Clinician Beliefs and Attitudes Regarding Use of Respiratory Protective Devices and Surgical Masks for Influenza.
Identifieur interne : 000634 ( PubMed/Corpus ); précédent : 000633; suivant : 000635Clinician Beliefs and Attitudes Regarding Use of Respiratory Protective Devices and Surgical Masks for Influenza.
Auteurs : Satish K. Pillai ; Susan E. Beekmann ; Hilary M. Babcock ; Andrew T. Pavia ; Lisa M. Koonin ; Philip M. PolgreenSource :
- Health security [ 2326-5108 ]
English descriptors
- KwdEn :
- Attitude of Health Personnel, Cross-Sectional Studies, Humans, Infectious Disease Transmission, Patient-to-Professional (prevention & control), Influenza, Human (prevention & control), Influenza, Human (transmission), Masks, North America, Occupational Exposure (prevention & control), Respiratory Protective Devices.
- MESH :
- geographic : North America.
- prevention & control : Infectious Disease Transmission, Patient-to-Professional, Influenza, Human, Occupational Exposure.
- transmission : Influenza, Human.
- Attitude of Health Personnel, Cross-Sectional Studies, Humans, Masks, Respiratory Protective Devices.
Abstract
While influenza transmission is thought to occur primarily by droplet spread, the role of airborne spread remains uncertain. Understanding the beliefs and attitudes of infectious disease physicians regarding influenza transmission and respiratory and barrier protection preferences can provide insights into workplace decisions regarding respiratory protection planning. Physicians participating in the Infectious Diseases Society of America's Emerging Infections Network were queried in November 2013 to determine beliefs and attitudes on influenza transmission. A subset of physicians involved in their facility's respiratory protection decision making were queried about respirator and surgical mask choices under various pandemic scenarios; availability of, and challenges associated with, respirators in their facility; and protective strategies during disposable N95 shortages. The majority of 686 respondents (98%) believed influenza transmission occurs frequently or occasionally via droplets; 44% of respondents believed transmission occurs via small particles frequently (12%) or occasionally (32%). Among the subset of respondents involved in respiratory protection planning at their facility, over 90% preferred surgical masks during provision of non-aerosol-generating patient care for seasonal influenza. However, for the same type of care during an influenza pandemic, two-thirds of respondents opted for disposable N95 filtering facepiece respirators. In settings where filtering facepiece (disposable) N95 respirators were in short supply, preferred conservation strategies included extended use and reuse of disposable N95s. Use of reusable (elastomeric facepiece) respirator types was viewed less favorably. While respondents identified droplets as the primary mode of influenza transmission, during a high-severity pandemic scenario there was increased support for devices that reduced aerosol-based transmission. Use of potentially less familiar respirator types may partially relieve shortages of disposable N95s but also may require significant education efforts so that clinicians are aware of the characteristics of alternative personal protective equipment.
DOI: 10.1089/hs.2015.0011
PubMed: 26173092
Links to Exploration step
pubmed:26173092Le document en format XML
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Koonin</name></author><author><name sortKey="Polgreen, Philip M" sort="Polgreen, Philip M" uniqKey="Polgreen P" first="Philip M" last="Polgreen">Philip M. Polgreen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2015 Jul-Aug</MedlineDate></PubDate></date><idno type="RBID">pubmed:26173092</idno><idno type="pmid">26173092</idno><idno type="doi">10.1089/hs.2015.0011</idno><idno type="wicri:Area/PubMed/Corpus">000634</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000634</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Clinician Beliefs and Attitudes Regarding Use of Respiratory Protective Devices and Surgical Masks for Influenza.</title><author><name sortKey="Pillai, Satish K" sort="Pillai, Satish K" uniqKey="Pillai S" first="Satish K" last="Pillai">Satish K. Pillai</name></author><author><name sortKey="Beekmann, Susan E" sort="Beekmann, Susan E" uniqKey="Beekmann S" first="Susan E" last="Beekmann">Susan E. Beekmann</name></author><author><name sortKey="Babcock, Hilary M" sort="Babcock, Hilary M" uniqKey="Babcock H" first="Hilary M" last="Babcock">Hilary M. Babcock</name></author><author><name sortKey="Pavia, Andrew T" sort="Pavia, Andrew T" uniqKey="Pavia A" first="Andrew T" last="Pavia">Andrew T. Pavia</name></author><author><name sortKey="Koonin, Lisa M" sort="Koonin, Lisa M" uniqKey="Koonin L" first="Lisa M" last="Koonin">Lisa M. Koonin</name></author><author><name sortKey="Polgreen, Philip M" sort="Polgreen, Philip M" uniqKey="Polgreen P" first="Philip M" last="Polgreen">Philip M. Polgreen</name></author></analytic><series><title level="j">Health security</title><idno type="eISSN">2326-5108</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel</term><term>Cross-Sectional Studies</term><term>Humans</term><term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term><term>Influenza, Human (prevention & control)</term><term>Influenza, Human (transmission)</term><term>Masks</term><term>North America</term><term>Occupational Exposure (prevention & control)</term><term>Respiratory Protective Devices</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>North America</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Infectious Disease Transmission, Patient-to-Professional</term><term>Influenza, Human</term><term>Occupational Exposure</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Cross-Sectional Studies</term><term>Humans</term><term>Masks</term><term>Respiratory Protective Devices</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">While influenza transmission is thought to occur primarily by droplet spread, the role of airborne spread remains uncertain. Understanding the beliefs and attitudes of infectious disease physicians regarding influenza transmission and respiratory and barrier protection preferences can provide insights into workplace decisions regarding respiratory protection planning. Physicians participating in the Infectious Diseases Society of America's Emerging Infections Network were queried in November 2013 to determine beliefs and attitudes on influenza transmission. A subset of physicians involved in their facility's respiratory protection decision making were queried about respirator and surgical mask choices under various pandemic scenarios; availability of, and challenges associated with, respirators in their facility; and protective strategies during disposable N95 shortages. The majority of 686 respondents (98%) believed influenza transmission occurs frequently or occasionally via droplets; 44% of respondents believed transmission occurs via small particles frequently (12%) or occasionally (32%). Among the subset of respondents involved in respiratory protection planning at their facility, over 90% preferred surgical masks during provision of non-aerosol-generating patient care for seasonal influenza. However, for the same type of care during an influenza pandemic, two-thirds of respondents opted for disposable N95 filtering facepiece respirators. In settings where filtering facepiece (disposable) N95 respirators were in short supply, preferred conservation strategies included extended use and reuse of disposable N95s. Use of reusable (elastomeric facepiece) respirator types was viewed less favorably. While respondents identified droplets as the primary mode of influenza transmission, during a high-severity pandemic scenario there was increased support for devices that reduced aerosol-based transmission. Use of potentially less familiar respirator types may partially relieve shortages of disposable N95s but also may require significant education efforts so that clinicians are aware of the characteristics of alternative personal protective equipment. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26173092</PMID><DateCompleted><Year>2016</Year><Month>05</Month><Day>09</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2326-5108</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><Issue>4</Issue><PubDate><MedlineDate>2015 Jul-Aug</MedlineDate></PubDate></JournalIssue><Title>Health security</Title><ISOAbbreviation>Health Secur</ISOAbbreviation></Journal><ArticleTitle>Clinician Beliefs and Attitudes Regarding Use of Respiratory Protective Devices and Surgical Masks for Influenza.</ArticleTitle><Pagination><MedlinePgn>274-80</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/hs.2015.0011</ELocationID><Abstract><AbstractText>While influenza transmission is thought to occur primarily by droplet spread, the role of airborne spread remains uncertain. Understanding the beliefs and attitudes of infectious disease physicians regarding influenza transmission and respiratory and barrier protection preferences can provide insights into workplace decisions regarding respiratory protection planning. Physicians participating in the Infectious Diseases Society of America's Emerging Infections Network were queried in November 2013 to determine beliefs and attitudes on influenza transmission. A subset of physicians involved in their facility's respiratory protection decision making were queried about respirator and surgical mask choices under various pandemic scenarios; availability of, and challenges associated with, respirators in their facility; and protective strategies during disposable N95 shortages. The majority of 686 respondents (98%) believed influenza transmission occurs frequently or occasionally via droplets; 44% of respondents believed transmission occurs via small particles frequently (12%) or occasionally (32%). Among the subset of respondents involved in respiratory protection planning at their facility, over 90% preferred surgical masks during provision of non-aerosol-generating patient care for seasonal influenza. However, for the same type of care during an influenza pandemic, two-thirds of respondents opted for disposable N95 filtering facepiece respirators. In settings where filtering facepiece (disposable) N95 respirators were in short supply, preferred conservation strategies included extended use and reuse of disposable N95s. Use of reusable (elastomeric facepiece) respirator types was viewed less favorably. While respondents identified droplets as the primary mode of influenza transmission, during a high-severity pandemic scenario there was increased support for devices that reduced aerosol-based transmission. Use of potentially less familiar respirator types may partially relieve shortages of disposable N95s but also may require significant education efforts so that clinicians are aware of the characteristics of alternative personal protective equipment. </AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pillai</LastName><ForeName>Satish K</ForeName><Initials>SK</Initials></Author><Author ValidYN="Y"><LastName>Beekmann</LastName><ForeName>Susan E</ForeName><Initials>SE</Initials></Author><Author ValidYN="Y"><LastName>Babcock</LastName><ForeName>Hilary M</ForeName><Initials>HM</Initials></Author><Author ValidYN="Y"><LastName>Pavia</LastName><ForeName>Andrew T</ForeName><Initials>AT</Initials></Author><Author ValidYN="Y"><LastName>Koonin</LastName><ForeName>Lisa M</ForeName><Initials>LM</Initials></Author><Author ValidYN="Y"><LastName>Polgreen</LastName><ForeName>Philip M</ForeName><Initials>PM</Initials></Author></AuthorList><Language>eng</Language><GrantList 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MajorTopicYN="N">Occupational Exposure</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012134" MajorTopicYN="Y">Respiratory Protective Devices</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">HHSPA732454</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>5</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26173092</ArticleId><ArticleId IdType="doi">10.1089/hs.2015.0011</ArticleId><ArticleId IdType="pmc">PMC4648351</ArticleId><ArticleId 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