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Médecine du travail du personnel hospitalier

Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals

Auteur Robyn Mitchell
Auteur Virginia Roth
Auteur Denise Gravel
Auteur George Astrakianakis
Auteur Elizabeth Bryce
Auteur Sarah Forgie
Auteur Lynn Johnston
Auteur Geoffrey Taylor
Auteur Mary Vearncombe
Auteur Canadian Nosocomial Infection Surveillance Program
Volume 41
Numéro 3
Pages 240-244
Publication American journal of infection control
Date Mar 2013
Résumé BACKGROUND: The proper use of personal protective equipment (PPE) by health care workers (HCWs) is vital in preventing the spread of infection and has implications for HCW safety. METHODS: An observational study was performed in 11 hospitals participating in the Canadian Nosocomial Infection Surveillance Program between January 7 and March 30, 2011. Using a standardized data collection tool, observers recorded HCWs selecting and removing PPE and performing hand hygiene on entry into the rooms of febrile respiratory illness patients. RESULTS: The majority of HCWs put on gloves (88%, n = 390), gown (83%, n = 368), and mask (88%, n = 386). Only 37% (n = 163) were observed to have put on eye protection. Working in a pediatric unit was significantly associated with not wearing eye protection (7%), gown (70%), gloves (77%), or mask (79%). Half of the observed HCWs (54%, n = 206) removed their PPE in the correct sequence. Twenty-six percent performed hand hygiene after removing their gloves, 46% after removing their gown, and 57% after removing their mask and/or eye protection. CONCLUSION: Overall adherence with appropriate PPE use in health care settings involving febrile respiratory illness patients was modest, particularly on pediatric units. Interventions to improve PPE use should be targeted toward the use of recommended precautions (eg, eye protection), HCWs working in pediatric units, the correct sequence of PPE removal, and performing hand hygiene.

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