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Personal protective equipment management and policies: European Network for Highly Infectious Diseases data from 48 isolation facilities in 16 European countries.

Abstract：

OBJECTIVE:To collect data about personal protective equipment (PPE) management and to provide indications for improving PPE policies in Europe. DESIGN:Descriptive, cross-sectional survey. SETTING AND PARTICIPANTS:Data were collected in 48 isolation facilities in 16 European countries nominated by National Health Authorities for the management of highly infectious diseases (HIDs). METHODS:Data were collected through standardized checklists at on-site visits during February-November 2009. Indications for adequate PPE policies were developed on the basis of a literature review, partners' expert opinions, and the collected data. RESULTS:All facilities have procedures for the selection of PPE in case of HID, and 44 have procedures for the removal of PPE. In 40 facilities, different levels of PPE are used according to a risk assessment process, and in 8 facilities, high-level PPE (e.g., positive-pressure complete suits or Trexler units) is always used. A fit test is performed at 25 of the 40 facilities at which it is applicable, a seal check is recommended at 25, and both procedures are used at 17. Strategies for promoting and monitoring the correct use of PPE are available at 42 facilities. In case of a sudden increase in demand, 44 facilities have procedures for rapid supply of PPE, whereas 14 facilities have procedures for decontamination and reuse of some PPE. CONCLUSIONS:Most isolation facilities devote an acceptable level of attention to PPE selection and removal, strategies for the promotion of the correct use of PPE, and ensuring adequate supplies of PPE. Fit test and seal check procedures are still not widely practiced. Moreover, policies vary widely between and within European countries, and the development of common practice procedures is advisable.

journal_name

Infect Control Hosp Epidemiol

journal_title

Infection control and hospital epidemiology

authors

De Iaco G,Puro V,Fusco FM,Schilling S,Maltezou HC,Brouqui P,Gottschalk R,Bannister B,Brodt HR,Siikamaki H,Perronne C,Brantsæter AB,Fjellet AL,Ippolito G,European Network for Highly Infectious Diseases Working Group.

doi

10.1086/667729

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1008-16

issue

eissn

0899-823X

issn

1559-6834

pii

S019594170003174X

journal_volume

pub_type

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Personal protective equipment management and policies: European Network for Highly Infectious Diseases data from 48 isolation facilities in 16 European countries.