IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic
Hu, Xiaoyun1; Zhang, Zhidan2; Li, Na3; Liu, Dexin4; Zhang, Li5; He, Wei6; Zhang, Wei7; Li, Yuexia8; Zhu, Cheng9; Zhu, Guijun10; Zhang, Lipeng11; Xu, Fang12; Wang, Shouhong13; Cao, Xiangyuan14; Zhao, Huiying15; Li, Qian16; Zhang, Xijing17; Lin, Jiandong18; Zhao, Shuangping19; Li, Chen20; Du, Bin1; CCCCTG
刊名PLOS ONE
2012-09-05
DOI10.1371/journal.pone.0044723
7期:9
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Multidisciplinary Sciences
研究领域[WOS]Science & Technology - Other Topics
关键词[WOS]INTENSIVE-CARE ; CONTACT ISOLATION ; INFECTION-CONTROL ; UNITED-STATES ; HAND HYGIENE ; SARS ; RECOMMENDATIONS ; TRANSMISSION ; IMPROVEMENT ; PREVENTION
英文摘要

Background: Critically ill patients with 2009 H1N1 influenza are often treated in intensive care units (ICUs), representing significant risk of nosocomial transmission to critical care clinicians and other patients. Despite a large body of literature and guidelines recommending infection control practices, numerous barriers have been identified in ICUs, leading to poor compliance to the use of personal protective equipment (PPE). The use of PPE among critical care clinicians has not been extensively evaluated, especially during the pandemic influenza. This study examined the knowledge, attitudes, and self-reported behaviors, and barriers to compliance with the use of PPE among ICU healthcare workers (HCWs) during the pandemic influenza.

Methodology/Principal Findings: A survey instrument consisting of 36 questions was developed and mailed to all HCWs in 21 ICUs in 17 provinces in China. A total of 733 physicians, nurses, and other professionals were surveyed, and 650 (88.7%) were included in the analysis. Fifty-six percent of respondents reported having received training program of pandemic influenza before they cared for H1N1 patients, while 77% reported to have adequate knowledge of self and patient protection. Only 18% of respondents were able to correctly identify all components of PPE, and 55% reported high compliance (>80%) with PPE use during patient care. In multivariate analysis, vaccination for 2009 H1N1 influenza, positive attitudes towards PPE use, organizational factors such as availability of PPE in ICU, and patient information of influenza precautions, as well as reprimand for noncompliance by the supervisors were associated with high compliance, whereas negative attitudes towards PPE use and violation of PPE use were independent predictors of low compliance.

Conclusion/Significance: Knowledge and self-reported compliance to recommended PPE use among Chinese critical care clinicians is suboptimal. The perceived barriers should be addressed in order to close the significant gap between perception and knowledge or behavior.

语种英语
WOS记录号WOS:000308463800094
Citation statistics
Cited Times:7[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57025
Collection北京大学第二临床医学院
作者单位1.China Med Univ, Affiliated Hosp 1, Shenyang, Peoples R China
2.Hainan Prov Peoples Hosp, Haikou, Peoples R China
3.Jilin Univ, Hosp 2, Changchun 130023, Peoples R China
4.Capital Med Univ, Fuxing Hosp, Beijing, Peoples R China
5.Zhengzhou Univ, Affiliated Hosp 1, Zhengzhou, Peoples R China
6.Hebei Med Univ, Hosp 4, Shijiazhuang, Peoples R China
7.Guangdong Gen Hosp, Guangzhou, Guangdong, Peoples R China
8.Beijing Union Med Coll Hosp, Beijing, Peoples R China
9.Capital Med Univ, Beijing Tongren Hosp, Beijing, Peoples R China
10.Kunming Med Coll, Affiliated Hosp 1, Kunming, Peoples R China
11.Shanghai Jiao Tong Univ, Ruijin Hosp, Shanghai 200030, Peoples R China
12.Inner Mongolia Med Coll, Affiliated Hosp, Hohhot, Peoples R China
13.Chongqing Med Univ, Affiliated Hosp 1, Chongqing, Peoples R China
14.Ningxia Med Univ, Affiliated Hosp, Yinchuan, Peoples R China
15.Peking Univ, Peoples Hosp, Beijing 100871, Peoples R China
16.Zhejiang Prov Peoples Hosp, Hangzhou, Zhejiang, Peoples R China
17.Xijing Hosp, Xian, Peoples R China
18.Fujian Med Univ, Affiliated Hosp 1, Fuzhou, Peoples R China
19.Cent S Univ, Xiangya Hosp, Changsha, Hunan, Peoples R China
20.Shandong Univ, Qilu Hosp, Jinan 250100, Peoples R China
Recommended Citation
GB/T 7714
Hu, Xiaoyun,Zhang, Zhidan,Li, Na,et al. Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic[J]. PLOS ONE,2012,7(9).
APA Hu, Xiaoyun.,Zhang, Zhidan.,Li, Na.,Liu, Dexin.,Zhang, Li.,...&CCCCTG.(2012).Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic.PLOS ONE,7(9).
MLA Hu, Xiaoyun,et al."Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic".PLOS ONE 7.9(2012).
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