Evidence map›Paper›PMID 30607244›Full record

ArticleAntimicrobial resistance and infection control2018

Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission.

Lorna K P Suen, Yue Ping Guo, Danny W K Tong, Polly H M Leung, David Lung, Mandy S P Ng, Timothy K H Lai, Kiki Y K Lo, Cypher H Au-Yeung, Winnie Yu

Open access · goldAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Antimicrobial resistance and infection control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 5 pooled it
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 5 syntheses or guidelines pooled it, 105 citations in OpenAlex.

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  8. Effect of an Intervention Package and Teamwork Training to Prevent Healthcare Personnel Self-contamination During Personal Protective Equipment Doffing.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Lorna K P Suen1School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, Special Administrative Region of China, China.ORCID 0000-0002-0126-6674
Yue Ping Guo1School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, Special Administrative Region of China, China.
Danny W K Tong2Hospital Authority, Hong Kong, Special Administrative Region of China, China.
Polly H M Leung3Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, Special Administrative Region of China, China.
David LungDepartment of Clinical Pathology, Tuen Mun Hospital, Tuen Mun, Hong Kong, Special Administrative Region of China, China.
Mandy S P Ng5Infectious Disease Centre, Princess Margaret Hospital, Hong Kong, Special Administrative Region of China, China.
Timothy K H Lai1School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, Special Administrative Region of China, China.
Kiki Y K Lo1School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, Special Administrative Region of China, China.
Cypher H Au-Yeung1School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, Special Administrative Region of China, China.
Winnie Yu6Institute of Textiles & Clothing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, Special Administrative Region of China, China.
Hong Kong Polytechnic University · HKHospital Authority · HKPrincess Margaret Hospital · HKTuen Mun Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Healthcare workers (HCWs) use personal protective equipment (PPE) in Ebola virus disease (EVD) situations. However, preventing the contamination of HCWs and the environment during PPE removal crucially requires improved strategies. This study aimed to compare the efficacy of three PPE ensembles, namely, Hospital Authority (HA) Standard Ebola PPE set (PPE1), Dupont Tyvek Model, style 1422A (PPE2), and HA isolation gown for routine patient care and performing aerosol-generating procedures (PPE3) to prevent EVD transmission by measuring the degree of contamination of HCWs and the environment. Methods: A total of 59 participants randomly performed PPE donning and doffing. The trial consisted of PPE donning, applying fluorescent solution on the PPE surface, PPE doffing of participants, and estimation of the degree of contamination as indicated by the number of fluorescent stains on the working clothes and environment. Protocol deviations during PPE donning and doffing were monitored. Results: PPE2 and PPE3 presented higher contamination risks than PPE1. Environmental contaminations such as those originating from rubbish bin covers, chairs, faucets, and sinks were detected. Procedure deviations were observed during PPE donning and doffing, with PPE1 presenting the lowest overall deviation rate (%) among the three PPE ensembles ( Conclusion: Contamination of the subjects' working clothes and surrounding environment occurred frequently during PPE doffing. Procedure deviations were observed during PPE donning and doffing. Although PPE1 presented a lower contamination risk than PPE2 and PPE3 during doffing and protocol deviations, the design of PPE1 can still be further improved. Future directions should focus on designing a high-coverage-area PPE with simple ergonomic features and on evaluating the doffing procedure to minimise the risk of recontamination. Regular training for users should be emphasised to minimise protocol deviations, and in turn, guarantee the best protection to HCWs.

Indexed as

AdultAerosolsEnvironmental ExposureFemaleHealth PersonnelHemorrhagic Fever, EbolaHumansInfectious Disease Transmission, Patient-to-ProfessionalMaleMiddle AgedPersonal Protective EquipmentRandom AllocationYoung AdultAerosols

Identifiers

PMID30607244
PMCPMC6303998
OpenAlexW2905919804

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.