Preparing for an Influenza Pandemic: Hospital Acceptance Study of Filtering Facepiece Respirator Decontamination Using Ultraviolet Germicidal Irradiation
Identifieur interne : 000B38 ( Pmc/Curation ); précédent : 000B37; suivant : 000B39Preparing 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
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Saul Hymes<affiliation><nlm:aff id="aff6">Stony Brook University Hospital, Stony Brook, New York.</nlm:aff><wicri:noCountry code="subfield">New York.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff6">Stony Brook University Hospital, Stony Brook, New York.</nlm:aff><wicri:noCountry code="subfield">New York.</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Preparing for an Influenza Pandemic: Hospital Acceptance Study of Filtering Facepiece Respirator Decontamination Using Ultraviolet Germicidal Irradiation</title><author><name sortKey="Nemeth, Christopher" 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></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32175970</idno><idno type="pmc">7224602</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224602</idno><idno type="RBID">PMC:7224602</idno><idno type="doi">10.1097/PTS.0000000000000600</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000B38</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000B38</idno><idno type="wicri:Area/Pmc/Curation">000B38</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000B38</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Preparing for an Influenza Pandemic: Hospital Acceptance Study of Filtering Facepiece Respirator Decontamination Using Ultraviolet Germicidal Irradiation</title><author><name sortKey="Nemeth, Christopher" 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" uniqKey="Rainisch G">G Rainisch</name></author><author><name sortKey="Shankar, M" uniqKey="Shankar M">M Shankar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wizner, K" uniqKey="Wizner K">K Wizner</name></author><author><name sortKey="Stradtman, L" uniqKey="Stradtman L">L Stradtman</name></author><author><name sortKey="Novak, D" uniqKey="Novak D">D Novak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rebmann, T" uniqKey="Rebmann T">T Rebmann</name></author><author><name sortKey="Alexander, S" uniqKey="Alexander S">S Alexander</name></author><author><name sortKey="Bartley, J" uniqKey="Bartley J">J Bartley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murray, M" uniqKey="Murray M">M Murray</name></author><author><name sortKey="Grant, J" uniqKey="Grant J">J Grant</name></author><author><name sortKey="Bryce, E" uniqKey="Bryce E">E Bryce</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beckman, S" uniqKey="Beckman S">S Beckman</name></author><author><name sortKey="Materna, B" uniqKey="Materna B">B Materna</name></author><author><name sortKey="Goldmacher, S" uniqKey="Goldmacher S">S Goldmacher</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Heimbuch, Bk" uniqKey="Heimbuch B">BK Heimbuch</name></author><author><name sortKey="Wallace, Wh" uniqKey="Wallace W">WH Wallace</name></author><author><name sortKey="Kinney, K" uniqKey="Kinney K">K Kinney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lore, Mb" uniqKey="Lore M">MB Lore</name></author><author><name sortKey="Heimbuch, Bk" uniqKey="Heimbuch B">BK Heimbuch</name></author><author><name sortKey="Brown, Tl" uniqKey="Brown T">TL Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fisher, E" uniqKey="Fisher E">E Fisher</name></author><author><name sortKey="Rengasamy, S" uniqKey="Rengasamy S">S Rengasamy</name></author><author><name sortKey="Viscusi, D" uniqKey="Viscusi D">D Viscusi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vo, E" uniqKey="Vo E">E Vo</name></author><author><name sortKey="Rengasamy, S" uniqKey="Rengasamy S">S Rengasamy</name></author><author><name sortKey="Shaffer, R" uniqKey="Shaffer R">R Shaffer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bergman, Ms" uniqKey="Bergman M">MS Bergman</name></author><author><name sortKey="Viscusi, Dj" uniqKey="Viscusi D">DJ Viscusi</name></author><author><name sortKey="Heimbuch, Bk" uniqKey="Heimbuch B">BK Heimbuch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mills, B" uniqKey="Mills B">B Mills</name></author><author><name sortKey="Harnish, Da" uniqKey="Harnish D">DA Harnish</name></author><author><name sortKey="Lawrence, C" uniqKey="Lawrence C">C Lawrence</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Radonovich, Lj" uniqKey="Radonovich L">LJ Radonovich</name></author><author><name sortKey="Cheng, J" uniqKey="Cheng J">J Cheng</name></author><author><name sortKey="Shenal, Bv" uniqKey="Shenal B">BV Shenal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baig, As" uniqKey="Baig A">AS Baig</name></author><author><name sortKey="Knapp, C" uniqKey="Knapp C">C Knapp</name></author><author><name sortKey="Eagan, Ae" uniqKey="Eagan A">AE Eagan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nemeth, C" uniqKey="Nemeth C">C Nemeth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crandall, B" uniqKey="Crandall B">B Crandall</name></author><author><name sortKey="Klein, G" uniqKey="Klein G">G Klein</name></author><author><name sortKey="Hoffman, Rr" uniqKey="Hoffman R">RR Hoffman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Braun, V" uniqKey="Braun V">V Braun</name></author><author><name sortKey="Clarke, V" uniqKey="Clarke V">V Clarke</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hoffman, R" uniqKey="Hoffman R">R Hoffman</name></author><author><name sortKey="Deal, S" uniqKey="Deal S">S Deal</name></author><author><name sortKey="Potter, S" uniqKey="Potter S">S Potter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nemeth, C" uniqKey="Nemeth C">C Nemeth</name></author><author><name sortKey="Laufersweiler, D" uniqKey="Laufersweiler D">D Laufersweiler</name></author><author><name sortKey="Polander, E" uniqKey="Polander E">E Polander</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Woods, Dd" uniqKey="Woods D">DD Woods</name></author><author><name sortKey="Dekker, Swa" uniqKey="Dekker S">SWA Dekker</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Patient Saf</journal-id><journal-id journal-id-type="iso-abbrev">J Patient Saf</journal-id><journal-id journal-id-type="publisher-id">PTS</journal-id><journal-title-group><journal-title>Journal of Patient Safety</journal-title></journal-title-group><issn pub-type="ppub">1549-8417</issn><issn pub-type="epub">1549-8425</issn><publisher><publisher-name>Lippincott Williams & Wilkins</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32175970</article-id><article-id pub-id-type="pmc">7224602</article-id><article-id pub-id-type="doi">10.1097/PTS.0000000000000600</article-id><article-categories><subj-group subj-group-type="heading"><subject>Invited Commentary</subject></subj-group></article-categories><title-group><article-title>Preparing for an Influenza Pandemic: Hospital Acceptance Study of Filtering Facepiece Respirator Decontamination Using Ultraviolet Germicidal Irradiation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Nemeth</surname><given-names>Christopher</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">∗</xref></contrib><contrib contrib-type="author"><name><surname>Laufersweiler</surname><given-names>Dawn</given-names></name><degrees>BA</degrees><xref ref-type="aff" rid="aff1">∗</xref></contrib><contrib contrib-type="author"><name><surname>Polander</surname><given-names>Emily</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="aff1">∗</xref></contrib><contrib contrib-type="author"><name><surname>Orvis</surname><given-names>Christianna</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2">†</xref></contrib><contrib contrib-type="author"><name><surname>Harnish</surname><given-names>Del</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="aff3">‡</xref></contrib><contrib contrib-type="author"><name><surname>Morgan</surname><given-names>Sherwin E.</given-names></name><degrees>RRT, RCP</degrees><xref ref-type="aff" rid="aff4">§</xref></contrib><contrib contrib-type="author"><name><surname>O’Connor</surname><given-names>Michael</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff5">∥</xref></contrib><contrib contrib-type="author"><name><surname>Hymes</surname><given-names>Saul</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff6">¶</xref></contrib><contrib contrib-type="author"><name><surname>Nachman</surname><given-names>Sharon</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff6">¶</xref></contrib><contrib contrib-type="author"><name><surname>Heimbuch</surname><given-names>Brian</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="aff3">‡</xref></contrib></contrib-group><aff id="aff1">From the<label>∗</label>Capital Area Division, Applied Research Associates, Inc, Alexandria, Virginia</aff><aff id="aff2"><label>†</label>Gulf Coast Regional Medical Center</aff><aff id="aff3"><label>‡</label>Engineering Science Division, Applied Research Associates, Inc, Panama City, Florida</aff><aff id="aff4"><label>§</label>Department of Respiratory Care Services, University of Chicago Medical Center, Chicago, Illinois</aff><aff id="aff5"><label>∥</label>University of Chicago Medical Center, The University of Chicago, Chicago, Illinois</aff><aff id="aff6"><label>¶</label>Stony Brook University Hospital, Stony Brook, New York.</aff><author-notes><corresp id="corr1">Correspondence: Christopher Nemeth, PhD, Applied Research Associates, Inc, 2760 Eisenhower Hwy, Suite 308, Alexandria, VA 22314 (e-mail: <email>cnemeth@ara.com</email>).</corresp></author-notes><pub-date pub-type="ppub"><day>11</day><month>3</month><year>2020</year></pub-date><pub-date pub-type="epub"><day>11</day><month>3</month><year>2020</year></pub-date><elocation-id>10.1097/PTS.0000000000000600</elocation-id><permissions><copyright-statement>Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.</copyright-statement><copyright-year>2019</copyright-year><copyright-holder>Wolters Kluwer Health, Inc. All rights reserved.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0"><license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p></license></permissions><self-uri xlink:href="pts-publish-ahead-of-print-10.1097.pts.0000000000000600.pdf"></self-uri><abstract><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></abstract><kwd-group><title>Key Words</title><kwd>patient safety</kwd><kwd>respiratory protection</kwd><kwd>influenza</kwd><kwd>pandemic</kwd><kwd>filtering face piece respirator</kwd><kwd>ultraviolet decontamination</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>PUBSTATE</meta-name><meta-value>POST-AUTHOR-CORRECTIONS</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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