Personal Protective Equipment for Preventing Highly Infectious Diseases Due to Exposure to Contaminated Body Fluids in Healthcare Staff

Details

• Personal Author:
  Blackwood B ; Ijaz S ; Kilinc Balci FS ; Rajamaki B ; Ruotsalainen JH ; Sauni R ; Tikka C ; Toomey E ; Verbeek JH
• Description:
  Background: In epidemics of highly infectious diseases, such as Ebola, severe acute respiratory syndrome (SARS), or coronavirus (COVID-19), healthcare workers (HCW) are at much greater risk of infection than the general population, due to their contact with patients' contaminated body fluids. Personal protective equipment (PPE) can reduce the risk by covering exposed body parts. It is unclear which type of PPE protects best, what is the best way to put PPE on (i.e. donning) or to remove PPE (i.e. doffing), and how to train HCWs to use PPE as instructed. Objectives: To evaluate which type of full-body PPE and which method of donning or doffing PPE have the least risk of contamination or infection for HCW, and which training methods increase compliance with PPE protocols. Search methods: We searched CENTRAL, MEDLINE, Embase and CINAHL to 20 March 2020. Selection criteria: We included all controlled studies that evaluated the effect of full-body PPE used by HCW exposed to highly infectious diseases, on the risk of infection, contamination, or noncompliance with protocols. We also included studies that compared the effect of various ways of donning or doffing PPE, and the effects of training on the same outcomes. Data collection and analysis: Two review authors independently selected studies, extracted data and assessed the risk of bias in included trials. We conducted random effects meta-analyses were appropriate. [Description provided by NIOSH]
• Subjects:
  Body Fluids Communicable Diseases Health Personnel Occupational Exposure Occupational Health Personal Protective Equipment Preventive Medicine Protective Clothing Risk Assessment Safety Staff Development

  More +
• Keywords:
  Body Fluids Compliance Disease Control Disease Prevention Disease Transmission Employee Exposure Health Care Personnel Health Care Workers Infection Control Infection Prevention Infectious Diseases Intervention Intervention Effectiveness Medical Personnel Occupational Exposure Patient Handling Personal Protective Equipment PPE Preventive Measures Protective Clothing Risk Analysis Risk Management Safety Education Safety Practices Safety Research Systematic Reviews Training

  More +
• ISSN:
  1469-493X
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  NPPTL - National Personal Protective Technology Laboratory
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Issue:
  4
• NIOSHTIC Number:
  nn:20059602
• Citation:
  Cochrane Database Syst Rev 2020 May; (4):CD011621
• Contact Point Address:
  Jos H Verbeek, Cochrane Work Review Group, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
• Email:
  jverbeek@cochrane.org
• Federal Fiscal Year:
  2020
• NORA Priority Area:
  Healthcare and Social Assistance ; Public Safety
• Peer Reviewed:
  True
• Source Full Name:
  Cochrane Database of Systematic Reviews
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d1a09f284e0c60e2189a5062bb583977bac9f42a4478b76ea72ad133ddc2a385c212853c4ef5dfacdbe9b1dd3052ebb811847b32319dbb931eef629af8158b32
• Download URL:
  https://stacks.cdc.gov/view/cdc/223767/cdc_223767_DS1.pdf
• File Type:
  [PDF - 1.51 MB ]