Evidence map›Paper›PMID 35580133›Full record

ArticlePloS one2022

A retrospective observational insight into COVID-19 exposures resulting from personal protective equipment (PPE) breaches.

Ujjwala Nitin Gaikwad, Oshrika Bose, Abhishek Padhi, Atul Jindal, Keshao Nagpure, Anudita Bhargava, Padma Das

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Effectiveness of face masks for reducing transmission of SARS-CoV-2: a rapid systematic review.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2023
    Pooled it
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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

7 authors at 1 institution in 1 country.

Ujjwala Nitin GaikwadDepartment of Microbiology, All India Institute of Medical Sciences, Raipur, Chhatisgarh, India.ORCID 0000-0002-9869-2839
Oshrika BoseDepartment of Microbiology, All India Institute of Medical Sciences, Raipur, Chhatisgarh, India.
Abhishek PadhiDepartment of Microbiology, All India Institute of Medical Sciences, Raipur, Chhatisgarh, India.ORCID 0000-0002-2238-7440
Atul JindalDepartment of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhatisgarh, India.
Keshao NagpureDepartment of General Medicine, All India Institute of Medical Sciences, Raipur, Chhatisgarh, India.
Anudita BhargavaDepartment of Microbiology, All India Institute of Medical Sciences, Raipur, Chhatisgarh, India.
Padma DasDepartment of Microbiology, All India Institute of Medical Sciences, Raipur, Chhatisgarh, India.
All India Institute of Medical Sciences Raipur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare workers (HCWs) stand the risk of acquiring infection directly, while attending to patients or indirectly while handling and testing patient specimens. Considering this, the present study was planned to assess Personal Protective Equipment (PPE) breaches and exposures among HCWs working in COVID-19 wards/ screening areas and to evaluate their COVID-19 positivity rates post-exposure concerning the level of exposure, type of PPE breach, and the cadre of HCWs exposed in COVID-19 wards.

methodsThis retrospective cross-sectional study involved the analysis of all instances of PPE breaches which occurred during a period of nine months from June 2020 to February 2021 at a tertiary care level hospital in Central India. The analysis included all exposures involving any cadre of HCWs that occurred while handling the patients or while doffing the contaminated PPE in COVID -19 wards.

resultsA total of 347 PPE breaches were analyzed from the available records of the Hospital Infection Control team repository. Amongst the 347 breaches, 268 (77.2%) were classified as low-risk exposures and 79 (22.8%) as high-risk exposures. Cadre wise distribution of high and low-risk exposures revealed that, PPE breaches occurred most commonly in the category of nursing officers (n = 174, 50.1%). Among all of the breaches, 15.2% of high-risk exposures and 2.6% of low-risk exposures resulted in COVID-19 positivity with a cumulative positivity of 5.4%. Collectively, non-mask related breaches accounted for the majority (63.2%) of the positive COVID-19 cases.

conclusionAppropriate use of PPE by HCWs is vital for their protection. However, breaches in the use of PPE may occur while managing COVID-19 patients due to physical and mental exhaustion among HCWs resulting from work overload. Early identification and appropriate management of HCWs with high-risk exposures can help prevent transmission to other hospital staff and patients, thus preserving resources and workforce.

Indexed as

COVID-19Personal Protective EquipmentCross-Sectional StudiesHealth PersonnelHumansInfectious Disease Transmission, Patient-to-ProfessionalPersonnel, HospitalRetrospective Studies

Identifiers

PMID35580133
PMCPMC9113574
OpenAlexW4280517017

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.