DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20181380

A study on personal protective equipment use among health care providers, Tamil Nadu

Archana Lakshmi P. A., Gladius Jennifer H., Meriton Stanly A., Christina Mary Paul

Abstract


Background: Personal protective equipment (PPE) limits the health care workers contact with all secretions or biological products. This study was planned to find gaps between use of PPE among the health care providers (HCPs). The objective of the study was to evaluate appropriate use of PPE among health care providers in tertiary centres Tamil Nadu.

Methods: A cross sectional study was done during November 2014 to October 2015 in two tertiary health care institutions. All health care providers (Doctors, nurses and technicians) who had more than one year experience and gave informed consent were included. Data collected by pretested structured questionnaire. Data analysis was done using SPSS 20v and summarized by descriptive statistics. Proportion and Chi-square was calculated at 5% α.

Results: HCPs included in the study were 1060. Among them, there were 412(38.9%) doctors, 550 (51.9%) nurses and 98 (9.2%) technicians. Among 862 HCPs who work outside the operation theatre (OT) and ICU, appropriate uses of PPE were only 156 (18.1%). It was high among doctors 109 (31.5%) followed by nurses 39 (9.3%) and technicians 8 (8.2%) which was statistically significant p=0.0001. HCPs working in OT and ICU were 423 and 183 respectively. Among HCPs working in OT, appropriate use of gloves, mask, apron, gown and hair cover was 100%. But the use of goggles and shoe cover was very low. The reasons for inappropriate use of PPE was non availability 562 (78%) followed by not aware of the importance 77 (11%).

Conclusions: The study showed inappropriate use and lack of adequate knowledge on infection control practices emphasizing that periodic re-training is needed.

 


Keywords


Personal protective equipment, Health care providers, Infection control

Full Text:

PDF

References


Emmanuel N. Aguwa, Sussan U. Arinze-Onyia, Anne Ndu Use of Personal Protective Equipment among Health Workers in a Tertiary Health Institution, South East Nigeria: Pre-Ebola Period. IJHSR. 2016;6(8):12-8.

Hakim SA, Abouelezz NF, El Okda EM. Use of personal protective devices among health care workers in a teaching hospital in Cairo, Egypt. Egyptian J Occupational Med. 2016;40(2):287-300.

World Health Organization: Practical Guidelines for Infection Control in Health Care Facilities. SEARO and WPRO Publication No. 41. 2004.

Chia SE, Koh D, Fones C, Qian F, Ng V, Tan BH, et al. Appropriate use of personal protective equipment among healthcare workers in public sector hospitals and primary healthcare polyclinics during the SARS outbreak in Singapore. Occup Environ Med. 2005;62:473–7.

Yang Luo A, Guo-Ping He, Jijan-Wei Zhou, Ying Luo Factors impacting compliance with standard precautions in nursing, China. Int J Infect Dis. 2010;14:1106–14.

Sadoh WE, Fawole AO, Sadoh AE, Oladieji AO, Sotiloye OS. Practice of universal precautions among healthcare workers. J Natl Med Assoc. 2006;98(5):722–6.

Punia S, Nair S, Shetty RS. Health Care Workers and Standard Precautions: Perceptions and Determinants of Compliance in the Emergency and Trauma Triage of a Tertiary Care Hospital in South India. Int Scholarly Res Notices. 2014:1-5.

Jeong I, Cho J, Park S. Compliance with standard precautions among operating room nurses in South Korea. Am J Infect Control. 2008;36(10):739-42.

Kermode M, Jolley D, Langkham B, Thomas MS, Holmes W, Gifford SM. Compliance with Universal/Standard Precautions among health care workers in rural north India. Am J Infect Control. 2005;33(1):27-33.

Asare A, Enweronu-Laryea CC, Newman MJ. Hand hygiene practices in a neonatal intensive care unit in Ghana. J Infect Dev Ctries. 2009;3(5):352-6.

Jawaid M, Iqbal M, Shahbaz S. Compliance with Standard Precautions: A long way ahead. Iranian J Public Health. 2009;38(1):85-8.

Sangwan BR, Kotwal ASM, Verma AK. Occupational Exposure to Blood and Body Fluids amongst Health Care Workers in a Teaching Hospital of the Armed Forces. Volume 64. Gwalior, MP: IAP National Publication House; 2011: 21–24.

Mitchell R, Roth V, Gravel D, Astrakianakis G, Bryce E, Forgie S, et al. Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals. American J Infection Control. 2013;41(3):240-4.