Evidence map›Paper›PMID 33159995›Full record

ArticleAmerican journal of infection control2021

Minimizing contamination in the use of personal protective equipment: Simulation results through tracking contamination and enhanced protocols.

JaHyun Kang, Eun Jin Kim, Jeong Hwa Choi, Hae Kyung Hong, Si-Hyeon Han, In Soon Choi, Jinhwa Kim, Jae Yeun Kim, Eun Suk Park, Pyoeng Gyun Choe

Abstract read
In one paragraph

Article in American journal of infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. The operating theatre as a catalyst for quality care.BMC health services research · 2025
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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.

JaHyun KangCollege of Nursing, Seoul National University, Seoul, Korea; Research Institute of Nursing Science, Seoul National University, Seoul, Korea. Electronic address: jahyunkang@gmail.com.
Eun Jin KimCollege of Nursing, Seoul National University, Seoul, Korea; Center for Infection Prevention and Control, Seoul National University Hospital, Seoul, Korea.
Jeong Hwa ChoiInfection Control Team, Konkuk University Medical Center, Seoul, Korea.
Hae Kyung HongInfection Control Team, Soonchunhyang University Bucheon Hospital, Bucheon-si, Gyeonggi-do, Korea.
Si-Hyeon HanInfection Control Team, Dankook University Hospital, Cheonan-si, Chungcheongnam-do, Korea.
In Soon ChoiInfection Control Team, Chung-Ang University Hospital, Seoul, Korea.
Jinhwa KimInfection Control Team, Soonchunhyang University Seoul Hospital, Seoul, Korea.
Jae Yeun KimInfection Control Team, Konyang University Hospital, Daejeon-si, Korea.
Eun Suk ParkDepartment of Infection Control, Yonsei University Severance Hospital, Seoul, Korea.
Pyoeng Gyun ChoeCenter for Infection Prevention and Control, Seoul National University Hospital, Seoul, Korea; Division of Infectious Diseases, Department of Internal Medicine, Seoul National University School of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to variations and the inadequate use of personal protective equipment (PPE), this study aimed to evaluate our enhanced PPE protocols for minimizing doffing contamination.

methodsAmong 3 PPE kits (simple, Level D, and Level C), 30 participants conducted the first simulation in their adapted way and the second following enhanced protocols. After donning, participants performed a 1-minute simulation of direct care on a patient simulator covered with fluorescent powder. For tracking contamination routes between doffing processes, fluorescent powder contamination was examined with ultraviolet lamps in the darkened room.

resultsParticipants were mostly registered nurses (N = 27, 90%), female (87%), and on average 31.7 years old with 8.5 years of clinical experience. Among 61 total simulations, 32 had at least 1 contamination (52.5%); "Noticeable" level (40%) at the "hands-fingers" and "shirt" body areas were most frequent. For first and second simulations with identical PPE kits, compared to the first with adapted practice, the second with enhanced protocols showed a significant reduction in doffing contamination rates (72.7% vs 22.7%, P = .0009 for both Level C and D; 77.8% vs 27.8%, P = .0027 for Level D).

conclusionsOur enhanced protocols could significantly reduce contaminations. More studies are necessary to provide safer PPE protocol options.

Indexed as

Health PersonnelPersonal Protective EquipmentAdultComputer SimulationFemaleHumansDoffingEvaluationFluorescent powderHealth care personnelSafety

Identifiers

PMID33159995
PMCPMC7832077

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Registered trials

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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.