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Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses

Identifieur interne : 001C55 ( PascalFrancis/Curation ); précédent : 001C54; suivant : 001C56

Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses

Auteurs : Terri Rebmann [États-Unis] ; Ruth Carrico [États-Unis] ; JING WANG [États-Unis]

Source :

RBID : Pascal:14-0026126

Descripteurs français

English descriptors

Abstract

Background: Long-term use of respiratory protection may be necessary, but compliance may be low, and physiologic effects have not been well evaluated. Methods: Ten nurses participated; physiologic effects, subjective symptoms, and compliance with wearing an N95 alone or with a surgical mask overlay were assessed. Longitudinal analysis based on multivariate linear regression models assessed changes in outcome variables (CO2, O2, heart rate, perceived comfort items, compliance measures, and others). Analyses compared changes over time, and compared wearing only an N95 to wearing an N95 with a surgical mask overlay. Results: Most nurses (90%, n = 9) tolerated wearing respiratory protection for two 12-hour shifts. CO2 levels increased significantly compared with baseline measures, especially when comparing an N95 with a surgical mask to only an N95, but changes were not clinically relevant. Perceived exertion; perceived shortness of air; and complaints of headache, lightheadedness, and difficulty communicating also increased over time. Almost one-quarter (22%) of respirator removals were due to reported discomfort. N95 adjustments increased over time, but other compliance measures did not vary by time. Compliance increased on day 2, except for adjustments, touching under the N95, and eye touches. Conclusion: Long-term use of respiratory protection did not result in any clinically relevant physiologic burden for health care personnel, although many subjective symptoms were reported. N95 compliance was fairly high.
pA  
A01 01  1    @0 0196-6553
A03   1    @0 Am. j. infect. control
A05       @2 41
A06       @2 12
A08 01  1  ENG  @1 Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses
A11 01  1    @1 REBMANN (Terri)
A11 02  1    @1 CARRICO (Ruth)
A11 03  1    @1 JING WANG
A14 01      @1 Institute of Biosecurity, Saint Louis University, School of Public Health @2 St Louis, MO @3 USA @Z 1 aut.
A14 02      @1 School of Medicine, University of Louisville @2 Louisville, KY @3 USA @Z 2 aut.
A14 03      @1 Department of Biostatistics, Saint Louis University School of Public Health @2 St Louis. MO @3 USA @Z 3 aut.
A20       @1 1218-1223
A21       @1 2013
A23 01      @0 ENG
A43 01      @1 INIST @2 19097 @5 354000501110540120
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 19 ref.
A47 01  1    @0 14-0026126
A60       @1 P
A61       @0 A
A64 01  1    @0 American journal of infection control
A66 01      @0 USA
C01 01    ENG  @0 Background: Long-term use of respiratory protection may be necessary, but compliance may be low, and physiologic effects have not been well evaluated. Methods: Ten nurses participated; physiologic effects, subjective symptoms, and compliance with wearing an N95 alone or with a surgical mask overlay were assessed. Longitudinal analysis based on multivariate linear regression models assessed changes in outcome variables (CO2, O2, heart rate, perceived comfort items, compliance measures, and others). Analyses compared changes over time, and compared wearing only an N95 to wearing an N95 with a surgical mask overlay. Results: Most nurses (90%, n = 9) tolerated wearing respiratory protection for two 12-hour shifts. CO2 levels increased significantly compared with baseline measures, especially when comparing an N95 with a surgical mask to only an N95, but changes were not clinically relevant. Perceived exertion; perceived shortness of air; and complaints of headache, lightheadedness, and difficulty communicating also increased over time. Almost one-quarter (22%) of respirator removals were due to reported discomfort. N95 adjustments increased over time, but other compliance measures did not vary by time. Compliance increased on day 2, except for adjustments, touching under the N95, and eye touches. Conclusion: Long-term use of respiratory protection did not result in any clinically relevant physiologic burden for health care personnel, although many subjective symptoms were reported. N95 compliance was fairly high.
C02 01  X    @0 002B05A02
C02 02  X    @0 002B05C02C
C03 01  X  FRE  @0 Grippe @5 01
C03 01  X  ENG  @0 Influenza @5 01
C03 01  X  SPA  @0 Gripe @5 01
C03 02  X  FRE  @0 Observance @5 07
C03 02  X  ENG  @0 Compliance @5 07
C03 02  X  SPA  @0 Observancia @5 07
C03 03  X  FRE  @0 Long terme @5 08
C03 03  X  ENG  @0 Long term @5 08
C03 03  X  SPA  @0 Largo plazo @5 08
C03 04  X  FRE  @0 Unité soin intensif @5 09
C03 04  X  ENG  @0 Intensive care unit @5 09
C03 04  X  SPA  @0 Unidad terapia intensiva @5 09
C03 05  X  FRE  @0 Infirmier @5 13
C03 05  X  ENG  @0 Nurse @5 13
C03 05  X  SPA  @0 Enfermero @5 13
C03 06  X  FRE  @0 Face @5 14
C03 06  X  ENG  @0 Face @5 14
C03 06  X  SPA  @0 Cara @5 14
C03 07  X  FRE  @0 Sinistre @5 15
C03 07  X  ENG  @0 Disaster @5 15
C03 07  X  SPA  @0 Siniestro @5 15
C03 08  X  FRE  @0 Contrôle @5 30
C03 08  X  ENG  @0 Check @5 30
C03 08  X  SPA  @0 Control @5 30
C03 09  X  FRE  @0 Pandémie @4 INC @5 86
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
C07 02  X  FRE  @0 Infection
C07 02  X  ENG  @0 Infection
C07 02  X  SPA  @0 Infección
C07 03  X  FRE  @0 Equipe soignante @5 37
C07 03  X  ENG  @0 Health care staff @5 37
C07 03  X  SPA  @0 Equipo de salud @5 37
C07 04  X  FRE  @0 Prévention @5 38
C07 04  X  ENG  @0 Prevention @5 38
C07 04  X  SPA  @0 Prevención @5 38
N21       @1 027
N44 01      @1 OTO
N82       @1 OTO

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Pascal:14-0026126

Le document en format XML

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<div type="abstract" xml:lang="en">Background: Long-term use of respiratory protection may be necessary, but compliance may be low, and physiologic effects have not been well evaluated. Methods: Ten nurses participated; physiologic effects, subjective symptoms, and compliance with wearing an N95 alone or with a surgical mask overlay were assessed. Longitudinal analysis based on multivariate linear regression models assessed changes in outcome variables (CO
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<sub>2</sub>
, O
<sub>2</sub>
, heart rate, perceived comfort items, compliance measures, and others). Analyses compared changes over time, and compared wearing only an N95 to wearing an N95 with a surgical mask overlay. Results: Most nurses (90%, n = 9) tolerated wearing respiratory protection for two 12-hour shifts. CO
<sub>2</sub>
levels increased significantly compared with baseline measures, especially when comparing an N95 with a surgical mask to only an N95, but changes were not clinically relevant. Perceived exertion; perceived shortness of air; and complaints of headache, lightheadedness, and difficulty communicating also increased over time. Almost one-quarter (22%) of respirator removals were due to reported discomfort. N95 adjustments increased over time, but other compliance measures did not vary by time. Compliance increased on day 2, except for adjustments, touching under the N95, and eye touches. Conclusion: Long-term use of respiratory protection did not result in any clinically relevant physiologic burden for health care personnel, although many subjective symptoms were reported. N95 compliance was fairly high.</s0>
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