Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic
Identifieur interne : 000D52 ( Pmc/Curation ); précédent : 000D51; suivant : 000D53Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic
Auteurs : Xiaoyun Hu [République populaire de Chine] ; Zhidan Zhang [République populaire de Chine] ; Na Li [République populaire de Chine] ; Dexin Liu [République populaire de Chine] ; Li Zhang [République populaire de Chine] ; Wei He [République populaire de Chine] ; Wei Zhang [République populaire de Chine] ; Yuexia Li [République populaire de Chine] ; Cheng Zhu [République populaire de Chine] ; Guijun Zhu [République populaire de Chine] ; Lipeng Zhang [République populaire de Chine] ; Fang Xu [République populaire de Chine] ; Shouhong Wang [République populaire de Chine] ; Xiangyuan Cao [République populaire de Chine] ; Huiying Zhao [République populaire de Chine] ; Qian Li [République populaire de Chine] ; Xijing Zhang [République populaire de Chine] ; Jiandong Lin [République populaire de Chine] ; Shuangping Zhao [République populaire de Chine] ; Chen Li [République populaire de Chine] ; Bin Du [République populaire de Chine]Source :
- PLoS ONE [ 1932-6203 ] ; 2012.
Abstract
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.
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.
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.
Url:
DOI: 10.1371/journal.pone.0044723
PubMed: 22957101
PubMed Central: 3434157
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000D52
Links to Exploration step
PMC:3434157Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic</title>
<author><name sortKey="Hu, Xiaoyun" sort="Hu, Xiaoyun" uniqKey="Hu X" first="Xiaoyun" last="Hu">Xiaoyun Hu</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Peking Union Medical College Hospital, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking Union Medical College Hospital, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Zhidan" sort="Zhang, Zhidan" uniqKey="Zhang Z" first="Zhidan" last="Zhang">Zhidan Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>The First Affiliated Hospital of China Medical University, Shenyang, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital of China Medical University, Shenyang</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Na" sort="Li, Na" uniqKey="Li N" first="Na" last="Li">Na Li</name>
<affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Hainan Provincial People's Hospital, Haikou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hainan Provincial People's Hospital, Haikou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Liu, Dexin" sort="Liu, Dexin" uniqKey="Liu D" first="Dexin" last="Liu">Dexin Liu</name>
<affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>The Second Hospital of Jilin University, Changchun, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The Second Hospital of Jilin University, Changchun</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Li" sort="Zhang, Li" uniqKey="Zhang L" first="Li" last="Zhang">Li Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Fuxing Hospital, Capital Medical University, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Fuxing Hospital, Capital Medical University, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="He, Wei" sort="He, Wei" uniqKey="He W" first="Wei" last="He">Wei He</name>
<affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Beijing Tongren Hospital, Capital Medical University, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Wei" sort="Zhang, Wei" uniqKey="Zhang W" first="Wei" last="Zhang">Wei Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>The First Affiliated Hospital of Kunming Medical College, Kunming, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital of Kunming Medical College, Kunming</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Yuexia" sort="Li, Yuexia" uniqKey="Li Y" first="Yuexia" last="Li">Yuexia Li</name>
<affiliation wicri:level="1"><nlm:aff id="aff8"><addr-line>The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital of Zhengzhou University, Zhengzhou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhu, Cheng" sort="Zhu, Cheng" uniqKey="Zhu C" first="Cheng" last="Zhu">Cheng Zhu</name>
<affiliation wicri:level="1"><nlm:aff id="aff9"><addr-line>Ruijin Hospital, Shanghai Jiaotong University, Shanghai, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Ruijin Hospital, Shanghai Jiaotong University, Shanghai</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhu, Guijun" sort="Zhu, Guijun" uniqKey="Zhu G" first="Guijun" last="Zhu">Guijun Zhu</name>
<affiliation wicri:level="1"><nlm:aff id="aff10"><addr-line>Hebei Medical University Fourth Hospital, Shijiazhuang, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hebei Medical University Fourth Hospital, Shijiazhuang</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Lipeng" sort="Zhang, Lipeng" uniqKey="Zhang L" first="Lipeng" last="Zhang">Lipeng Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff11"><addr-line>The Affiliated Hospital of Inner Mongolia Medical College, Huhhot, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The Affiliated Hospital of Inner Mongolia Medical College, Huhhot</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Xu, Fang" sort="Xu, Fang" uniqKey="Xu F" first="Fang" last="Xu">Fang Xu</name>
<affiliation wicri:level="1"><nlm:aff id="aff12"><addr-line>The First Affiliated Hospital, Chongqing Medical University, Chongqing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital, Chongqing Medical University, Chongqing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wang, Shouhong" sort="Wang, Shouhong" uniqKey="Wang S" first="Shouhong" last="Wang">Shouhong Wang</name>
<affiliation wicri:level="1"><nlm:aff id="aff13"><addr-line>Guangdong General Hospital, Guangzhou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Guangdong General Hospital, Guangzhou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Cao, Xiangyuan" sort="Cao, Xiangyuan" uniqKey="Cao X" first="Xiangyuan" last="Cao">Xiangyuan Cao</name>
<affiliation wicri:level="1"><nlm:aff id="aff14"><addr-line>Affiliated Hospital of Ningxia Medical University, Yinchuan, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Affiliated Hospital of Ningxia Medical University, Yinchuan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhao, Huiying" sort="Zhao, Huiying" uniqKey="Zhao H" first="Huiying" last="Zhao">Huiying Zhao</name>
<affiliation wicri:level="1"><nlm:aff id="aff15"><addr-line>Peking University People's Hospital, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking University People's Hospital, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Qian" sort="Li, Qian" uniqKey="Li Q" first="Qian" last="Li">Qian Li</name>
<affiliation wicri:level="1"><nlm:aff id="aff16"><addr-line>Zhejiang Provincial People's Hospital, Hangzhou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Zhejiang Provincial People's Hospital, Hangzhou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Xijing" sort="Zhang, Xijing" uniqKey="Zhang X" first="Xijing" last="Zhang">Xijing Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff17"><addr-line>Xijing Hospital, Xi'an, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Xijing Hospital, Xi'an</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lin, Jiandong" sort="Lin, Jiandong" uniqKey="Lin J" first="Jiandong" last="Lin">Jiandong Lin</name>
<affiliation wicri:level="1"><nlm:aff id="aff18"><addr-line>The First Affiliated Hospital of Fujian Medical University, Fuzhou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital of Fujian Medical University, Fuzhou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhao, Shuangping" sort="Zhao, Shuangping" uniqKey="Zhao S" first="Shuangping" last="Zhao">Shuangping Zhao</name>
<affiliation wicri:level="1"><nlm:aff id="aff19"><addr-line>Xiangya Hospital, Central South University, Changsha, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Xiangya Hospital, Central South University, Changsha</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Chen" sort="Li, Chen" uniqKey="Li C" first="Chen" last="Li">Chen Li</name>
<affiliation wicri:level="1"><nlm:aff id="aff20"><addr-line>Qilu Hospital of Shandong University, Jinan, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Qilu Hospital of Shandong University, Jinan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Du, Bin" sort="Du, Bin" uniqKey="Du B" first="Bin" last="Du">Bin Du</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Peking Union Medical College Hospital, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking Union Medical College Hospital, Beijing</wicri:regionArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22957101</idno>
<idno type="pmc">3434157</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3434157</idno>
<idno type="RBID">PMC:3434157</idno>
<idno type="doi">10.1371/journal.pone.0044723</idno>
<date when="2012">2012</date>
<idno type="wicri:Area/Pmc/Corpus">000D52</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D52</idno>
<idno type="wicri:Area/Pmc/Curation">000D52</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D52</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic</title>
<author><name sortKey="Hu, Xiaoyun" sort="Hu, Xiaoyun" uniqKey="Hu X" first="Xiaoyun" last="Hu">Xiaoyun Hu</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Peking Union Medical College Hospital, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking Union Medical College Hospital, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Zhidan" sort="Zhang, Zhidan" uniqKey="Zhang Z" first="Zhidan" last="Zhang">Zhidan Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>The First Affiliated Hospital of China Medical University, Shenyang, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital of China Medical University, Shenyang</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Na" sort="Li, Na" uniqKey="Li N" first="Na" last="Li">Na Li</name>
<affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Hainan Provincial People's Hospital, Haikou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hainan Provincial People's Hospital, Haikou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Liu, Dexin" sort="Liu, Dexin" uniqKey="Liu D" first="Dexin" last="Liu">Dexin Liu</name>
<affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>The Second Hospital of Jilin University, Changchun, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The Second Hospital of Jilin University, Changchun</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Li" sort="Zhang, Li" uniqKey="Zhang L" first="Li" last="Zhang">Li Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Fuxing Hospital, Capital Medical University, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Fuxing Hospital, Capital Medical University, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="He, Wei" sort="He, Wei" uniqKey="He W" first="Wei" last="He">Wei He</name>
<affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Beijing Tongren Hospital, Capital Medical University, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Wei" sort="Zhang, Wei" uniqKey="Zhang W" first="Wei" last="Zhang">Wei Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>The First Affiliated Hospital of Kunming Medical College, Kunming, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital of Kunming Medical College, Kunming</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Yuexia" sort="Li, Yuexia" uniqKey="Li Y" first="Yuexia" last="Li">Yuexia Li</name>
<affiliation wicri:level="1"><nlm:aff id="aff8"><addr-line>The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital of Zhengzhou University, Zhengzhou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhu, Cheng" sort="Zhu, Cheng" uniqKey="Zhu C" first="Cheng" last="Zhu">Cheng Zhu</name>
<affiliation wicri:level="1"><nlm:aff id="aff9"><addr-line>Ruijin Hospital, Shanghai Jiaotong University, Shanghai, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Ruijin Hospital, Shanghai Jiaotong University, Shanghai</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhu, Guijun" sort="Zhu, Guijun" uniqKey="Zhu G" first="Guijun" last="Zhu">Guijun Zhu</name>
<affiliation wicri:level="1"><nlm:aff id="aff10"><addr-line>Hebei Medical University Fourth Hospital, Shijiazhuang, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Hebei Medical University Fourth Hospital, Shijiazhuang</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Lipeng" sort="Zhang, Lipeng" uniqKey="Zhang L" first="Lipeng" last="Zhang">Lipeng Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff11"><addr-line>The Affiliated Hospital of Inner Mongolia Medical College, Huhhot, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The Affiliated Hospital of Inner Mongolia Medical College, Huhhot</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Xu, Fang" sort="Xu, Fang" uniqKey="Xu F" first="Fang" last="Xu">Fang Xu</name>
<affiliation wicri:level="1"><nlm:aff id="aff12"><addr-line>The First Affiliated Hospital, Chongqing Medical University, Chongqing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital, Chongqing Medical University, Chongqing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wang, Shouhong" sort="Wang, Shouhong" uniqKey="Wang S" first="Shouhong" last="Wang">Shouhong Wang</name>
<affiliation wicri:level="1"><nlm:aff id="aff13"><addr-line>Guangdong General Hospital, Guangzhou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Guangdong General Hospital, Guangzhou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Cao, Xiangyuan" sort="Cao, Xiangyuan" uniqKey="Cao X" first="Xiangyuan" last="Cao">Xiangyuan Cao</name>
<affiliation wicri:level="1"><nlm:aff id="aff14"><addr-line>Affiliated Hospital of Ningxia Medical University, Yinchuan, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Affiliated Hospital of Ningxia Medical University, Yinchuan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhao, Huiying" sort="Zhao, Huiying" uniqKey="Zhao H" first="Huiying" last="Zhao">Huiying Zhao</name>
<affiliation wicri:level="1"><nlm:aff id="aff15"><addr-line>Peking University People's Hospital, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking University People's Hospital, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Qian" sort="Li, Qian" uniqKey="Li Q" first="Qian" last="Li">Qian Li</name>
<affiliation wicri:level="1"><nlm:aff id="aff16"><addr-line>Zhejiang Provincial People's Hospital, Hangzhou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Zhejiang Provincial People's Hospital, Hangzhou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhang, Xijing" sort="Zhang, Xijing" uniqKey="Zhang X" first="Xijing" last="Zhang">Xijing Zhang</name>
<affiliation wicri:level="1"><nlm:aff id="aff17"><addr-line>Xijing Hospital, Xi'an, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Xijing Hospital, Xi'an</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lin, Jiandong" sort="Lin, Jiandong" uniqKey="Lin J" first="Jiandong" last="Lin">Jiandong Lin</name>
<affiliation wicri:level="1"><nlm:aff id="aff18"><addr-line>The First Affiliated Hospital of Fujian Medical University, Fuzhou, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital of Fujian Medical University, Fuzhou</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Zhao, Shuangping" sort="Zhao, Shuangping" uniqKey="Zhao S" first="Shuangping" last="Zhao">Shuangping Zhao</name>
<affiliation wicri:level="1"><nlm:aff id="aff19"><addr-line>Xiangya Hospital, Central South University, Changsha, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Xiangya Hospital, Central South University, Changsha</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Li, Chen" sort="Li, Chen" uniqKey="Li C" first="Chen" last="Li">Chen Li</name>
<affiliation wicri:level="1"><nlm:aff id="aff20"><addr-line>Qilu Hospital of Shandong University, Jinan, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Qilu Hospital of Shandong University, Jinan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Du, Bin" sort="Du, Bin" uniqKey="Du B" first="Bin" last="Du">Bin Du</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Peking Union Medical College Hospital, Beijing, People's Republic of China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking Union Medical College Hospital, Beijing</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>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.</p>
</sec>
<sec><title>Methodology/Principal Findings</title>
<p>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.</p>
</sec>
<sec><title>Conclusion/Significance</title>
<p>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.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Jain, S" uniqKey="Jain S">S Jain</name>
</author>
<author><name sortKey="Kaminoto, L" uniqKey="Kaminoto L">L Kaminoto</name>
</author>
<author><name sortKey="Bramley, A" uniqKey="Bramley A">A Bramley</name>
</author>
<author><name sortKey="Schmitz, A" uniqKey="Schmitz A">A Schmitz</name>
</author>
<author><name sortKey="Benoit, S" uniqKey="Benoit S">S Benoit</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Swaminathan, A" uniqKey="Swaminathan A">A Swaminathan</name>
</author>
<author><name sortKey="Martin, R" uniqKey="Martin R">R Martin</name>
</author>
<author><name sortKey="Gamon, S" uniqKey="Gamon S">S Gamon</name>
</author>
<author><name sortKey="Aboltins, C" uniqKey="Aboltins C">C Aboltins</name>
</author>
<author><name sortKey="Athan, E" uniqKey="Athan E">E Athan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tai, Dyh" uniqKey="Tai D">DYH Tai</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Jaeger, Ji" uniqKey="Jaeger J">JI Jaeger</name>
</author>
<author><name sortKey="Patel, M" uniqKey="Patel M">M Patel</name>
</author>
<author><name sortKey="Dharan, N" uniqKey="Dharan N">N Dharan</name>
</author>
<author><name sortKey="Hancock, K" uniqKey="Hancock K">K Hancock</name>
</author>
<author><name sortKey="Meites, E" uniqKey="Meites E">E Meites</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bolyard, Ea" uniqKey="Bolyard E">EA Bolyard</name>
</author>
<author><name sortKey="Tablan, Oc" uniqKey="Tablan O">OC Tablan</name>
</author>
<author><name sortKey="Williams, Ww" uniqKey="Williams W">WW Williams</name>
</author>
<author><name sortKey="Pearson, Ml" uniqKey="Pearson M">ML Pearson</name>
</author>
<author><name sortKey="Shapiro, Cn" uniqKey="Shapiro C">CN Shapiro</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Boyce, Jm" uniqKey="Boyce J">JM Boyce</name>
</author>
<author><name sortKey="Pittet, D" uniqKey="Pittet D">D Pittet</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Siegel, Jd" uniqKey="Siegel J">JD Siegel</name>
</author>
<author><name sortKey="Rhinehart, E" uniqKey="Rhinehart E">E Rhinehart</name>
</author>
<author><name sortKey="Jackson, M" uniqKey="Jackson M">M Jackson</name>
</author>
<author><name sortKey="Chiarello, L" uniqKey="Chiarello L">L Chiarello</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Cabana, Md" uniqKey="Cabana M">MD Cabana</name>
</author>
<author><name sortKey="Rand, Cs" uniqKey="Rand C">CS Rand</name>
</author>
<author><name sortKey="Powe, Nr" uniqKey="Powe N">NR Powe</name>
</author>
<author><name sortKey="Wu, Aw" uniqKey="Wu A">AW Wu</name>
</author>
<author><name sortKey="Wilson, Mh" uniqKey="Wilson M">MH Wilson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Daugherty, El" uniqKey="Daugherty E">EL Daugherty</name>
</author>
<author><name sortKey="Perl, Tm" uniqKey="Perl T">TM Perl</name>
</author>
<author><name sortKey="Needham, Dm" uniqKey="Needham D">DM Needham</name>
</author>
<author><name sortKey="Rubinson, L" uniqKey="Rubinson L">L Rubinson</name>
</author>
<author><name sortKey="Bilderback, A" uniqKey="Bilderback A">A Bilderback</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ma, X" uniqKey="Ma X">X Ma</name>
</author>
<author><name sortKey="He, Z" uniqKey="He Z">Z He</name>
</author>
<author><name sortKey="Wang, Y" uniqKey="Wang Y">Y Wang</name>
</author>
<author><name sortKey="Jiang, L" uniqKey="Jiang L">L Jiang</name>
</author>
<author><name sortKey="Xu, Y" uniqKey="Xu Y">Y Xu</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Seto, Wh" uniqKey="Seto W">WH Seto</name>
</author>
<author><name sortKey="Tsang, D" uniqKey="Tsang D">D Tsang</name>
</author>
<author><name sortKey="Yung, Rw" uniqKey="Yung R">RW Yung</name>
</author>
<author><name sortKey="Ching, Ty" uniqKey="Ching T">TY Ching</name>
</author>
<author><name sortKey="Ng, Tk" uniqKey="Ng T">TK Ng</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Reid, Sm" uniqKey="Reid S">SM Reid</name>
</author>
<author><name sortKey="Farion, Kj" uniqKey="Farion K">KJ Farion</name>
</author>
<author><name sortKey="Suh, Kn" uniqKey="Suh K">KN Suh</name>
</author>
<author><name sortKey="Audcent, T" uniqKey="Audcent T">T Audcent</name>
</author>
<author><name sortKey="Barrowman, Nj" uniqKey="Barrowman N">NJ Barrowman</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Beam, El" uniqKey="Beam E">EL Beam</name>
</author>
<author><name sortKey="Gibbs, Sg" uniqKey="Gibbs S">SG Gibbs</name>
</author>
<author><name sortKey="Boulter, Kc" uniqKey="Boulter K">KC Boulter</name>
</author>
<author><name sortKey="Beckerdite, Me" uniqKey="Beckerdite M">ME Beckerdite</name>
</author>
<author><name sortKey="Smith, Pw" uniqKey="Smith P">PW Smith</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Timen, A" uniqKey="Timen A">A Timen</name>
</author>
<author><name sortKey="Hulscher, Me" uniqKey="Hulscher M">ME Hulscher</name>
</author>
<author><name sortKey="Rust, L" uniqKey="Rust L">L Rust</name>
</author>
<author><name sortKey="Van Steenbergen, Je" uniqKey="Van Steenbergen J">JE van Steenbergen</name>
</author>
<author><name sortKey="Akkermans, Rp" uniqKey="Akkermans R">RP Akkermans</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Brunkhorst, Fm" uniqKey="Brunkhorst F">FM Brunkhorst</name>
</author>
<author><name sortKey="Engel, C" uniqKey="Engel C">C Engel</name>
</author>
<author><name sortKey="Ragaller, M" uniqKey="Ragaller M">M Ragaller</name>
</author>
<author><name sortKey="Wlte, T" uniqKey="Wlte T">T Wlte</name>
</author>
<author><name sortKey="Rossaint, R" uniqKey="Rossaint R">R Rossaint</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="O Boyle, Ca" uniqKey="O Boyle C">CA O'Boyle</name>
</author>
<author><name sortKey="Henly, Sj" uniqKey="Henly S">SJ Henly</name>
</author>
<author><name sortKey="Larson, E" uniqKey="Larson E">E Larson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Kirkland, Kb" uniqKey="Kirkland K">KB Kirkland</name>
</author>
<author><name sortKey="Weinstein, Jm" uniqKey="Weinstein J">JM Weinstein</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Evans, Hl" uniqKey="Evans H">HL Evans</name>
</author>
<author><name sortKey="Shaffer, Mm" uniqKey="Shaffer M">MM Shaffer</name>
</author>
<author><name sortKey="Hughes, Mg" uniqKey="Hughes M">MG Hughes</name>
</author>
<author><name sortKey="Smith, Rl" uniqKey="Smith R">RL Smith</name>
</author>
<author><name sortKey="Chong, Tw" uniqKey="Chong T">TW Chong</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Saint, S" uniqKey="Saint S">S Saint</name>
</author>
<author><name sortKey="Higgins, La" uniqKey="Higgins L">LA Higgins</name>
</author>
<author><name sortKey="Nallamothu, Bk" uniqKey="Nallamothu B">BK Nallamothu</name>
</author>
<author><name sortKey="Chenoweth, C" uniqKey="Chenoweth C">C Chenoweth</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Maunder, R" uniqKey="Maunder R">R Maunder</name>
</author>
<author><name sortKey="Hunter, J" uniqKey="Hunter J">J Hunter</name>
</author>
<author><name sortKey="Vincent, L" uniqKey="Vincent L">L Vincent</name>
</author>
<author><name sortKey="Bennett, J" uniqKey="Bennett J">J Bennett</name>
</author>
<author><name sortKey="Peladeau, N" uniqKey="Peladeau N">N Peladeau</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Banach, Db" uniqKey="Banach D">DB Banach</name>
</author>
<author><name sortKey="Bielang, R" uniqKey="Bielang R">R Bielang</name>
</author>
<author><name sortKey="Calfee, Dp" uniqKey="Calfee D">DP Calfee</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Huang, Dt" uniqKey="Huang D">DT Huang</name>
</author>
<author><name sortKey="Clermont, G" uniqKey="Clermont G">G Clermont</name>
</author>
<author><name sortKey="Kong, L" uniqKey="Kong L">L Kong</name>
</author>
<author><name sortKey="Weissfeld, La" uniqKey="Weissfeld L">LA Weissfeld</name>
</author>
<author><name sortKey="Sexton, Jb" uniqKey="Sexton J">JB Sexton</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Knaus, Wa" uniqKey="Knaus W">WA Knaus</name>
</author>
<author><name sortKey="Draper, Ea" uniqKey="Draper E">EA Draper</name>
</author>
<author><name sortKey="Wagner, Dp" uniqKey="Wagner D">DP Wagner</name>
</author>
<author><name sortKey="Zimmerman, Je" uniqKey="Zimmerman J">JE Zimmerman</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Pronovost, P" uniqKey="Pronovost P">P Pronovost</name>
</author>
<author><name sortKey="Needham, D" uniqKey="Needham D">D Needham</name>
</author>
<author><name sortKey="Berenholtz, S" uniqKey="Berenholtz S">S Berenholtz</name>
</author>
<author><name sortKey="Berenholtz, S" uniqKey="Berenholtz S">S Berenholtz</name>
</author>
<author><name sortKey="Sinopoli, D" uniqKey="Sinopoli D">D Sinopoli</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ferrer, R" uniqKey="Ferrer R">R Ferrer</name>
</author>
<author><name sortKey="Artigas, A" uniqKey="Artigas A">A Artigas</name>
</author>
<author><name sortKey="Levy, Mm" uniqKey="Levy M">MM Levy</name>
</author>
<author><name sortKey="Blanco, J" uniqKey="Blanco J">J Blanco</name>
</author>
<author><name sortKey="Gonzalez Diaz, G" uniqKey="Gonzalez Diaz G">G Gonzalez-Diaz</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="De Vos, Mlg" uniqKey="De Vos M">MLG de Vos</name>
</author>
<author><name sortKey="Van Der Veer, Sn" uniqKey="Van Der Veer S">SN van der Veer</name>
</author>
<author><name sortKey="Graafmans, Wc" uniqKey="Graafmans W">WC Graafmans</name>
</author>
<author><name sortKey="De Keizer, Nf" uniqKey="De Keizer N">NF de Keizer</name>
</author>
<author><name sortKey="Jager, Kj" uniqKey="Jager K">KJ Jager</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">PLoS One</journal-id>
<journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosone</journal-id>
<journal-title-group><journal-title>PLoS ONE</journal-title>
</journal-title-group>
<issn pub-type="epub">1932-6203</issn>
<publisher><publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22957101</article-id>
<article-id pub-id-type="pmc">3434157</article-id>
<article-id pub-id-type="publisher-id">PONE-D-12-05996</article-id>
<article-id pub-id-type="doi">10.1371/journal.pone.0044723</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v2"><subject>Medicine</subject>
<subj-group><subject>Clinical Research Design</subject>
<subj-group><subject>Cross-Sectional Studies</subject>
</subj-group>
</subj-group>
<subj-group><subject>Critical Care and Emergency Medicine</subject>
</subj-group>
<subj-group><subject>Infectious Diseases</subject>
<subj-group><subject>Viral Diseases</subject>
<subj-group><subject>Influenza</subject>
</subj-group>
</subj-group>
<subj-group><subject>Infectious Disease Control</subject>
</subj-group>
</subj-group>
<subj-group><subject>Public Health</subject>
<subj-group><subject>Occupational and Industrial Health</subject>
</subj-group>
</subj-group>
<subj-group><subject>Pulmonology</subject>
<subj-group><subject>Respiratory Infections</subject>
<subj-group><subject>Lower Respiratory Tract Infections</subject>
<subject>Upper Respiratory Tract Infections</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic</article-title>
<alt-title alt-title-type="running-head">Self-Reported PPE Use in China ICU</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Hu</surname>
<given-names>Xiaoyun</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Zhidan</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Li</surname>
<given-names>Na</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Liu</surname>
<given-names>Dexin</given-names>
</name>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Li</given-names>
</name>
<xref ref-type="aff" rid="aff5"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>He</surname>
<given-names>Wei</given-names>
</name>
<xref ref-type="aff" rid="aff6"><sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Wei</given-names>
</name>
<xref ref-type="aff" rid="aff7"><sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Li</surname>
<given-names>Yuexia</given-names>
</name>
<xref ref-type="aff" rid="aff8"><sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhu</surname>
<given-names>Cheng</given-names>
</name>
<xref ref-type="aff" rid="aff9"><sup>9</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhu</surname>
<given-names>Guijun</given-names>
</name>
<xref ref-type="aff" rid="aff10"><sup>10</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Lipeng</given-names>
</name>
<xref ref-type="aff" rid="aff11"><sup>11</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Xu</surname>
<given-names>Fang</given-names>
</name>
<xref ref-type="aff" rid="aff12"><sup>12</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wang</surname>
<given-names>Shouhong</given-names>
</name>
<xref ref-type="aff" rid="aff13"><sup>13</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cao</surname>
<given-names>Xiangyuan</given-names>
</name>
<xref ref-type="aff" rid="aff14"><sup>14</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhao</surname>
<given-names>Huiying</given-names>
</name>
<xref ref-type="aff" rid="aff15"><sup>15</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Li</surname>
<given-names>Qian</given-names>
</name>
<xref ref-type="aff" rid="aff16"><sup>16</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Xijing</given-names>
</name>
<xref ref-type="aff" rid="aff17"><sup>17</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lin</surname>
<given-names>Jiandong</given-names>
</name>
<xref ref-type="aff" rid="aff18"><sup>18</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhao</surname>
<given-names>Shuangping</given-names>
</name>
<xref ref-type="aff" rid="aff19"><sup>19</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Li</surname>
<given-names>Chen</given-names>
</name>
<xref ref-type="aff" rid="aff20"><sup>20</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Du</surname>
<given-names>Bin</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><collab>for the China Critical Care Clinical Trial Group (CCCCTG)</collab>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
<addr-line>Peking Union Medical College Hospital, Beijing, People's Republic of China</addr-line>
</aff>
<aff id="aff2"><label>2</label>
<addr-line>The First Affiliated Hospital of China Medical University, Shenyang, People's Republic of China</addr-line>
</aff>
<aff id="aff3"><label>3</label>
<addr-line>Hainan Provincial People's Hospital, Haikou, People's Republic of China</addr-line>
</aff>
<aff id="aff4"><label>4</label>
<addr-line>The Second Hospital of Jilin University, Changchun, People's Republic of China</addr-line>
</aff>
<aff id="aff5"><label>5</label>
<addr-line>Fuxing Hospital, Capital Medical University, Beijing, People's Republic of China</addr-line>
</aff>
<aff id="aff6"><label>6</label>
<addr-line>Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China</addr-line>
</aff>
<aff id="aff7"><label>7</label>
<addr-line>The First Affiliated Hospital of Kunming Medical College, Kunming, People's Republic of China</addr-line>
</aff>
<aff id="aff8"><label>8</label>
<addr-line>The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China</addr-line>
</aff>
<aff id="aff9"><label>9</label>
<addr-line>Ruijin Hospital, Shanghai Jiaotong University, Shanghai, People's Republic of China</addr-line>
</aff>
<aff id="aff10"><label>10</label>
<addr-line>Hebei Medical University Fourth Hospital, Shijiazhuang, People's Republic of China</addr-line>
</aff>
<aff id="aff11"><label>11</label>
<addr-line>The Affiliated Hospital of Inner Mongolia Medical College, Huhhot, People's Republic of China</addr-line>
</aff>
<aff id="aff12"><label>12</label>
<addr-line>The First Affiliated Hospital, Chongqing Medical University, Chongqing, People's Republic of China</addr-line>
</aff>
<aff id="aff13"><label>13</label>
<addr-line>Guangdong General Hospital, Guangzhou, People's Republic of China</addr-line>
</aff>
<aff id="aff14"><label>14</label>
<addr-line>Affiliated Hospital of Ningxia Medical University, Yinchuan, People's Republic of China</addr-line>
</aff>
<aff id="aff15"><label>15</label>
<addr-line>Peking University People's Hospital, Beijing, People's Republic of China</addr-line>
</aff>
<aff id="aff16"><label>16</label>
<addr-line>Zhejiang Provincial People's Hospital, Hangzhou, People's Republic of China</addr-line>
</aff>
<aff id="aff17"><label>17</label>
<addr-line>Xijing Hospital, Xi'an, People's Republic of China</addr-line>
</aff>
<aff id="aff18"><label>18</label>
<addr-line>The First Affiliated Hospital of Fujian Medical University, Fuzhou, People's Republic of China</addr-line>
</aff>
<aff id="aff19"><label>19</label>
<addr-line>Xiangya Hospital, Central South University, Changsha, People's Republic of China</addr-line>
</aff>
<aff id="aff20"><label>20</label>
<addr-line>Qilu Hospital of Shandong University, Jinan, People's Republic of China</addr-line>
</aff>
<contrib-group><contrib contrib-type="editor"><name><surname>Santin</surname>
<given-names>Miguel</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1"><addr-line>Barcelona University Hospital, Spain</addr-line>
</aff>
<author-notes><corresp id="cor1">* E-mail: <email>dubin98@gmail.com</email>
</corresp>
<fn fn-type="COI-statement"><p><bold>Competing Interests: </bold>
The authors have declared that no competing interests exist.</p>
</fn>
<fn fn-type="con"><p>Conceived and designed the experiments: BD. Performed the experiments: XH ZZ NL DL Li Zhang WH WZ YL CZ GZ Lipeng Zhang FX SW XC HZ QL XZ JL SZ CL BD. Analyzed the data: BD XH. Wrote the paper: BD.</p>
</fn>
</author-notes>
<pub-date pub-type="collection"><year>2012</year>
</pub-date>
<pub-date pub-type="epub"><day>5</day>
<month>9</month>
<year>2012</year>
</pub-date>
<volume>7</volume>
<issue>9</issue>
<elocation-id>e44723</elocation-id>
<history><date date-type="received"><day>20</day>
<month>2</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>9</day>
<month>8</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>© 2012 Hu et al</copyright-statement>
<copyright-year>2012</copyright-year>
<copyright-holder>Hu et al</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.</license-p>
</license>
</permissions>
<abstract><sec><title>Background</title>
<p>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.</p>
</sec>
<sec><title>Methodology/Principal Findings</title>
<p>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.</p>
</sec>
<sec><title>Conclusion/Significance</title>
<p>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.</p>
</sec>
</abstract>
<funding-group><funding-statement>The authors have no support or funding to report.</funding-statement>
</funding-group>
<counts><page-count count="7"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/PandemieGrippaleV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000D52 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000D52 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= PandemieGrippaleV1 |flux= Pmc |étape= Curation |type= RBID |clé= PMC:3434157 |texte= Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:22957101" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \ | NlmPubMed2Wicri -a PandemieGrippaleV1
![]() | This area was generated with Dilib version V0.6.34. | ![]() |