학술논문
COVID-19 infection is related to differences in the use of personal protective equipment by orthopaedic specialist trainees caring for hip fracture patients during the second surge of COVID-19 in the North West of England.
Document Type
Article
Author
Mastan, S.; Malik, R. A.; Charalambous, C. P.; Abdulla, Mustafa; Alonge, John; Chelva, Ruth; Collins, Thomas; Dupley, Leanne; Din, Azhar; Ferns, John; Hodhody, Ghazal; Hughes, Isabel; Jamalfar, Aral; Jump, Chris; Koo, Kenneth; Qureshi, Alham; Qureshi, Mobeen; Patel, Dhawal; Patel, Neelam; Pearce, Adrian
Source
Subject
*CROSS infection prevention
*RELATIVE medical risk
*HOSPITAL medical staff
*COVID-19
*CONFIDENCE intervals
*ORTHOPEDIC surgery
*CROSS-sectional method
*HIP fractures
*CROSS infection
*RESPIRATORY protective devices
*QUESTIONNAIRES
*PERSONAL protective equipment
*ODDS ratio
*COVID-19 pandemic
RISK factors of epidemics
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Language
ISSN
1633-8065
Abstract
Introduction: Personal protective equipment (PPE) may protect health-care workers from COVID-19 infection and limit nosocomial spread to vulnerable hip fracture patients. Methods: We performed a cross-sectional survey amongst orthopaedic trainees to explore PPE practice in 19 hospitals caring for hip fracture patients in the North West of England. Results: During the second wave of the pandemic, 14/19 (74%) hospitals experienced an outbreak of COVID-19 amongst staff or patients on the orthopaedic wards. An FFP3 respirator mask was used by doctors in only 6/19 (32%) hospitals when seeing patients with COVID-19 and a cough and in 5/19 (26%) hospitals when seeing asymptomatic patients with COVID-19. A COVID-19 outbreak was reported in 11/13 (85%) orthopaedic units where staff wore fluid resistant surgical masks compared to 3/6 (50%) units using an FFP3 respirator mask (RR 1.69, 95% CI 0.74–3.89) when caring for symptomatic patients with COVID-19. Similarly, a COVID-19 outbreak was reported in more orthopaedic units caring for asymptomatic patients with COVID-19 where staff wore fluid resistant surgical masks (12/14 (86%)) as compared to an FFP3 respirator mask (2/5 (40%)) (RR 2.14, 95% CI 0.72–6.4). Conclusion: Urgent re-evaluation of PPE use is required to reduce nosocomial spread of COVID-19, amongst highly vulnerable patients with hip fracture. [ABSTRACT FROM AUTHOR]