Evidence map›Paper›PMID 41654657›Full record

ArticleScientific reports2026

Analysis of interception problems in donning and doffing personal protective equipment in a large cabin hospital during the COVID-19 pandemic: a real world study.

Zhanjie Li, Chuanyuan Tang, Feng Zang, Xinyue Zhang, Jun Wu, Weihong Zhang, Chuanlong Zhu

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In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zhanjie Li *Department of Infection Control, The First Affiliated Hospital with Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, Jiangsu, China. lzj070591@163.com.
Chuanyuan Tang *Intensive Care Unit, The First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Feng ZangDepartment of Infection Control, The First Affiliated Hospital with Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, Jiangsu, China.
Xinyue ZhangDepartment of Hepatobiliary Center, The First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Jun WuDepartment of Geriatric Cardiology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Weihong ZhangDepartment of Infection Control, The First Affiliated Hospital with Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, Jiangsu, China. zhangweihong@jsph.org.cn.
Chuanlong ZhuDepartment of Infections Disease, The First Affiliated Hospital with Nanjing Medical University, No.300 Guang Zhou Road, Nanjing, 210029, Jiangsu, China. zhuchuanlong@jsph.org.cn.

Funding

Chinese Preventive Medicine Association Hospital Infection Department Development Youth Talent Promotion Project CPMA-HAIC-2024012900108Jiangsu Province Hospital Management Innovation Research Project JSYGY-3-2023-559Jiangsu Provincial Association for Science and Technology Young Science and Technology Talent Support Project (Health Field) JSTJ-2023-WJ006Jiangsu Science and Technology Think Tank Program (Youth) Project JSKX24055Project of Chinese Hospital Reform and Development Institute, Nanjing University NDYG2023039The third Outstanding Young and Middle-aged Talents Training Program of Jiangsu Provincial People's Hospital YNRCQN0314Young Scholars Fostering Fund of the First Affiliated Hospital of Nanjing Medical University PY2022017
6 · The paper itself

Abstract

Although proper donning and doffing of personal protective equipment (PPE) is critical for infection prevention, detailed characterization of problems encountered during these processes in real-world settings during large-scale infectious disease outbreaks remains insufficient. This study aimed to analyze the characteristics and distribution of interception problems in the process of donning and doffing process in a large cabin hospital during the 2022 COVID-19 pandemic in Shanghai. A prospective, real-world study was designed to collect and analyze data on irregularities observed during personal protective equipment (PPE) donning procedures in cabin hospital operations. The proportion of problems encountered during donning PPE was 5.29% (246/4,652), while during doffing PPE, it was 8.44% (382/4,525) (P < 0.001). The primary problem during donning PPE was related to problems with protective clothing, followed by problems with respirators. There was no significant difference in problem distribution among different posts (P = 0.459). The problems related to protective clothing mainly focused on loose fitting around the head and neck, making them prone to exposure during donning (56.25%, 99/176) and contamination of the inner surface of protective clothing during doffing (46.43%, 91/196). Respirator-related problems included failure of the seal test during donning PPE (61.54%, 24/39) and shifting or loosening of the respirator during PPE doffing (73.68%, 14/19). These findings identify critical gaps in PPE procedures and highlight the need for targeted training to address these issues, thereby reducing the risk of infection among healthcare personnel in mobile cabin hospitals.

Indexed as

COVID-19Infection ControlPandemicsPersonal Protective EquipmentChinaHospitalsHumansProspective StudiesProtective ClothingSARS-CoV-2Donning and doffing of the protective equipmentLarge cabin hospitalProblem distributionReal-world study

Identifiers

PMID41654657
PMCPMC12948947

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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.