Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study
AbstractObjectiveTo examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).DesignCross sectional study.SettingFour hospitals in Wuhan, China.Participants420 healthcare...
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| Published in | BMJ (Online) Vol. 369; p. m2195 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BMJ Publishing Group LTD
10.06.2020
BMJ Publishing Group Ltd |
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| Online Access | Get full text |
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| Abstract | AbstractObjectiveTo examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).DesignCross sectional study.SettingFour hospitals in Wuhan, China.Participants420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing.Main outcome measuresCovid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.ResultsThe average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).ConclusionBefore a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use. |
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| AbstractList | To examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).OBJECTIVETo examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).Cross sectional study.DESIGNCross sectional study.Four hospitals in Wuhan, China.SETTINGFour hospitals in Wuhan, China.420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing.PARTICIPANTS420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing.Covid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.MAIN OUTCOME MEASURESCovid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.The average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).RESULTSThe average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).Before a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use.CONCLUSIONBefore a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use. To examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19). Cross sectional study. Four hospitals in Wuhan, China. 420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing. Covid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples. The average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%). Before a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use. AbstractObjectiveTo examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).DesignCross sectional study.SettingFour hospitals in Wuhan, China.Participants420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing.Main outcome measuresCovid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.ResultsThe average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).ConclusionBefore a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use. ObjectiveTo examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).DesignCross sectional study.SettingFour hospitals in Wuhan, China.Participants420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing.Main outcome measuresCovid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.ResultsThe average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).ConclusionBefore a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use. |
| Author | Peng, Sui Hou, Fan-Fan Cheng, KK Cheng, Shou-Zhen Zhang, Hui Xiao, Han Xiao, Hai-Peng Cong, Yu-Tian Kuang, Ming Liu, Min Yang, Da-Ya Yang, Yang Yao, He-Rui Cheng, Shu-Yuan Zhu, Qing-Tang Wang, Ji-Wen Xu, Ke-Wei Zhou, Yu-Qi |
| Author_xml | – sequence: 1 givenname: Min surname: Liu fullname: Liu, Min email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 2 givenname: Shou-Zhen surname: Cheng fullname: Cheng, Shou-Zhen email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 3 givenname: Ke-Wei surname: Xu fullname: Xu, Ke-Wei email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 4 givenname: Yang surname: Yang fullname: Yang, Yang email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 5 givenname: Qing-Tang surname: Zhu fullname: Zhu, Qing-Tang email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 6 givenname: Hui surname: Zhang fullname: Zhang, Hui email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 7 givenname: Da-Ya surname: Yang fullname: Yang, Da-Ya email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 8 givenname: Shu-Yuan surname: Cheng fullname: Cheng, Shu-Yuan email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 9 givenname: Han surname: Xiao fullname: Xiao, Han email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 10 givenname: Ji-Wen surname: Wang fullname: Wang, Ji-Wen email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 11 givenname: He-Rui surname: Yao fullname: Yao, He-Rui email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 12 givenname: Yu-Tian surname: Cong fullname: Cong, Yu-Tian email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 13 givenname: Yu-Qi surname: Zhou fullname: Zhou, Yu-Qi email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 14 givenname: Sui surname: Peng fullname: Peng, Sui email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 15 givenname: Ming surname: Kuang fullname: Kuang, Ming email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 16 givenname: Fan-Fan surname: Hou fullname: Hou, Fan-Fan email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 17 givenname: KK surname: Cheng fullname: Cheng, KK email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK – sequence: 18 givenname: Hai-Peng orcidid: 0000-0002-4188-336X surname: Xiao fullname: Xiao, Hai-Peng email: xiaohp@mail.sysu.edu.cn organization: Institute of Applied Health Research, University of Birmingham, Birmingham, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32522737$$D View this record in MEDLINE/PubMed |
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| Snippet | AbstractObjectiveTo examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for... To examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with... ObjectiveTo examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients... |
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| SubjectTerms | Adult Betacoronavirus China Clinical medicine Coronaviridae Coronavirus Infections - diagnosis Coronavirus Infections - prevention & control Coronaviruses Cough COVID-19 Cross-Sectional Studies Disease control Dyspnea Epidemics Female Fever Health Personnel Hospitals Humans Immunoglobulin G Immunoglobulin M Infection Control - instrumentation Infections Infectious Disease Transmission, Patient-to-Professional - prevention & control Intensive care Intensive Care Units Intubation Male Masks Medical supplies Middle Aged Nucleic acids Nurses Nursing care Occupational Exposure - prevention & control Ostomy Pandemics Pandemics - prevention & control Patients Personal protective equipment Personal Protective Equipment - supply & distribution Physicians Pneumonia, Viral - diagnosis Pneumonia, Viral - prevention & control Quarantine Questionnaires Respiration SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Testing laboratories Training |
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| Title | Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study |
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