Covid-19: factors associated with the use and adherence of personal protective equipment in Brazil among residents / Covid-19: fatores associados ao uso e adesão de equipamentos de proteção individual entre residentes no Brasil
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v16.13058Keywords:
COVID-19, Personal protective equipment, ; Biosecurity, Health Personnel, Internship and residence, Internship, nonmedicalAbstract
Objective: to analyze the factors associated with the use and adherence to personal protective equipment by graduate professionals linked to residency programs in health. Method: cross-sectional study with 227 residents. E.P.I.covid-19Brasil-adapted version for residents”. Bivariate analysis, Fisher's chi-square/exact test and calculation of the prevalence ratio were performed.Research was approved by the Ethics Committee for Research with Human Beings. Results: They carried out training activities on PPE (59.9%). Association between use of surgical mask (p≤0.01) and age; program concentration area and use of cap (p≤0.01) and surgical mask (p=0.04); performance of training activities and use of surgical mask (p=0.02) and N95 (p≤0.01). Adherence to PPE ranged from 0% to 67%. Conclusion: Factors associated with the proper use of personal protective equipment were age, area of program concentration, and performance of training activities. There were weaknesses in adherence. It is suggested to strengthen the theme of biosafety in the residence.
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Catton H. Global challenges in health and health care for nurses and midwives everywhere. Int Nurs Rev. 2020;67(1):4-6. [cited 2023 July 01]? https://doi.org/10.1111/inr.12578
Lopes M, Lima TS, Oliveira ADS, Amorim FCM, Sousa KHJF, Figueiró RFS, et al. Conhecimento e adesão de estudantes de enfermagem às medidas de precauçãopadrão. Acta Paul Enferm. [cited 2023 July 01] 2023;36:eAPE013. https://doi.org/10.37689/acta-ape/2023AO01371
Vedovato TG, Andrade CB, Santos DL, Bitencourt SM, Almeida LPD, Sampaio JFDS. Health workers and COVID-19: flailing working conditions?. Rev Bras Saude Ocup. 2021;46:e1. [cited 2023 July 01] https://doi.org/10.1590/2317-6369000028520
Ayton D, Soh SE, Berkovic D, Parker C, Yu K, Honeyman D, et al. Experiences of personal protective equipment by Australian healthcare workers during the COVID-19 pandemic, 2020: A cross-sectional study. PLoS ONE. 2022;17(6):e0269484. [cited 2023 May 15] https://doi.org/10.1371/journal.pone.0269484
Zoorob D, Shah S, La Saevig D, Murphy C, Aouthmany S, Brickman K. Insight into resident burnout, mental wellness, and coping mechanisms early in the COVID-19 pandemic. PLoS ONE. 2021;16(4):e0250104. [cited 2023 May 28] https://doi.org/10.1371/journal.pone.0250104
AbdeenS, SelimN, Alah MTTA, Abdeen S, Selim N, Tayer E, Bougmiza I. Occupational Prevention of COVID-19 Among Healthcare Workers in Primary Healthcare Settings: Compliance and Perceived Effectiveness of Personal Protective Equipment. J Patient Saf. 2022;18(8):747-755. [cited 2023 July 01] https://doi.org/10.1097/pts.0000000000001004
Ashinyo ME, Dubik SD, Duti V, Amegah KE, Ashinyo A, Asare BA, et al. Infection prevention and control compliance among exposed healthcare workers in COVID-19 treatment centers in Ghana: A descriptive cross-sectional study. PLoS ONE. 2021;16(3): e0248282. [cited 2023 July 01]https://doi.org/10.1371/journal.pone.0248282
Smith CR, Vasilopoulos T, Frantz AM, Le Master T, Martinez RA, Gunnett AM, et al. Staying proper with your personal protective equipment: How to don and doff. J. Clin. Anesth. 2023;86:111057. [cited 2023 July 01] https://doi.org/10.1016/j.jclinane.2023.111057
Breazzano MP, Shen J, Abdelhakim AH, Glass LR, Horowitz JD, XieSx, et al. New York City COVID-19 resident physician exposure during exponential phase of pandemic. J Clin Invest. 2020;130(9):4726-4733. [cited 2023 July 01] https://doi.org/10.1172/JCI139587
Kishk RM, Nemr N, Aly HM, Soliman NH, Hagras AM, Ahmed AAA, et al. Assessment of potential risk factors for coronavirus disease-19 (COVID-19) among health care workers. J. Infect. Public Health. 2021;14(10):1313-1319. [cited 2023 July 01]https://doi.org/10.1016/j.jiph.2021.07.004
Passos EAD, Marziale MHP. Knowledge and attitudes of nursing professionals at a hospital in the brazilian state of são paulo regarding standard precautions. Cogitare enferm. 2020;25:e66744. [cited 2023 July 01]http://dx.doi.org/10.5380/ce.v25i0.66744
Coelho MMF, Cavalcante VMV, Moraes JT, Menezes LCG, Figueirêdo SV, Branco MFCC, et al. Pressure injury related to the use of personal protective equipment in COVID-19 pandemic. Rev. Bras. Enferm. 2020;73(suppl 2):e20200670. [cited 2023 July 01]https://doi.org/10.1590/0034-7167-2020-0670
Porto JS, Marziale MHP. Construction and validation of an educational video for improving adherence of nursing professionals to standard precautions. Texto Contexto Enferm. 2020;29:e20180413. [cited 2023 July 01] https://doi.org/10.1590/1980-265X-TCE-2018-0413
Mustafa ZU, Majeed HK, Latif S, Salman M, Hayat K, Mallhi T, et al. Adherence to Infection Prevention and Control Measures Among Health-Care Workers Serving in COVID-19 Treatment Centers in Punjab, Pakistan. Disaster Medicine and Public Health Preparedness. 2023;17:E298. [cited 2023 July 01] https://doi.org/10.1017/dmp.2022.252
Nogueira ML, Silva LB, Reis RS, Cruz RP, David HM, Scherlowski L, et al. 1º Boletim da Pesquisa Monitoramento da saúde, acesso à EPIs de técnicos de enfermagem, agentes de combate às endemias, enfermeiros, médicos e psicólogos, no município do Rio de Janeiro em tempos de Covid-19. Rio de Janeiro: EPSJV/FIOCRUZ. [Internet]. 2021 [cited 2023 Jul 1]. Available from: https://www.arca.fiocruz.br/bitstream/icict/46369/2/boletim_pesquisa.pdf
Etafa W, Gadisa G, Jabessa S, Takele T. Healthcare workers’ compliance and its potential determinants to prevent COVID-19 in public hospitals in Western Ethiopia. BMC Infect Dis. 2021;21(454):1-8. [cited 2023 June 25] https://doi.org/10.1186/s12879-021-06149-w
Neştian ȘA, Tiţă SM, Turnea ES, Stanciu O, Poroch V. Exposure risk management: Personal protective equipment and the risk of accidents occurring during aerosol generating procedures applied to COVID-19 patients. PLoSOne. 2023;18(3):e0282673. [cited 2023 June 25] https://doi.org/10.1371/journal.pone.0282673
Soleman SR, Lyu Z, Okada T, Sassa MH, Fujii Y, Mahmoud MAM, et al. Efficacy of personal protective equipment to prevent environmental infection of COVID-19 among healthcare workers: a systematic review. Environ Health Prev Med . 2023;28:1. [cited 2023 June 25] https://10.1265/ehpm.22-00131
Schnitzbauer AA, Kempf VAJ, Hack D, Ciesek S, Meier S, Vehreschild MJGT, et al. SARS-CoV-2/COVID-19: systematic review of requirements for personal protective equipment in primary patient contact and organization of the operating area. Chirurg. 2020;91(7):576-585. [cited 2023 June 25] https://10.1007/s00104-020-01229-0
Pedroso GG, Silva CC, Vidigal ACVF, Silva GAB, Lanza FM, Coelho ACO. Coleta de dados para pesquisa quantitativa online na pandemia da COVID-19: relato de experiência. Rev. Enferm. UFSM. 2022;12. [cited 2023 June 25] https://doi.org/10.5902/2179769267023
Silva GAB, Pereira AB, Assis CCG, Costa KAR, Silva RNA, et al. Development and validation of the questionnair “Adherence and use of Personal Protective Equipment by professionals Primary Health Care in combating the Covid-19 pandemic” – PPE-PHC Covid-19. Cad. Saúde Colet. 2023. In press [cited 2023 June 25]
Atnafie SA, AntenehDA, Yimenu DK, Kifle ZD. Assessment of exposure risks to COVID-19 among frontline health care workers in Amhara Region, Ethiopia: Across sectionalsurvey. PLoSOne. 2021;16(4). [cited 2023 June 25] https://doi.org/10.1371/journal.pone.0251000
Lourenço MP, Pedro DRC, Costa RG, Pissinati PSC, Rossaneis MA, Haddad MCFL. Adesão aos equipamentos de proteção individual entre trabalhadores de saúde. Cienc Cuid Saude. 2019;18(3):e45889. [cited 2023 June 25] https://doi.org/10.4025/cienccuidsaude.v18i3.45889
Sujan CR, Amy LV, David TK. Improving the Use of Personal Protection Equipment: Applying Lessons Learned. Clin Infect Dis . 2019;69(Suppl 3):S165-S170. [cited 2023 June 25] https://doi.org/10.1093/cid/ciz619
Leite CM, Pinto ICM, Fagundes TLQ. Permanent education in health: reproduction or counter-hegemony? Educ. Saúde. 2020;18(s1):1-15. [cited 2023 June 25] https://doi.org/10.1590/1981-7746-sol00250
Gonçalves MR, Reis RCPD, Tólio RP, Pellanda LC, Schmidt MI, Katz N, et al. Social Distancing, Mask Use and the Transmission of SARS-CoV-2: A Population Based Case-Control Study. Lancet [Internet]. 2020 [cited 2023 June 25] 1-26. Available from: https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/ppzbmed-10.2139.ssrn.3731445
Oliveira AC, Lucas TC, Iquiapaza RA.What has the Covid-19 pandemic taught us about adopting preventive measures?. Texto Contexto Enferm. 2020;29:1-15. [cited 2023 June 25] https://doi.org/10.1590/1980-265X-TCE-2020-0106
Awadallah NS, Czaja AS, Fainstad T, McNulty MC, Jaiswal KR, Jones TS, et al. The impacto the COVID-19 pandemic on family medicine residency training. Fam Pract. [cited 2023 Apr 28] 2021;38(Suppl1):i9-i15. https://doi.org/10.1093/fampra/cmab012
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