Attitude and practices of personal protective equipment, telemedicine, and social distance among health care workers during COVID-19 pandemic: An international study

Background: Coronavirus disease 2019 (COVID-19) pandemic is a huge burden on health systems worldwide. Healthcare workers (HCWs) are at the frontline in this battle and personal protective equipment (PPE) is a crucial element for their safety. Objectives: to assess the attitude and practices of PPE...

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Main Authors: Dina Ali, Khaled Raafat, Rehab El-Sokkary
Format: Article
Language:English
Published: Zagazig University, Faculty of Medicine 2023-02-01
Series:Microbes and Infectious Diseases
Subjects:
Online Access:https://mid.journals.ekb.eg/article_278169_9aad197a6391a979bfa790abf7f5766c.pdf
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author Dina Ali
Khaled Raafat
Rehab El-Sokkary
author_facet Dina Ali
Khaled Raafat
Rehab El-Sokkary
author_sort Dina Ali
collection DOAJ
description Background: Coronavirus disease 2019 (COVID-19) pandemic is a huge burden on health systems worldwide. Healthcare workers (HCWs) are at the frontline in this battle and personal protective equipment (PPE) is a crucial element for their safety. Objectives: to assess the attitude and practices of PPE among HCWs alongside its availability and toxicities as well as to assess the use of telemedicine, physical barriers, and practice of social distance among HCWs. Methods: A cross sectional online survey was conducted between July and November 2020.  Healthcare workers from different countries were invited to participate via emails and social platforms. Results: Out of 384 requested to participate, 119 participants completed the survey. The mean age for the participants was 41.5± 10.4. Females accounted for (n=83, 69.8%). Although 67.2% said they received training for the correct use of PPE, a 69.7% and 79.8% failed to answer the correct order of donning and doffing PPE, respectively; (n=92, 77.3%) mentioned that N95/FFP2 respirators were the kind of masks routinely used for care of confirmed COVID-19 cases and (n=90, 75.6%) claimed that fit testing was done for N95/FFP2 respirators before use. Thirty-nine participants (n=39, 32.8%) said that they extended the use of PPE > 12 hours. Hazmat suit, overshoes, respirators, hair caps, and goggles were the most deficient PPE. The most frequently reported adverse events when working with PPEs were heat intolerance (47.1%), headache (43.7%), pressure areas (32.8%), and extreme exhaustion (31.1%). Regarding other protective measures, (n= 79, 66.4%) said they are maintaining adequate social distance; (n= 64, 53.8%) and (n=66, 55.5%) declared the use of physical barrier and telemedicine, respectively. As regard the attitude, a (n=79, 66.4%) said it is convenient to comply with the recommended PPE when examining COVID-19 cases. Conclusion: Donning and doffing were the most common PPE malpractices. There was a positive attitude towards PPE among the HCWs. There was limited access to telemedicine, physical barriers, and application of social distance inside the healthcare facilities.
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spelling doaj.art-3caa6149c6a24e9598859a42a9d48a2d2023-02-01T17:44:12ZengZagazig University, Faculty of MedicineMicrobes and Infectious Diseases2682-41322682-41402023-02-0141445510.21608/mid.2023.181062.1425278169Attitude and practices of personal protective equipment, telemedicine, and social distance among health care workers during COVID-19 pandemic: An international studyDina Ali0Khaled Raafat1Rehab El-Sokkary2Tropical Medicine Department, Faculty of Human Medicine, Zagazig University, EgyptInternal Medicine Department, Faculty of Human Medicine, Ain Shams University, EgyptMedical Microbiology and Immunology Department, Faculty of Human Medicine, Zagazig University, EgyptBackground: Coronavirus disease 2019 (COVID-19) pandemic is a huge burden on health systems worldwide. Healthcare workers (HCWs) are at the frontline in this battle and personal protective equipment (PPE) is a crucial element for their safety. Objectives: to assess the attitude and practices of PPE among HCWs alongside its availability and toxicities as well as to assess the use of telemedicine, physical barriers, and practice of social distance among HCWs. Methods: A cross sectional online survey was conducted between July and November 2020.  Healthcare workers from different countries were invited to participate via emails and social platforms. Results: Out of 384 requested to participate, 119 participants completed the survey. The mean age for the participants was 41.5± 10.4. Females accounted for (n=83, 69.8%). Although 67.2% said they received training for the correct use of PPE, a 69.7% and 79.8% failed to answer the correct order of donning and doffing PPE, respectively; (n=92, 77.3%) mentioned that N95/FFP2 respirators were the kind of masks routinely used for care of confirmed COVID-19 cases and (n=90, 75.6%) claimed that fit testing was done for N95/FFP2 respirators before use. Thirty-nine participants (n=39, 32.8%) said that they extended the use of PPE > 12 hours. Hazmat suit, overshoes, respirators, hair caps, and goggles were the most deficient PPE. The most frequently reported adverse events when working with PPEs were heat intolerance (47.1%), headache (43.7%), pressure areas (32.8%), and extreme exhaustion (31.1%). Regarding other protective measures, (n= 79, 66.4%) said they are maintaining adequate social distance; (n= 64, 53.8%) and (n=66, 55.5%) declared the use of physical barrier and telemedicine, respectively. As regard the attitude, a (n=79, 66.4%) said it is convenient to comply with the recommended PPE when examining COVID-19 cases. Conclusion: Donning and doffing were the most common PPE malpractices. There was a positive attitude towards PPE among the HCWs. There was limited access to telemedicine, physical barriers, and application of social distance inside the healthcare facilities.https://mid.journals.ekb.eg/article_278169_9aad197a6391a979bfa790abf7f5766c.pdfcovid-19sars-cov-2ppetelemedicinehealthcare workers
spellingShingle Dina Ali
Khaled Raafat
Rehab El-Sokkary
Attitude and practices of personal protective equipment, telemedicine, and social distance among health care workers during COVID-19 pandemic: An international study
Microbes and Infectious Diseases
covid-19
sars-cov-2
ppe
telemedicine
healthcare workers
title Attitude and practices of personal protective equipment, telemedicine, and social distance among health care workers during COVID-19 pandemic: An international study
title_full Attitude and practices of personal protective equipment, telemedicine, and social distance among health care workers during COVID-19 pandemic: An international study
title_fullStr Attitude and practices of personal protective equipment, telemedicine, and social distance among health care workers during COVID-19 pandemic: An international study
title_full_unstemmed Attitude and practices of personal protective equipment, telemedicine, and social distance among health care workers during COVID-19 pandemic: An international study
title_short Attitude and practices of personal protective equipment, telemedicine, and social distance among health care workers during COVID-19 pandemic: An international study
title_sort attitude and practices of personal protective equipment telemedicine and social distance among health care workers during covid 19 pandemic an international study
topic covid-19
sars-cov-2
ppe
telemedicine
healthcare workers
url https://mid.journals.ekb.eg/article_278169_9aad197a6391a979bfa790abf7f5766c.pdf
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AT rehabelsokkary attitudeandpracticesofpersonalprotectiveequipmenttelemedicineandsocialdistanceamonghealthcareworkersduringcovid19pandemicaninternationalstudy