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Journal article
Personal Protective Equipment Adherence of Pediatric Resuscitation Team Members During the COVID-19 Pandemic
Annals of emergency medicine, v 78(5), pp 619-627
Nov 2021
PMID: 34353649
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
During the COVID-19 pandemic, health care workers have had the highest risk of infection among essential workers. Although personal protective equipment (PPE) use is associated with lower infection rates, appropriate use of PPE has been variable among health care workers, even in settings with COVID-19 patients. We aimed to evaluate the patterns of PPE adherence during emergency department resuscitations that included aerosol-generating procedures.
We conducted a retrospective, video-based review of pediatric resuscitations involving one or more aerosol-generating procedures during the first 3 months of the COVID-19 pandemic in the United States (March to June 2020). Recommended adherence (complete, inadequate, absent) with 5 PPE items (headwear, eyewear, masks, gowns, gloves) and the duration of potential exposure were evaluated for individuals in the room after aerosol-generating procedure initiation.
Among the 345 health care workers observed during 19 resuscitations, 306 (88.7%) were nonadherent (inadequate or absent adherence) with the recommended use of at least 1 PPE type at some time during the resuscitation, 23 (6.7%) of whom had no PPE. One hundred and forty health care workers (40.6%) altered or removed at least 1 type of PPE during the event. The aggregate time in the resuscitation room for health care workers across all events was 118.7 hours. During this time, providers had either absent or inadequate eyewear for 46.4 hours (39.1%) and absent or inadequate masks for 35.2 hours (29.7%).
Full adherence with recommended PPE use was limited in a setting at increased risk for SARS-CoV-2 virus aerosolization. In addition to ensuring appropriate donning, approaches are needed for ensuring ongoing adherence with PPE recommendations during exposure.
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Details
- Title
- Personal Protective Equipment Adherence of Pediatric Resuscitation Team Members During the COVID-19 Pandemic
- Creators
- Emily C Alberto - Children’s National Health SystemKathleen H McCarthy - Children’s National Health SystemColleen A Hamilton - Children’s National Health SystemJacob Shalkevich - Children’s National Health SystemZachary P Milestone - Children’s National Health SystemRima Izem - George Washington UniversityJennifer L Fritzeen - Children’s National Health SystemIvan Marsic - Rutgers, The State University of New JerseyAleksandra Sarcevic - Drexel UniversityKaren J O'Connell - Children’s National Health SystemRandall S Burd - Children’s National Health System
- Publication Details
- Annals of emergency medicine, v 78(5), pp 619-627
- Publisher
- Elsevier
- Grant note
- UL1 TR001876 / NCATS NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science (Informatics)
- Web of Science ID
- WOS:000709358200016
- Scopus ID
- 2-s2.0-85111891473
- Other Identifier
- 991019168337204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Emergency Medicine