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Personal protective equipment stewardship across 112 medical facilities: a preliminary survey in Japan
Takayuki Ohishi1, Satoshi Shinomiya2, Yoko Tsuda3
1Department of Infection Control and Prevention, Saiseikai Yokohama Eastern Hospital, Tsurumi Ward, Yokohama, Kanagawa, Japan.
Background:
The stewardship of personal protective equipment (PPE) is crucial in preventing healthcare-associated infections by safeguarding healthcare workers.
Aim:
To comprehensively elucidate the selection process and current status of PPE stewardship in Japanese medical facilities and gather evidence that will contribute to the qualitative enhancement of PPE stewardship in the country.
Methods:
A survey on PPE stewardship was conducted at 200 Japanese medical facilities between February and March 2024.
Findings:
The response rate was 56.0% (112/200). While 99.1% of the responding facilities had documented protocols for PPE use and provided comprehensive training (including practical skills), only 3.8% extended this training to outsourced staff. Multiple sizes of surgical mask were available in 58.0% of the facilities, and 58.9% were equipped to conduct fit testing for N95 respirators. Moreover, 58.9% of the facilities monitored and evaluated PPE stewardship in conjunction with environmental rounds and hand hygiene assessments.
Conclusion:
Despite the limited sample size, this study is the first large-scale survey of PPE use in Japan. Our findings provide a basis for future surveys and evidence for establishing optimal PPE-related protocols. They may also contribute to the advancement of healthcare-associated infection control.
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