Preparing for an Influenza Pandemic: Hospital Acceptance Study of Filtering Facepiece Respirator Decontamination Using Ultraviolet Germicidal Irradiation
Identifieur interne : 000171 ( Main/Exploration ); précédent : 000170; suivant : 000172Preparing for an Influenza Pandemic: Hospital Acceptance Study of Filtering Facepiece Respirator Decontamination Using Ultraviolet Germicidal Irradiation
Auteurs : Christopher Nemeth ; Dawn Laufersweiler ; Emily Polander ; Christianna Orvis ; Del Harnish [États-Unis] ; Sherwin E. Morgan [États-Unis] ; Michael O Onnor [États-Unis] ; Saul Hymes ; Sharon Nachman ; Brian Heimbuch [États-Unis]Source :
- Journal of Patient Safety [ 1549-8417 ] ; 2020.
Abstract
Predictions estimate supplies of filtering facepiece respirators (FFRs) would be limited in the event of a severe influenza pandemic. Ultraviolet decontamination and reuse (UVDR) is a potential approach to mitigate an FFR shortage. A field study sought to understand healthcare workers’ perspectives and potential logistics issues related to implementation of UVDR methods for FFRs in hospitals.
Data were collected at three hospitals using a structured guide to conduct 19 individual interviews, 103 focus group interviews, and 285 individual surveys. Data were then evaluated using thematic analysis to reveal key themes.
Data revealed noteworthy variation in FFR use across the sample, along with preferences and requirements for the use of UVDR, unit design, and FFR reuse. Based on a scale of 1 (low) to 10 (high), the mean perception of safety in a high mortality pandemic wearing no FFR was 1.25 of 10, wearing an FFR for an extended period without decontamination was 4.20 of 10, and using UVDR was 7.72 of 10.
In addition to technical design and development, preparation and training will be essential to successful implementation of a UVDR program. Ultraviolet decontamination and reuse program design and implementation must account for actual clinical practice, compliance with regulations, and practical financial considerations to be successfully adopted so that it can mitigate potential FFR shortages in a pandemic.
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DOI: 10.1097/PTS.0000000000000600
PubMed: 32175970
PubMed Central: 7224602
Affiliations:
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sort="Nemeth, Christopher" uniqKey="Nemeth C" first="Christopher" last="Nemeth">Christopher Nemeth</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Laufersweiler, Dawn" sort="Laufersweiler, Dawn" uniqKey="Laufersweiler D" first="Dawn" last="Laufersweiler">Dawn Laufersweiler</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Polander, Emily" sort="Polander, Emily" uniqKey="Polander E" first="Emily" last="Polander">Emily Polander</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Orvis, Christianna" sort="Orvis, Christianna" uniqKey="Orvis C" first="Christianna" last="Orvis">Christianna Orvis</name><affiliation><nlm:aff id="aff2">Gulf Coast Regional Medical Center</nlm:aff></affiliation></author><author><name sortKey="Harnish, Del" sort="Harnish, Del" uniqKey="Harnish D" first="Del" last="Harnish">Del Harnish</name><affiliation wicri:level="2"><nlm:aff id="aff3">Engineering Science Division, Applied Research Associates, Inc, Panama City, Florida</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Engineering Science Division, Applied Research Associates, Inc, Panama City</wicri:cityArea></affiliation></author><author><name sortKey="Morgan, Sherwin E" sort="Morgan, Sherwin E" uniqKey="Morgan S" first="Sherwin E." last="Morgan">Sherwin E. Morgan</name><affiliation wicri:level="2"><nlm:aff id="aff4">Department of Respiratory Care Services, University of Chicago Medical Center, Chicago, Illinois</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Respiratory Care Services, University of Chicago Medical Center, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="O Onnor, Michael" sort="O Onnor, Michael" uniqKey="O Onnor M" first="Michael" last="O Onnor">Michael O Onnor</name><affiliation wicri:level="2"><nlm:aff id="aff5">University of Chicago Medical Center, The University of Chicago, Chicago, Illinois</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>University of Chicago Medical Center, The University of Chicago, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Hymes, Saul" sort="Hymes, Saul" uniqKey="Hymes S" first="Saul" last="Hymes">Saul Hymes</name><affiliation><nlm:aff id="aff6">Stony Brook University Hospital, Stony Brook, New York.</nlm:aff><wicri:noCountry code="subfield">New York.</wicri:noCountry></affiliation></author><author><name sortKey="Nachman, Sharon" sort="Nachman, Sharon" uniqKey="Nachman S" first="Sharon" last="Nachman">Sharon Nachman</name><affiliation><nlm:aff id="aff6">Stony Brook University Hospital, Stony Brook, New York.</nlm:aff><wicri:noCountry code="subfield">New York.</wicri:noCountry></affiliation></author><author><name sortKey="Heimbuch, Brian" sort="Heimbuch, Brian" uniqKey="Heimbuch B" first="Brian" last="Heimbuch">Brian Heimbuch</name><affiliation wicri:level="2"><nlm:aff id="aff3">Engineering Science Division, Applied Research Associates, Inc, Panama City, Florida</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Engineering Science Division, Applied Research Associates, Inc, Panama City</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of Patient Safety</title><idno type="ISSN">1549-8417</idno><idno type="eISSN">1549-8425</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>Predictions estimate supplies of filtering facepiece respirators (FFRs) would be limited in the event of a severe influenza pandemic. Ultraviolet decontamination and reuse (UVDR) is a potential approach to mitigate an FFR shortage. A field study sought to understand healthcare workers’ perspectives and potential logistics issues related to implementation of UVDR methods for FFRs in hospitals.</p></sec><sec><title>Methods</title><p>Data were collected at three hospitals using a structured guide to conduct 19 individual interviews, 103 focus group interviews, and 285 individual surveys. Data were then evaluated using thematic analysis to reveal key themes.</p></sec><sec><title>Results</title><p>Data revealed noteworthy variation in FFR use across the sample, along with preferences and requirements for the use of UVDR, unit design, and FFR reuse. Based on a scale of 1 (low) to 10 (high), the mean perception of safety in a high mortality pandemic wearing no FFR was 1.25 of 10, wearing an FFR for an extended period without decontamination was 4.20 of 10, and using UVDR was 7.72 of 10.</p></sec><sec><title>Conclusions</title><p>In addition to technical design and development, preparation and training will be essential to successful implementation of a UVDR program. Ultraviolet decontamination and reuse program design and implementation must account for actual clinical practice, compliance with regulations, and practical financial considerations to be successfully adopted so that it can mitigate potential FFR shortages in a pandemic.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Gosch, Me" uniqKey="Gosch M">ME Gosch</name></author><author><name sortKey="Shaffer, Re" uniqKey="Shaffer R">RE Shaffer</name></author><author><name sortKey="Eagan, Ae" uniqKey="Eagan A">AE Eagan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Osterholm, Mt" uniqKey="Osterholm M">MT Osterholm</name></author><author><name sortKey="Olshaker, M" uniqKey="Olshaker M">M Olshaker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carias, C" uniqKey="Carias C">C Carias</name></author><author><name sortKey="Rainisch, G" 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Woods</name></author><author><name sortKey="Dekker, Swa" uniqKey="Dekker S">SWA Dekker</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>Illinois</li></region></list><tree><noCountry><name sortKey="Hymes, Saul" sort="Hymes, Saul" uniqKey="Hymes S" first="Saul" last="Hymes">Saul Hymes</name><name sortKey="Laufersweiler, Dawn" sort="Laufersweiler, Dawn" uniqKey="Laufersweiler D" first="Dawn" last="Laufersweiler">Dawn Laufersweiler</name><name sortKey="Nachman, Sharon" sort="Nachman, Sharon" uniqKey="Nachman S" first="Sharon" last="Nachman">Sharon Nachman</name><name sortKey="Nemeth, Christopher" sort="Nemeth, Christopher" uniqKey="Nemeth C" first="Christopher" last="Nemeth">Christopher Nemeth</name><name sortKey="Orvis, Christianna" sort="Orvis, Christianna" uniqKey="Orvis C" first="Christianna" last="Orvis">Christianna Orvis</name><name sortKey="Polander, Emily" sort="Polander, Emily" uniqKey="Polander E" first="Emily" last="Polander">Emily Polander</name></noCountry><country name="États-Unis"><region name="Floride"><name sortKey="Harnish, Del" sort="Harnish, Del" uniqKey="Harnish D" first="Del" last="Harnish">Del Harnish</name></region><name sortKey="Heimbuch, Brian" sort="Heimbuch, Brian" uniqKey="Heimbuch B" first="Brian" last="Heimbuch">Brian Heimbuch</name><name sortKey="Morgan, Sherwin E" sort="Morgan, Sherwin E" uniqKey="Morgan S" first="Sherwin E." last="Morgan">Sherwin E. 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