Self-reported use of personal protective equipment among Chinese critical care clinicians during 2009 H1N1 influenza pandemic.
Identifieur interne : 000C10 ( PubMed/Corpus ); précédent : 000C09; suivant : 000C11Self-reported use of personal protective equipment among Chinese critical care clinicians during 2009 H1N1 influenza pandemic.
Auteurs : Xiaoyun Hu ; Zhidan Zhang ; Na Li ; Dexin Liu ; Li Zhang ; Wei He ; Wei Zhang ; Yuexia Li ; Cheng Zhu ; Guijun Zhu ; Lipeng Zhang ; Fang Xu ; Shouhong Wang ; Xiangyuan Cao ; Huiying Zhao ; Qian Li ; Xijing Zhang ; Jiandong Lin ; Shuangping Zhao ; Chen Li ; Bin DuSource :
- PloS one [ 1932-6203 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Asian Continental Ancestry Group, Attitude of Health Personnel, China, Critical Care (statistics & numerical data), Cross Infection (prevention & control), Data Collection, Disease Outbreaks (prevention & control), Female, Health Knowledge, Attitudes, Practice, Health Personnel (statistics & numerical data), Humans, Infection Control (methods), Influenza A Virus, H1N1 Subtype (metabolism), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Influenza, Human (therapy), Male, Nurses, Physicians, Protective Devices (statistics & numerical data), Vaccination (statistics & numerical data).
- MESH :
- epidemiology : Influenza, Human.
- metabolism : Influenza A Virus, H1N1 Subtype.
- methods : Infection Control.
- prevention & control : Cross Infection, Disease Outbreaks, Influenza, Human.
- statistics & numerical data : Critical Care, Health Personnel, Protective Devices, Vaccination.
- therapy : Influenza, Human.
- Adult, Asian Continental Ancestry Group, Attitude of Health Personnel, China, Data Collection, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Nurses, Physicians.
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.
DOI: 10.1371/journal.pone.0044723
PubMed: 22957101
Links to Exploration step
pubmed:22957101Le document en format XML
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first="Wei" last="He">Wei He</name></author><author><name sortKey="Zhang, Wei" sort="Zhang, Wei" uniqKey="Zhang W" first="Wei" last="Zhang">Wei Zhang</name></author><author><name sortKey="Li, Yuexia" sort="Li, Yuexia" uniqKey="Li Y" first="Yuexia" last="Li">Yuexia Li</name></author><author><name sortKey="Zhu, Cheng" sort="Zhu, Cheng" uniqKey="Zhu C" first="Cheng" last="Zhu">Cheng Zhu</name></author><author><name sortKey="Zhu, Guijun" sort="Zhu, Guijun" uniqKey="Zhu G" first="Guijun" last="Zhu">Guijun Zhu</name></author><author><name sortKey="Zhang, Lipeng" sort="Zhang, Lipeng" uniqKey="Zhang L" first="Lipeng" last="Zhang">Lipeng Zhang</name></author><author><name sortKey="Xu, Fang" sort="Xu, Fang" uniqKey="Xu F" first="Fang" last="Xu">Fang Xu</name></author><author><name sortKey="Wang, Shouhong" sort="Wang, Shouhong" uniqKey="Wang S" first="Shouhong" last="Wang">Shouhong Wang</name></author><author><name sortKey="Cao, Xiangyuan" sort="Cao, Xiangyuan" uniqKey="Cao X" first="Xiangyuan" 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Li</name></author><author><name sortKey="Liu, Dexin" sort="Liu, Dexin" uniqKey="Liu D" first="Dexin" last="Liu">Dexin Liu</name></author><author><name sortKey="Zhang, Li" sort="Zhang, Li" uniqKey="Zhang L" first="Li" last="Zhang">Li Zhang</name></author><author><name sortKey="He, Wei" sort="He, Wei" uniqKey="He W" first="Wei" last="He">Wei He</name></author><author><name sortKey="Zhang, Wei" sort="Zhang, Wei" uniqKey="Zhang W" first="Wei" last="Zhang">Wei Zhang</name></author><author><name sortKey="Li, Yuexia" sort="Li, Yuexia" uniqKey="Li Y" first="Yuexia" last="Li">Yuexia Li</name></author><author><name sortKey="Zhu, Cheng" sort="Zhu, Cheng" uniqKey="Zhu C" first="Cheng" last="Zhu">Cheng Zhu</name></author><author><name sortKey="Zhu, Guijun" sort="Zhu, Guijun" uniqKey="Zhu G" first="Guijun" last="Zhu">Guijun Zhu</name></author><author><name sortKey="Zhang, Lipeng" sort="Zhang, Lipeng" uniqKey="Zhang L" first="Lipeng" last="Zhang">Lipeng Zhang</name></author><author><name sortKey="Xu, Fang" sort="Xu, Fang" uniqKey="Xu F" first="Fang" last="Xu">Fang Xu</name></author><author><name sortKey="Wang, Shouhong" sort="Wang, Shouhong" uniqKey="Wang S" first="Shouhong" last="Wang">Shouhong Wang</name></author><author><name sortKey="Cao, Xiangyuan" sort="Cao, Xiangyuan" uniqKey="Cao X" first="Xiangyuan" last="Cao">Xiangyuan Cao</name></author><author><name sortKey="Zhao, Huiying" sort="Zhao, Huiying" uniqKey="Zhao H" first="Huiying" last="Zhao">Huiying Zhao</name></author><author><name sortKey="Li, Qian" sort="Li, Qian" uniqKey="Li Q" first="Qian" last="Li">Qian Li</name></author><author><name sortKey="Zhang, Xijing" sort="Zhang, Xijing" uniqKey="Zhang X" first="Xijing" last="Zhang">Xijing Zhang</name></author><author><name sortKey="Lin, Jiandong" sort="Lin, Jiandong" uniqKey="Lin J" first="Jiandong" last="Lin">Jiandong Lin</name></author><author><name sortKey="Zhao, Shuangping" sort="Zhao, Shuangping" uniqKey="Zhao S" first="Shuangping" last="Zhao">Shuangping Zhao</name></author><author><name sortKey="Li, Chen" sort="Li, Chen" uniqKey="Li C" first="Chen" last="Li">Chen Li</name></author><author><name sortKey="Du, Bin" sort="Du, Bin" uniqKey="Du B" first="Bin" last="Du">Bin Du</name></author></analytic><series><title level="j">PloS one</title><idno type="eISSN">1932-6203</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Asian Continental Ancestry Group</term><term>Attitude of Health Personnel</term><term>China</term><term>Critical Care (statistics & numerical data)</term><term>Cross Infection (prevention & control)</term><term>Data Collection</term><term>Disease Outbreaks (prevention & control)</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Personnel (statistics & numerical data)</term><term>Humans</term><term>Infection Control (methods)</term><term>Influenza A Virus, H1N1 Subtype (metabolism)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Influenza, Human (therapy)</term><term>Male</term><term>Nurses</term><term>Physicians</term><term>Protective Devices (statistics & numerical data)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cross Infection</term><term>Disease Outbreaks</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Critical Care</term><term>Health Personnel</term><term>Protective Devices</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Asian Continental Ancestry Group</term><term>Attitude of Health Personnel</term><term>China</term><term>Data Collection</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Nurses</term><term>Physicians</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22957101</PMID><DateCompleted><Year>2013</Year><Month>02</Month><Day>14</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>9</Issue><PubDate><Year>2012</Year></PubDate></JournalIssue><Title>PloS one</Title><ISOAbbreviation>PLoS ONE</ISOAbbreviation></Journal><ArticleTitle>Self-reported use of personal protective equipment among Chinese critical care clinicians during 2009 H1N1 influenza pandemic.</ArticleTitle><Pagination><MedlinePgn>e44723</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText><AbstractText Label="METHODOLOGY/PRINCIPAL FINDINGS" NlmCategory="RESULTS">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.</AbstractText><AbstractText Label="CONCLUSION/SIGNIFICANCE" NlmCategory="CONCLUSIONS">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hu</LastName><ForeName>Xiaoyun</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Peking Union Medical College Hospital, Beijing, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Zhidan</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Na</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Dexin</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Li</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>He</LastName><ForeName>Wei</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Wei</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Yuexia</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Zhu</LastName><ForeName>Cheng</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Zhu</LastName><ForeName>Guijun</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Lipeng</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Xu</LastName><ForeName>Fang</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Shouhong</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Cao</LastName><ForeName>Xiangyuan</ForeName><Initials>X</Initials></Author><Author ValidYN="Y"><LastName>Zhao</LastName><ForeName>Huiying</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Qian</ForeName><Initials>Q</Initials></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Xijing</ForeName><Initials>X</Initials></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Jiandong</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Zhao</LastName><ForeName>Shuangping</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Chen</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Du</LastName><ForeName>Bin</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><CollectiveName>China Critical Care Clinical Trial Group</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>09</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS One</MedlineTA><NlmUniqueID>101285081</NlmUniqueID><ISSNLinking>1932-6203</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D044466" MajorTopicYN="N">Asian Continental Ancestry Group</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N">China</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003428" MajorTopicYN="N">Cross Infection</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003625" MajorTopicYN="N">Data Collection</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="N">Disease Outbreaks</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="N">Influenza A Virus, H1N1 Subtype</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009726" MajorTopicYN="N">Nurses</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010820" MajorTopicYN="N">Physicians</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011482" MajorTopicYN="N">Protective Devices</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>02</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>08</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>9</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>9</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId 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