Literature DB >> 32357976

Evaluating the national PPE guidance for NHS healthcare workers during the COVID-19 pandemic.

John P Thomas1, Anand Srinivasan2, Chandu S Wickramarachchi3, Parveen K Dhesi4, Yat Ma Hung4, Ajay V Kamath4.   

Abstract

Tragically, many of the infections and deaths recorded in the global coronavirus disease 2019 (COVID-19) pandemic have occurred in healthcare workers. Some have attributed this to inadequate provision of personal protective equipment (PPE). In the UK, several organisations have voiced their concerns that the national PPE guidance issued by Public Health England is inadequate. Despite recent revisions to these guidelines, concerns remain that they offer insufficient protection to frontline NHS healthcare workers. In this report, we evaluate whether these concerns are merited, through critical appraisal of the available evidence, review of international PPE guidance, and consideration of the ethical implications. © Royal College of Physicians 2020. All rights reserved.

Entities:  

Keywords:  COVID-19; NHS; SARS-CoV-2; pandemic; personal protective equipment

Year:  2020        PMID: 32357976      PMCID: PMC7354042          DOI: 10.7861/clinmed.2020-0143

Source DB:  PubMed          Journal:  Clin Med (Lond)        ISSN: 1470-2118            Impact factor:   2.659


  43 in total

1.  Physiological impact of the N95 filtering facepiece respirator on healthcare workers.

Authors:  Raymond J Roberge; Aitor Coca; W Jon Williams; Jeffrey B Powell; Andrew J Palmiero
Journal:  Respir Care       Date:  2010-05       Impact factor: 2.258

2.  Aerosol-generating procedures and risk of transmission of acute respiratory infections: a systematic review.

Authors:  K Tran; K Cimon; M Severn; Cl Pessoa-Silva; J Conly
Journal:  CADTH Technol Overv       Date:  2013-02-01

3.  Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient.

Authors:  Sean Wei Xiang Ong; Yian Kim Tan; Po Ying Chia; Tau Hong Lee; Oon Tek Ng; Michelle Su Yen Wong; Kalisvar Marimuthu
Journal:  JAMA       Date:  2020-04-28       Impact factor: 56.272

4.  Respiratory virus shedding in exhaled breath and efficacy of face masks.

Authors:  Nancy H L Leung; Daniel K W Chu; Eunice Y C Shiu; Kwok-Hung Chan; James J McDevitt; Benien J P Hau; Hui-Ling Yen; Yuguo Li; Dennis K M Ip; J S Malik Peiris; Wing-Hong Seto; Gabriel M Leung; Donald K Milton; Benjamin J Cowling
Journal:  Nat Med       Date:  2020-04-03       Impact factor: 53.440

5.  Principles of Biomedical Ethics: Marking Its Fortieth Anniversary.

Authors:  Tom Beauchamp; James Childress
Journal:  Am J Bioeth       Date:  2019-11       Impact factor: 11.229

6.  Exhaled air dispersion during coughing with and without wearing a surgical or N95 mask.

Authors:  David S Hui; Benny K Chow; Leo Chu; Susanna S Ng; Nelson Lee; Tony Gin; Matthew T V Chan
Journal:  PLoS One       Date:  2012-12-05       Impact factor: 3.240

7.  Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.

Authors:  Jos H Verbeek; Blair Rajamaki; Sharea Ijaz; Christina Tikka; Jani H Ruotsalainen; Michael B Edmond; Riitta Sauni; F Selcen Kilinc Balci
Journal:  Cochrane Database Syst Rev       Date:  2019-07-01

Review 8.  Risk of nosocomial respiratory syncytial virus infection and effectiveness of control measures to prevent transmission events: a systematic review.

Authors:  Clare E French; Bruce C McKenzie; Caroline Coope; Subhadra Rajanaidu; Karthik Paranthaman; Richard Pebody; Jonathan S Nguyen-Van-Tam; Julian P T Higgins; Charles R Beck
Journal:  Influenza Other Respir Viruses       Date:  2016-03-24       Impact factor: 4.380

9.  Toward understanding the risk of secondary airborne infection: emission of respirable pathogens.

Authors:  Mark Nicas; William W Nazaroff; Alan Hubbard
Journal:  J Occup Environ Hyg       Date:  2005-03       Impact factor: 2.155

Review 10.  Recognition of aerosol transmission of infectious agents: a commentary.

Authors:  Raymond Tellier; Yuguo Li; Benjamin J Cowling; Julian W Tang
Journal:  BMC Infect Dis       Date:  2019-01-31       Impact factor: 3.090

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  21 in total

1.  Nosocomial spread of COVID-19: lessons learned from an audit on a stroke/neurology ward in a UK district general hospital.

Authors:  Soraya V Jewkes; Yimeng Zhang; David J Nicholl
Journal:  Clin Med (Lond)       Date:  2020-07-27       Impact factor: 2.659

2.  Ethical considerations.

Authors:  Ruth Porther
Journal:  Clin Med (Lond)       Date:  2020-07       Impact factor: 2.659

3.  COVID-19: the physician's response in the first phase.

Authors:  Anton Emmanuel
Journal:  Clin Med (Lond)       Date:  2020-05       Impact factor: 2.659

4.  Healthcare Workers From Diverse Ethnicities and Their Perceptions of Risk and Experiences of Risk Management During the COVID-19 Pandemic: Qualitative Insights From the United Kingdom-REACH Study.

Authors:  Irtiza Qureshi; Mayuri Gogoi; Fatimah Wobi; Jonathan Chaloner; Amani Al-Oraibi; Osama Hassan; Daniel Pan; Laura B Nellums; Manish Pareek
Journal:  Front Med (Lausanne)       Date:  2022-07-01

5.  A Qualitative Study: An Examination of Police Officers' Lived Experiences During the COVID-19 Pandemic.

Authors:  Richard C Helfers; Johnny Nhan
Journal:  Int Crim Justice Rev       Date:  2022-09

6.  Computed tomography during the COVID-19 pandemic: A survey of changes to service delivery, working practices and decision-making role of radiographers.

Authors:  Martine A Harris; Helen K Adamson; Beverley Foster
Journal:  J Med Imaging Radiat Sci       Date:  2021-05-09

7.  The protective effect of SARS-CoV-2 antibodies in Scottish healthcare workers.

Authors:  Hani Abo-Leyah; Stephanie Gallant; Diane Cassidy; Yan Hui Giam; Justin Killick; Beth Marshall; Gordon Hay; Caroline Snowdon; Eleanor J Hothersall; Thomas Pembridge; Rachel Strachan; Natalie Gallant; Benjamin J Parcell; Jacob George; Elizabeth Furrie; James D Chalmers
Journal:  ERJ Open Res       Date:  2021-06-07

8.  Reflections from London's Level-1 Major Trauma Centres during the COVID crisis.

Authors:  Ramon Tahmassebi; Peter Bates; Alex Trompeter; Rajarshi Bhattacharya; Ibraheim El-Daly; Lucky Jeyaseelan; Michael Pearse
Journal:  Eur J Orthop Surg Traumatol       Date:  2020-06-26

9.  Risk of COVID-19 among frontline healthcare workers and the general community: a prospective cohort study.

Authors:  Long H Nguyen; David A Drew; Amit D Joshi; Chuan-Guo Guo; Wenjie Ma; Raaj S Mehta; Daniel R Sikavi; Chun-Han Lo; Sohee Kwon; Mingyang Song; Lorelei A Mucci; Meir J Stampfer; Walter C Willett; A Heather Eliassen; Jaime E Hart; Jorge E Chavarro; Janet W Rich-Edwards; Richard Davies; Joan Capdevila; Karla A Lee; Mary Ni Lochlainn; Thomas Varsavsky; Mark S Graham; Carole H Sudre; M Jorge Cardoso; Jonathan Wolf; Sebastien Ourselin; Claire J Steves; Tim D Spector; Andrew T Chan
Journal:  medRxiv       Date:  2020-05-25

Review 10.  Unlocking the surge in demand for personal and protective equipment (PPE) and improvised face coverings arising from coronavirus disease (COVID-19) pandemic - Implications for efficacy, re-use and sustainable waste management.

Authors:  Neil J Rowan; John G Laffey
Journal:  Sci Total Environ       Date:  2020-09-10       Impact factor: 7.963

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