Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study

Research output: Contribution to journalArticlepeer-review

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Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China : cross sectional study. / Liu, Min ; Cheng, Shou-Zhen ; Xu, Ke-Wei ; Yang, Yang ; Zhu, Qing-Tang ; Zhang, Hui; Yang, Da-Ya ; Cheng, Shuyuan ; Xiao, Han ; Wang, Ji-Wen ; Yao, He-Rui ; Cong, Yu-Tian ; Zhou, Yu-Qi ; Peng, Sui ; Kuang, Ming ; Hou, Fan-Fan ; Cheng, KK; Xiao, Hai-Peng .

In: BMJ, Vol. 369, m2195, 10.06.2020.

Research output: Contribution to journalArticlepeer-review

Harvard

Liu, M, Cheng, S-Z, Xu, K-W, Yang, Y, Zhu, Q-T, Zhang, H, Yang, D-Y, Cheng, S, Xiao, H, Wang, J-W, Yao, H-R, Cong, Y-T, Zhou, Y-Q, Peng, S, Kuang, M, Hou, F-F, Cheng, KK & Xiao, H-P 2020, 'Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study', BMJ, vol. 369, m2195. https://doi.org/10.1136/bmj.m2195

APA

Liu, M., Cheng, S-Z., Xu, K-W., Yang, Y., Zhu, Q-T., Zhang, H., Yang, D-Y., Cheng, S., Xiao, H., Wang, J-W., Yao, H-R., Cong, Y-T., Zhou, Y-Q., Peng, S., Kuang, M., Hou, F-F., Cheng, KK., & Xiao, H-P. (2020). Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study. BMJ, 369, [m2195]. https://doi.org/10.1136/bmj.m2195

Vancouver

Author

Liu, Min ; Cheng, Shou-Zhen ; Xu, Ke-Wei ; Yang, Yang ; Zhu, Qing-Tang ; Zhang, Hui ; Yang, Da-Ya ; Cheng, Shuyuan ; Xiao, Han ; Wang, Ji-Wen ; Yao, He-Rui ; Cong, Yu-Tian ; Zhou, Yu-Qi ; Peng, Sui ; Kuang, Ming ; Hou, Fan-Fan ; Cheng, KK ; Xiao, Hai-Peng . / Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China : cross sectional study. In: BMJ. 2020 ; Vol. 369.

Bibtex

@article{1035495ab51c43efa5963b83d8560c91,
title = "Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study",
abstract = "Objective: To examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).Design: Cross sectional study.Setting: Four hospitals in Wuhan, China.Participants: 420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing.Main outcome measures: Covid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.Results: The average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).Conclusion: Before a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use.",
keywords = "Adult, Betacoronavirus, China, Coronavirus Infections/diagnosis, Cross-Sectional Studies, Female, Health Personnel, Humans, Infection Control/instrumentation, Infectious Disease Transmission, Patient-to-Professional/prevention & control, Intensive Care Units, Male, Middle Aged, Occupational Exposure/prevention & control, Pandemics/prevention & control, Personal Protective Equipment/supply & distribution, Pneumonia, Viral/diagnosis",
author = "Min Liu and Shou-Zhen Cheng and Ke-Wei Xu and Yang Yang and Qing-Tang Zhu and Hui Zhang and Da-Ya Yang and Shuyuan Cheng and Han Xiao and Ji-Wen Wang and He-Rui Yao and Yu-Tian Cong and Yu-Qi Zhou and Sui Peng and Ming Kuang and Fan-Fan Hou and KK Cheng and Hai-Peng Xiao",
year = "2020",
month = jun,
day = "10",
doi = "10.1136/bmj.m2195",
language = "English",
volume = "369",
journal = "BMJ",
issn = "0959-8138",
publisher = "BMJ Publishing Group",

}

RIS

TY - JOUR

T1 - Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China

T2 - cross sectional study

AU - Liu, Min

AU - Cheng, Shou-Zhen

AU - Xu, Ke-Wei

AU - Yang, Yang

AU - Zhu, Qing-Tang

AU - Zhang, Hui

AU - Yang, Da-Ya

AU - Cheng, Shuyuan

AU - Xiao, Han

AU - Wang, Ji-Wen

AU - Yao, He-Rui

AU - Cong, Yu-Tian

AU - Zhou, Yu-Qi

AU - Peng, Sui

AU - Kuang, Ming

AU - Hou, Fan-Fan

AU - Cheng, KK

AU - Xiao, Hai-Peng

PY - 2020/6/10

Y1 - 2020/6/10

N2 - Objective: To examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).Design: Cross sectional study.Setting: Four hospitals in Wuhan, China.Participants: 420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing.Main outcome measures: Covid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.Results: The average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).Conclusion: Before a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use.

AB - Objective: To examine the protective effects of appropriate personal protective equipment for frontline healthcare professionals who provided care for patients with coronavirus disease 2019 (covid-19).Design: Cross sectional study.Setting: Four hospitals in Wuhan, China.Participants: 420 healthcare professionals (116 doctors and 304 nurses) who were deployed to Wuhan by two affiliated hospitals of Sun Yat-sen University and Nanfang Hospital of Southern Medical University for 6-8 weeks from 24 January to 7 April 2020. These study participants were provided with appropriate personal protective equipment to deliver healthcare to patients admitted to hospital with covid-19 and were involved in aerosol generating procedures. 77 healthcare professionals with no exposure history to covid-19 and 80 patients who had recovered from covid-19 were recruited to verify the accuracy of antibody testing.Main outcome measures: Covid-19 related symptoms (fever, cough, and dyspnoea) and evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, defined as a positive test for virus specific nucleic acids in nasopharyngeal swabs, or a positive test for IgM or IgG antibodies in the serum samples.Results: The average age of study participants was 35.8 years and 68.1% (286/420) were women. These study participants worked 4-6 hour shifts for an average of 5.4 days a week; they worked an average of 16.2 hours each week in intensive care units. All 420 study participants had direct contact with patients with covid-19 and performed at least one aerosol generating procedure. During the deployment period in Wuhan, none of the study participants reported covid-19 related symptoms. When the participants returned home, they all tested negative for SARS-CoV-2 specific nucleic acids and IgM or IgG antibodies (95% confidence interval 0.0 to 0.7%).Conclusion: Before a safe and effective vaccine becomes available, healthcare professionals remain susceptible to covid-19. Despite being at high risk of exposure, study participants were appropriately protected and did not contract infection or develop protective immunity against SARS-CoV-2. Healthcare systems must give priority to the procurement and distribution of personal protective equipment, and provide adequate training to healthcare professionals in its use.

KW - Adult

KW - Betacoronavirus

KW - China

KW - Coronavirus Infections/diagnosis

KW - Cross-Sectional Studies

KW - Female

KW - Health Personnel

KW - Humans

KW - Infection Control/instrumentation

KW - Infectious Disease Transmission, Patient-to-Professional/prevention & control

KW - Intensive Care Units

KW - Male

KW - Middle Aged

KW - Occupational Exposure/prevention & control

KW - Pandemics/prevention & control

KW - Personal Protective Equipment/supply & distribution

KW - Pneumonia, Viral/diagnosis

UR - http://www.scopus.com/inward/record.url?scp=85086354475&partnerID=8YFLogxK

U2 - 10.1136/bmj.m2195

DO - 10.1136/bmj.m2195

M3 - Article

C2 - 32522737

VL - 369

JO - BMJ

JF - BMJ

SN - 0959-8138

M1 - m2195

ER -