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Personal Protection Equipment

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1. Personal Protective Equipment for Health Care Workers Exposed to Opioids: Clinical Effectiveness and Guidelines

Personal Protective Equipment for Health Care Workers Exposed to Opioids: Clinical Effectiveness and Guidelines Personal Protective Equipment for Health Care Workers Exposed to Opioids: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Personal Protective Equipment for Health Care Workers Exposed to Opioids: Clinical Effectiveness and Guidelines Personal Protective Equipment for Health Care Workers Exposed to Opioids: Clinical Effectiveness and Guidelines Published (...) on: September 8, 2017 Project Number: RA0926-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What is the clinical effectiveness on the use of personal protective equipment for health care workers working with patients who have used opioids? What are the evidence-based guidelines regarding the use of personal protective equipment for health care workers working with patients who have used opioids? Key Message No relevant literature was identified

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

2. Guidance for healthcare workers on the use of personal protective equipment in the management of bubonic and pneumonic plague patients

Guidance for healthcare workers on the use of personal protective equipment in the management of bubonic and pneumonic plague patients Suggested citation: European Centre for Disease Prevention and Control. Guidance for healthcare workers on the use of personal protective equipment in the management of bubonic and pneumonic plague patients - 26 October 2017. Stockholm: ECDC; 2017. © European Centre for Disease Prevention and Control, Stockholm, 2017 Bubonic plague Bubonic plague is typically (...) . collection of sputum samples) [6]. Personal protective equipment for the management of possible, probable and confirmed cases of plague Healthcare workers should be informed and trained on procedures and approaches to prevent and control infection. They should dipose of, disinfect or decontaminate all personal protective equipment (PPE) (disposable or not) used for the management of a plague patient according to the procedures for waste management [7]. They should alsowash their hands frequently

2017 European Centre for Disease Prevention and Control - Technical Guidance

3. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. (PubMed)

Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. In epidemics of highly infectious diseases, such as Ebola Virus Disease (EVD) or SARS, healthcare workers (HCW) are at much greater risk of infection than the general population, due to their contact with patients' contaminated body fluids. Contact precautions by means of personal protective equipment (PPE) can reduce the risk. It is unclear which type of PPE (...) protects best, what is the best way to remove PPE, and how to make sure HCWs use PPE as instructed.To evaluate which type or component of full-body PPE and which method of donning or removing (doffing) PPE have the least risk of self-contamination or infection for HCWs, and which training methods most increase compliance with PPE protocols.We searched MEDLINE (PubMed up to 8 January 2016), Cochrane Central Register of Trials (CENTRAL up to 20 January 2016), EMBASE (embase.com up to 8 January 2016

2016 Cochrane

4. Stockpile Model of Personal Protective Equipment in Taiwan (PubMed)

Stockpile Model of Personal Protective Equipment in Taiwan The Taiwan Centers for Disease Control (Taiwan CDC) has established a 3-tier personal protective equipment (PPE) stockpiling framework that could maintain a minimum stockpile for the surge demand of PPE in the early stage of a pandemic. However, PPE stockpiling efforts must contend with increasing storage fees and expiration problems. In 2011, the Taiwan CDC initiated a stockpile replacement model in order to optimize the PPE

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2017 Health security

5. Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study. (PubMed)

Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study. Pandemics and re-emerging diseases put pressure on the health care system to prepare for patient care and sample logistics requiring enhanced personnel protective equipment (PPE) for health care workers. We generated quantifiable data on ergonomics of PPE applicable in a health care setting by defining error rates and physically limiting factors due to PPE-induced (...) restrictions. Nineteen study volunteers tested randomly allocated head- or full body-ventilated PPE suits equipped with powered-air-purifying-respirators and performed four different tasks (two laboratory tutorials, a timed test of selective attention and a test investigating reaction time, mobility, speed and physical exercise) during 6 working hours at 22°C on one day and 4 working hours at 28°C on another day. Error rates and physical parameters (fluid loss, body temperature, heart rate) were determined

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2019 PloS one

6. Knowledge, attitude and practice related to chemical hazards and personal protective equipment among particleboard workers in Ethiopia: a cross-sectional study. (PubMed)

Knowledge, attitude and practice related to chemical hazards and personal protective equipment among particleboard workers in Ethiopia: a cross-sectional study. Work in the wood industry is often associated with exposure to wood dust and formaldehyde. The aims of this study were to describe the Knowledge, Attitude and Practice (KAP) concerning chemical health hazards among particleboard workers and to compare the KAP among temporary and permanent workers.A cross-sectional study design was used (...) proportion of response on knowledge of 10 of 12 topics regarding chemical hazards and attitudes on 6 of 11 of these topics than temporary workers. Permanent workers had higher knowledge scores (3.7) compared to temporary workers (1.3) (p < 0.001), also after adjusting for education (p = 0.011). Permanent workers were provided with personal protective equipment (PPE) while temporary workers were not. The qualitative data helps to understand the workers and administrative personnel attitude and thinking

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2019 BMC Public Health

7. Personal protective equipment for antibiotic resistant organisms in rehabilitation facilities: clinical evidence and guidelines

Personal protective equipment for antibiotic resistant organisms in rehabilitation facilities: clinical evidence and guidelines Personal protective equipment for antibiotic resistant organisms in rehabilitation facilities: clinical evidence and guidelines Personal protective equipment for antibiotic resistant organisms in rehabilitation facilities: clinical evidence and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member (...) of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. Personal protective equipment for antibiotic resistant organisms in rehabilitation facilities: clinical evidence and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions No relevant literature was found regarding the use of personal protective equipment by adult patients with antibiotic resistant organisms in rehabilitation

2014 Health Technology Assessment (HTA) Database.

8. Is prevention of acute pesticide poisoning effective and efficient, with Locally Adapted Personal Protective Equipment? A randomized crossover study among farmers in Chitwan, Nepal. (PubMed)

Is prevention of acute pesticide poisoning effective and efficient, with Locally Adapted Personal Protective Equipment? A randomized crossover study among farmers in Chitwan, Nepal. Farmers' risk of pesticide poisoning can be reduced with personal protective equipment but in low-income countries farmers' use of such equipment is limited.To examine the effectiveness and efficiency of Locally Adapted Personal Protective Equipment to reduce organophosphate exposure among farmers.In a crossover (...) study, 45 male farmers from Chitwan, Nepal, were randomly allocated to work as usual applying organophosphate pesticides wearing Locally Adapted Personal Protective Equipment or Daily Practice Clothing. For seven days before each experiment, each farmer abstained from using pesticides. Before and after organophosphate application, an interview surveys and blood tests were carried out, and analyzed with paired t-test, frequencies and percentages.The difference between follow-up mean for acute

2018 La Medicina del lavoro

9. Seamless Suits: Reducing Personnel Contamination Through Improved Personal Protective Equipment Design. (PubMed)

Seamless Suits: Reducing Personnel Contamination Through Improved Personal Protective Equipment Design. 27068020 2018 02 13 2018 02 13 1559-6834 37 6 2016 06 Infection control and hospital epidemiology Infect Control Hosp Epidemiol Seamless Suits: Reducing Personnel Contamination Through Improved Personal Protective Equipment Design. 742-4 10.1017/ice.2016.79 Tomas Myreen E ME 1Geriatric Research Education and Clinical Center,Cleveland Veterans Affairs Medical Center,10701 East Boulevard (...) East Boulevard,Cleveland,Ohio. eng Letter Randomized Controlled Trial Research Support, U.S. Gov't, Non-P.H.S. 2016 04 12 United States Infect Control Hosp Epidemiol 8804099 0899-823X IM N Equipment Contamination prevention & control Equipment Design Gloves, Protective microbiology standards Health Personnel Humans Infection Control methods Ohio Protective Clothing microbiology standards 2016 4 13 6 0 2016 4 14 6 0 2018 2 14 6 0 ppublish 27068020 S0899823X16000799 10.1017/ice.2016.79

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2018 Infection control and hospital epidemiology

10. Video-Based Learning vs Traditional Lecture for Instructing Emergency Medicine Residents in Disaster Medicine Principles of Mass Triage, Decontamination, and Personal Protective Equipment. (PubMed)

Video-Based Learning vs Traditional Lecture for Instructing Emergency Medicine Residents in Disaster Medicine Principles of Mass Triage, Decontamination, and Personal Protective Equipment. Introduction Great demands have been placed on disaster medicine educators. There is a need to develop innovative methods to educate Emergency Physicians in the ever-expanding body of disaster medicine knowledge. The authors sought to demonstrate that video-based learning (VBL) could be a promising (...) alternative to traditional learning methods for teaching disaster medicine core competencies. Hypothesis/Problem The objective was to compare VBL to traditional lecture (TL) for instructing Emergency Medicine residents in the American College of Emergency Physicians (ACEP; Irving, Texas USA) disaster medicine core competencies of patient triage and decontamination.A randomized, controlled pilot study compared two methods of instruction for mass triage, decontamination, and personal protective equipment

2018 Prehospital and disaster medicine

11. Effects of Wrist Cooling on Recovery From Exercise-Induced Heat Stress With Firefighting Personal Protective Equipment. (PubMed)

Effects of Wrist Cooling on Recovery From Exercise-Induced Heat Stress With Firefighting Personal Protective Equipment. To determine the effects of wrist cooling on recovery from exercise-induced heat stress (EIHS) from wearing firefighting personal protective equipment (PPE) and self-contained breathing apparatus.Using a single-blind, counterbalanced, crossover-design, in 11 healthy men, we measured heart rate (HR), HR variability (HRV), core temperature (TCore), thermal strain (TS

2018 Journal of Occupational and Environmental Medicine

12. Risk of self-contamination during doffing of personal protective equipment. (PubMed)

Risk of self-contamination during doffing of personal protective equipment. The aim of this study was to describe the risk of self-contamination associated with doffing of personal protective equipment (PPE) and to compare self-contamination with various PPE protocols.We tested 10 different PPE donning and doffing protocols, recommended by various health organizations for Ebola. Ten participants were recruited for this study and randomly assigned to use 3 different PPE protocols. After donning

2018 American journal of infection control

13. Airway Management in Disaster Response: A Manikin Study Comparing Direct and Video Laryngoscopy for Endotracheal Intubation by Prehospital Providers in Level C Personal Protective Equipment. (PubMed)

Airway Management in Disaster Response: A Manikin Study Comparing Direct and Video Laryngoscopy for Endotracheal Intubation by Prehospital Providers in Level C Personal Protective Equipment. Introduction Airway management is one of many challenges that medical providers face in disaster response operations. The use of personal protective equipment (PPE), in particular, was found to be associated with higher failure rates and a prolonged time to achieve airway control. Hypothesis/Problem (...) by prehospital providers in Level C personal protective equipment. Prehosp Disaster Med. 2017;32(4):352-356.

2018 Prehospital and disaster medicine

14. Human factors-based risk analysis to improve the safety of doffing enhanced personal protective equipment. (PubMed)

Human factors-based risk analysis to improve the safety of doffing enhanced personal protective equipment. To systematically assess enhanced personal protective equipment (PPE) doffing safety risks.We employed a 3-part approach to this study: (1) hierarchical task analysis (HTA) of the PPE doffing process; (2) human factors-informed failure modes and effects analysis (FMEA); and (3) focus group sessions with a convenience sample of infection prevention (IP) subject matter experts.A large

2018 Infection control and hospital epidemiology

15. Human Factors Risk Analyses of a Doffing Protocol for Ebola-Level Personal Protective Equipment: Mapping Errors to Contamination. (PubMed)

Human Factors Risk Analyses of a Doffing Protocol for Ebola-Level Personal Protective Equipment: Mapping Errors to Contamination. Doffing protocols for personal protective equipment (PPE) are critical for keeping healthcare workers (HCWs) safe during care of patients with Ebola virus disease. We assessed the relationship between errors and self-contamination during doffing.Eleven HCWs experienced with doffing Ebola-level PPE participated in simulations in which HCWs donned PPE marked (...) protect and put HCWs at risk for self-contamination throughout the doffing process, even among experienced HCWs doffing with a trained observer. Human factors methodologies can identify error-prone steps, delineate the relationship between errors and self-contamination, and suggest remediation strategies.

2018 Clinical Infectious Diseases

16. Assessing Viral Transfer During Doffing of Ebola-Level Personal Protective Equipment in a Biocontainment Unit. (PubMed)

Assessing Viral Transfer During Doffing of Ebola-Level Personal Protective Equipment in a Biocontainment Unit. Personal protective equipment (PPE) protects healthcare workers (HCWs) caring for patients with Ebola virus disease (EVD), and PPE doffing is a critical point for preventing viral self-contamination. We assessed contamination of skin, gloves, and scrubs after doffing Ebola-level PPE contaminated with surrogate viruses: bacteriophages MS2 and Φ6.In a medical biocontainment unit, HCWs (n (...) there was no Φ6 transfer to inner gloves, hands, or face; 1 participant had Φ6 on scrubs at low levels (1.4 × 102). MS2 transfer (range, 101-106) was observed to scrubs (n = 2), hands (n = 1), and inner gloves (n = 7), where it was highest. Most (n = 8) had only 1 positive site. Environmental samples with visible fluorescent marker (n = 21) were negative.Among experienced HCWs, structured, observed doffing using ABHR protected against hand contamination with enveloped virus. Nonenveloped virus was infrequent

2018 Clinical Infectious Diseases

17. Use of UV fluorescence based simulation in evaluation of personal protective equipment worn for first assessment and care of a patient with suspected high consequence infectious disease. (PubMed)

Use of UV fluorescence based simulation in evaluation of personal protective equipment worn for first assessment and care of a patient with suspected high consequence infectious disease. Variations currently exist across the UK in the choice of personal protective equipment (PPE) used by healthcare workers when caring for patients with suspected high-consequence infectious diseases (HCIDs).To test the protection afforded to healthcare workers by current PPE ensembles during assessment (...) of 980, when evaluating the basic level of PPE. Therefore, this PPE ensemble did not afford adequate protection, primarily due to direct contamination of exposed areas of the skin. For the five suspected case ensembles, 1584 post-simulation contamination events were recorded, from a maximum of 5110. Twelve post-doffing contamination events were also observed (face, two events; neck, one event; forearm, one event; lower legs, eight events).All suspected case PPE ensembles either had post-doffing

2018 Journal of Hospital Infection

18. A review of non-glove personal protective equipment-related occupational dermatoses reported to EPIDERM between 1993 and 2013. (PubMed)

A review of non-glove personal protective equipment-related occupational dermatoses reported to EPIDERM between 1993 and 2013. Personal protective equipment (PPE) is defined as equipment that protects the wearer's body against health/safety risks at work. Gloves cause many dermatoses. Non-glove PPE constitutes a wide array of garments. Dermatoses resulting from these have hitherto not been documented.To determine the incidence and types of non-glove PPE-related dermatoses.We analysed incident

2018 Contact Dermatitis

19. 'VIOLET' - a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment. (PubMed)

'VIOLET' - a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment. Healthcare workers caring for patients with high-consequence infectious diseases (HCIDs) require protection from pathogen exposure, for example by wearing personal protective equipment (PPE). Protection is acquired through the inherent safety of the PPE components, but also their safe and correct use, supported by adequate training and user familiarity. However

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2018 Journal of Hospital Infection

20. Flammability of Respirators and other Head and Facial Personal Protective Equipment (PubMed)

Flammability of Respirators and other Head and Facial Personal Protective Equipment Personal protective equipment (PPE) is worn by workers in surgical settings to protect them and patients. Food and Drug Administration (FDA) clears some PPE (e.g., surgical masks (SM)) as class II medical devices, and regulates some (e.g. surgical head cover) as class I exempt devices. For respiratory protection, National Institute for Occupational Safety and Health (NIOSH)-approved N95 filtering facepiece

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2018 Journal of the International Society for Respiratory Protection

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