chavarro); Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, Massachusetts (Dr Ding and Dr Chavarro); National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio (Dr Rocheleau, Dr Boiano, and Dr Lawson); Channing Division of Network Medicine, Harvard Medical School and Brigham and Women's Hospital, Boston, Massachusetts (Dr Kang and Dr Hart); Tufts University, Somerville, Massachusetts (Ms Becene); Clinical and Translational Epidemiology Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts (Dr Nguyen and Dr Chan); Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts (Dr Hart).
J Occup Environ Med. 2021 Nov 1;63(11):913-920. doi: 10.1097/JOM.0000000000002308.
To quantify adequacy of personal protective equipment (PPE) for U.S. healthcare personnel (HCP) at the outset of the COVID-19 pandemic and its association with infection risk.
March-May 2020 survey of the national Nurses' Health Studies and the Growing Up Today study regarding self-reported PPE access, use, and reuse. COVID-19 endpoints included SARS-CoV-2 tests and COVID-19 status predicted from symptoms.
Nearly 22% of 22,232 frontline HCP interacting with COVID-19 patients reported sometimes or always lacking PPE. Fifty percent of HCP reported not needing respirators, including 13% of those working in COVID-19 units. Lack of PPE was cross-sectionally associated with two-fold or greater odds of COVID-19 among those who interacted with infected patients.
These data show the need to improve the U.S. infection prevention culture of safety when confronting a novel pathogen.
在 COVID-19 大流行之初，量化美国医护人员 (HCP) 的个人防护设备 (PPE) 是否充足，及其与感染风险的关系。
2020 年 3 月至 5 月，对全国护士健康研究和今日成长研究进行了调查，调查内容涉及自我报告的 PPE 获得、使用和重复使用情况。COVID-19 的终点包括 SARS-CoV-2 检测和根据症状预测的 COVID-19 状况。
在与 COVID-19 患者接触的 22232 名一线医护人员中，近 22%的人报告有时或总是缺乏 PPE。50%的医护人员报告不需要呼吸器，其中包括在 COVID-19 病房工作的医护人员的 13%。缺乏 PPE 与与感染患者接触的医护人员 COVID-19 的两倍或更高的几率呈横断面相关。
这些数据表明，在美国应对新型病原体时，需要改进感染预防安全文化。
