Therapeutic approach to skin reactions caused by personal protective equipment (PPE) during COVID-19 pandemic: An experience from a tertiary hospital in Granada, Spain.
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ABSTRACT:
SUBMITTER: Navarro-Trivino FJ
PROVIDER: S-EPMC7323070 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:We modeled the stability of SARS-CoV-2 on personal protective equipment (PPE) commonly worn in hospitals when carrying out high-risk airway procedures. Evaluated PPE included the visors and hoods of two brands of commercially available powered air purifying respirators, a disposable face shield, and Tyvek coveralls. Following an exposure to 4.3 log10 plaque-forming units (PFUs) of SARS-CoV-2, all materials displayed a reduction in titer of > 4.2 log10 by 72 hours postexposure, with detectable titers at 72 hours varying by material (1.1-2.3 log10 PFU/mL). Our results highlight the need for proper doffing and disinfection of PPE, or disposal, to reduce the risk of SARS-CoV-2 contact or fomite transmission.
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Project description:ObjectivesTo assess prevalence of Personal Protective Equipment (PPE)-related symptoms and adverse reactions during Coronavirus Disease 2019 pandemics.MethodsWe conducted an observational study among people exposed to various degree of infectious risk. Data were collected with a self-administered online questionnaire.ResultsThe entire cohort complained about a wide range of adverse reactions: respiratory symptoms affected 80.3% of respondents, 68.5% referred pressure-related skin lesions, fewer manifested a dermatosis of different grade or ocular symptoms. Most of the affected individuals belonged to healthcare staff and manifestations were predicted by wearing time (more than 6 h/d). Moreover, symptoms were higher in the healthcare staff wearing N95/FFP2 respirator mask.ConclusionsGiven the crucial role of PPE to contain the pandemic infection, more attention has to be paid to exposed categories, establishing preventive measure of side effects to ensure total safety.
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Project description:PurposeIn the absence of vaccine, proper use of personal protective equipment (PPE) is the most important strategy to protect healthcare workers against COVID-19 infection. The recommendations on pharmacological prophylaxis against COVID-19 infection are controversial. The aim of current study was to assess PPE practices during surgery on COVID-19 negative gynecological cancer patients and use of pharmacologic prophylaxis by clinicians practicing gynecologic oncology.MethodsWe disbursed a survey questionnaire through various social media platforms among clinicians practicing gynecologic oncology. The survey consisted of 37 questions divided into five subgroups evaluating demographic details, use of pharmacological prophylaxis against COVID-19, preoperative COVID-19 screening protocol, details on PPE usage and associated discomfort, if any.ResultsTwo hundred twenty oncologists from 13 countries responded to the survey. Pharmacological prophylaxis was being used by 85 (38.6%) respondents; most common agent was hydroxychloroquin (HCQ) by 24.5% respondents. Routine preoperative screening for COVID-19 was performed by 214 (97.3%) respondents. Some degree of discomfort during surgery due to PPE use was reported by 170 (77.3%) respondents, which was moderate to severe in 73 (33.2%) respondents. Most common difficulties associated with face mask/shield were problems in communication (69.5%) and breathing (58.1%). Eye protection was associated with poor visibility, fogging and headache. Unusual fatigue attributed to PPE use was experienced by 143(65%) respondents.ConclusionUse of pharmacological prophylaxis against COVID-19 is controversial and the same is reflected in our survey. Most respondents adhered to PPE use despite experiencing some physical discomfort.Supplementary informationThe online version contains supplementary material available at 10.1007/s40944-021-00500-4.
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Project description:The use and disposal of face masks, gloves, face shields, and other types of personal protective equipment (PPE) have increased dramatically due to the ongoing COVID-19 pandemic. Many governments enforce the use of PPE as an efficient and inexpensive way to reduce the transmission of the virus. However, this may pose a new challenge to solid waste management and exacerbate plastic pollution. The aim of the present study was to report the occurrence and distribution of COVID-19-associated PPE along the coast of the overpopulated city of Lima, Peru, and determine the influence of the activities carried out in each study site. In general terms, 138 PPE items were found in 11 beaches during 12 sampling weeks. The density was in the range of 0 to 7.44 × 10-4 PPE m-2. Microplastic release, colonization of invasive species, and entanglement or ingestion by apex predators are some of the potential threats identified. Recreational beaches were the most polluted sites, followed by surfing, and fishing sites. This may be because recreational beaches are many times overcrowded by beachgoers. Additionally, most of the PPE was found to be discarded by beachgoers rather than washed ashore. The lack of environmental awareness, education, and coastal mismanagement may pose a threat to the marine environment through marine litter and plastic pollution. Significant efforts are required to shift towards a sustainable solid waste management. Novel alternatives involve redesigning masks based on degradable plastics and recycling PPE by obtaining liquid fuels through pyrolysis.
| S-EPMC7875711 | biostudies-literature
Project description: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 and ergonomic-related parameters were assessed hourly using assessment sheets. Depending on the PPE system the most restrictive factors, which however had no negative impact on performance (speed and error rate), were: reduced dexterity due to multiple glove layers, impaired visibility by flexible face shields and back pain related to the respirator of the fully ventilated suit. Heat stress and liquid loss were perceived as restrictive at a working temperature of 28°C but not 22°C.
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Project description:Personal protective equipment (PPE) pollution has become one of the most pending environmental challenges resulting from the pandemic. While various studies investigated PPE pollution in the marine environment, freshwater bodies have been largely overlooked. In the present study, PPE monitoring was carried out in the vicinity of Lake Tana, the largest lake in Ethiopia. PPE density, types, and chemical composition (FTIR spectroscopy) were reported. A total of 221 PPEs were identified with a density ranging from 1.22 × 10-5 PPE m-2 (control site S1) to 2.88× 10-4 PPE m-2 with a mean density of 1.54 × 10-4 ± 2.58 × 10-5 PPE m-2. Mismanaged PPE waste was found in all the sampling sites, mostly consisting of surgical face masks (93.7%). Statistical analyzes revealed significantly higher PPE densities in sites where several recreational, touristic, and commercial activities take place, thus, revealing the main sources of PPE pollution. Furthermore, polypropylene and polyester fabrics were identified as the main components of surgical and reusable cloth masks, respectively. Given the hazard that PPEs represent to aquatic biota (e.g., entanglement, ingestion) and their ability to release microplastics (MPs), it is necessary to implement sufficient solid waste management plans and infrastructure where lake activities take place. Additionally, local authorities must promote and ensure sustainable tourism in order to maintain the ecosystems in Lake Tana. Prospective research priorities regarding the colonization and degradation of PPE, as well as the release of toxic chemicals, were identified and discussed.
| S-EPMC8787314 | biostudies-literature
Project description:PurposeTo survey healthcare workers (HCW) on availability and use of personal protective equipment (PPE) caring for COVID-19 patients in the intensive care unit (ICU).Materials and methodA web-based survey distributed worldwide in April 2020.ResultsWe received 2711 responses from 1797 (67%) physicians, 744 (27%) nurses, and 170 (6%) Allied HCW. For routine care, most (1557, 58%) reportedly used FFP2/N95 masks, waterproof long sleeve gowns (1623; 67%), and face shields/visors (1574; 62%). Powered Air-Purifying Respirators were used routinely and for intubation only by 184 (7%) and 254 (13%) respondents, respectively. Surgical masks were used for routine care by 289 (15%) and 47 (2%) for intubations. At least one piece of standard PPE was unavailable for 1402 (52%), and 817 (30%) reported reusing single-use PPE. PPE was worn for a median of 4 h (IQR 2, 5). Adverse effects of PPE were associated with longer shift durations and included heat (1266, 51%), thirst (1174, 47%), pressure areas (1088, 44%), headaches (696, 28%), Inability to use the bathroom (661, 27%) and extreme exhaustion (492, 20%).ConclusionsHCWs reported widespread shortages, frequent reuse of, and adverse effects related to PPE. Urgent action by healthcare administrators, policymakers, governments and industry is warranted.
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Project description:During the doffing of personal protective equipment (PPE), pathogens can be transferred from the PPE to the bodies of healthcare workers (HCWs), putting HCWs and patients at risk of exposure and infection. PPE doffing practices of HCWs who cared for patients with viral respiratory infections were observed at an acute care hospital from March 2017 to April 2018. A trained observer recorded doffing performance of HCWs inside the patient rooms using a pre-defined checklist based on the Centers for Disease Control and Prevention (CDC) guideline. Doffing practices were observed 162 times during care of 52 patients infected with respiratory viral pathogens. Out of the 52 patients, 30 were in droplet and contact isolation, 21 were in droplet isolation, and 1 was in contact isolation. Overall, 90% of observed doffing was incorrect, with respect to the doffing sequence, doffing technique, or use of appropriate PPE. Common errors were doffing gown from the front, removing face shield of the mask, and touching potentially contaminated surfaces and PPE during doffing. Deviations from the recommended PPE doffing protocol are common and can increase potential for contamination of the HCW's clothing or skin after providing care. There is a clear need to change the approach used to training HCWs in PPE doffing practices.
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Project description:In the present contribution, two nationwide surveys of personal protective equipment (PPE) pollution were conducted in Peru and Argentina aiming to provide valuable information regarding the abundance and distribution of PPE in coastal sites. Additionally, PPE items were recovered from the environment and analyzed by Fourier transformed infrared (FTIR) spectroscopy, Scanning electron microscopy (SEM) with Energy dispersive X-ray (EDX), and X-ray diffraction (XRD), and compared to brand-new PPE in order to investigate the chemical and structural degradation of PPE in the environment. PPE density (PPE m-2) found in both countries were comparable to previous studies. FTIR analysis revealed multiple polymer types comprising common PPE, mainly polypropylene, polyamide, polyethylene terephthalate, and polyester. SEM micrographs showed clear weathering signs, such as cracks, cavities, and rough surfaces in face masks and gloves. EDX elemental mapping revealed the presence of elemental additives, such as Ca in gloves and face masks and AgNPs as an antimicrobial agent. Other metals found on the surface of PPE were Mo, P, Ti, and Zn. XRD patterns displayed a notorious decrease in the crystallinity of polypropylene face masks, which could alter its interaction with external contaminants and stability. The next steps in this line of research were discussed.
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