在穿戴和卸载个人防护设备的过程中,有助于自我污染的危险因素
Yunyun Liu1,2, Fengling Tan1, Qiu Yao1
1Department of Infection Control and Management, The Second Affiliated Hospital of Soochow University, Suzhou, PR China.
Disaster medicine and public health preparedness
|February 8, 2024
概括
卫生保健工作者 (HCW) 可以通过考虑训练,部门,体重指数 (BMI) 和肩膀宽度等因素来减少个人防护设备 (PPE) 使用期间的自我污染. 这些知识有助于改善感染预防方案.
科学领域:
- 医疗保健流行病学 医疗保健流行病学
- 预防和控制感染.
- 职业安全 职业安全 职业安全
背景情况:
- 在使用个人防护设备 (PPE) 时自我污染对医疗保健工作者 (HCW) 构成重大风险.
- 了解穿戴和脱落期间污染的风险因素对于有效的感染控制至关重要.
研究的目的:
- 在HCW中识别与个人防护设备穿戴和脱落期间的自我污染点相关的风险因素.
- 量化各种因素与污染点数量之间的关联.
主要方法:
- 116名高职工接受了个人防护设备装配和卸载程序的培训.
- 光粉被用来模拟PPE上的污染;紫外线检测到涂抹后的污染.
- 普森回归分析确定了污染点的风险因素,计算了相对风险 (RR) 和95%置信区间 (CI).
主要成果:
- 78.5%的高温工厂经历了污染.
- 以前的感染预防控制 (IPC) 培训 (RR=0.37),临床部门 (RR=0.67),更高的BMI (RR=1.09) 和更宽的肩膀宽度 (RR=1.07) 与污染点有显著的关联.
结论:
- 之前的IPC培训和特定的临床部门与较少的污染点有关.
- 增加的BMI和肩膀宽度与更多的自我污染点有关.
- 这些发现突出了影响HCW自我污染风险的可修改和不可修改因素.
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