机构:[1]Peking Union Medical College Hospital, Beijing, People’s Republic of China[2]The First Affiliated Hospital of China Medical University, Shenyang, People’s Republic of China[3]Hainan Provincial People’s Hospital, Haikou, People’s Republic of China[4]The Second Hospital of Jilin University, Changchun, People’s Republic of China[5]Fuxing Hospital, Capital Medical University, Beijing, People’s Republic of China[6]Beijing Tongren Hospital, Capital Medical University, Beijing, People’s Republic of China首都医科大学附属同仁医院[7]The First Affiliated Hospital of Kunming Medical College, Kunming, People’s Republic of China昆明医科大学附属第一医院[8]The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China[9]Ruijin Hospital, Shanghai Jiaotong University, Shanghai, People’s Republic of China[10]Hebei Medical University Fourth Hospital, Shijiazhuang, People’s Republic of China河北医科大学第四医院[11]The Affiliated Hospital of Inner Mongolia Medical College, Huhhot, People’s Republic of China[12]The First Affiliated Hospital, Chongqing Medical University, Chongqing, People’s Republic of China重庆医科大学附属第一医院[13]Guangdong General Hospital, Guangzhou, People’s Republic of China广东省人民医院[14]Affiliated Hospital of Ningxia Medical University, Yinchuan, People’s Republic of China[15]Peking University People’s Hospital, Beijing, People’s Republic of China[16]Zhejiang Provincial People’s Hospital, Hangzhou, People’s Republic of China[17]Xijing Hospital, Xi’an, People’s Republic of China[18]The First Affiliated Hospital of Fujian Medical University, Fuzhou, People’s Republic of China[19]Xiangya Hospital, Central South University, Changsha, People’s Republic of China[20]Qilu Hospital of Shandong University, Jinan, People’s Republic of China
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. Methodology/Principal Findings: 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. Conclusion/Significance: 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.
第一作者机构:[1]Peking Union Medical College Hospital, Beijing, People’s Republic of China
通讯作者:
推荐引用方式(GB/T 7714):
Hu Xiaoyun,Zhang Zhidan,Li Na,et al.Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic[J].PLOS ONE.2012,7(9):doi:10.1371/journal.pone.0044723.
APA:
Hu, Xiaoyun,Zhang, Zhidan,Li, Na,Liu, Dexin,Zhang, Li...&the China Critical Care Clinical Trial Group.(2012).Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic.PLOS ONE,7,(9)
MLA:
Hu, Xiaoyun,et al."Self-Reported Use of Personal Protective Equipment among Chinese Critical Care Clinicians during 2009 H1N1 Influenza Pandemic".PLOS ONE 7..9(2012)