Adherence to personal protective equipment for prevention of COVID-19 and other diseases among healthcare workers
نویسندگان: Kazem Ghaffari ©, Mehdi Harorani, Ali Jadidi, Ali Khanmohamadi Hezave, Fahimeh Davodabadi, Niloofar Barati, Saeed Amini
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Background and Aim
Occupational exposure to blood and body secretions poses a significant risk of COVID-19, HIV, HCV, and HBV among healthcare workers (HCWs). Assessment of this exposure is necessary for optimized planning and policy-making measures. This study aimed to assesses the exposure to occupational risk factors among emergency HCWs.
This cross-sectional study was performed on HCWs working in 3 educational hospitals affiliated with Arak University of Medical Sciences. The study sample included all HCWs working in emergency wards who met inclusion criteria. The data were collected using a valid and reliable researcher-made questionnaire and analyzed through analytical tests in SPSS software.
The 116 studied HCWs included 97 nurses and 19 physicians and medical specialties. The mean age was 31.06 with 4.7 years of work experience (207.8 hours per month) in working at the patient bedside. The results indicated that needlestick injuries have a significant positive and negative relationship with job history (p=0.001) and month-averaged working hours (p=0.012), respectively. 96.6% stated that wearing gloves is not necessary, 59.9% stated that they do not use protective glasses due to a decrease in their vision, 50% did not use gowns due to the lack of gowns in the ward. 63.8%, 57.8%, 50%, 63.8%, 56% and 54.3% of the participants expressed the shift work, a high number of hospitalized patients in the crowded ward, need for high-speed working, high working load, increase in working hours, and low working consent as the most important factors affecting the increment in blood transmitted diseases, respectively.
Lack of motivation among HCWs, especially nurses, has worsened the adherence to protective measures. Leading systems should design and administer plans to decrease occupational exposures. On the other hand, hospital management should strive to provide high-safety equipment. Educational programs on infection control and prevention of occupational exposures are among other necessary measures. HCWs should be given the opportunity to check their antibody titers for HBV, HCV, HIV, and perform other necessary tests. Regarding the negative effects of exposure to blood, body, and respiratory secretions, it is necessary to design systems at the hospital and national levels for the surveillance of suspected contacts, their reporting, and the required supervision for health policy-making.
Occupational Exposure; Blood Transmitted Diseases; Emergency Ward
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