Alternative doffing strategies of personal protective equipment to prevent self-contamination in the health care setting

American Journal of Infection Control

Volumn 47, Issue 5, 2019, Pages 534-539

  Osei Bonsu, Kathryn ^a   Masroor, Nadia ^b   Cooper, Kaila ^b   Doern, Christopher ^a,b   Jefferson, Kimberly K ^a   Major, Yvette ^b   Adamson, Savion ^b   Thomas, Justin ^b   Lovern, Ian ^b   Albert, Heather ^b   Stevens, Michael P ^a,b   Archer, Gordon ^a   Bearman, Gonzalo ^a,b   Doll, Michelle ^a,b  

^a VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

Author keywords

Contact precautions; Hand hygiene; Infection prevention; Isolation gown; Staphylococcus; Staphylococcus epidermidis

Indexed keywords

AGAR;

ARTICLE; BACTERIUM CONTAMINATION; COLONY FORMING UNIT; CONTAMINATION; HAND WASHING; HEALTH CARE PERSONNEL; HUMAN; INCUBATION TIME; INFECTION PREVENTION; SELF CONTAMINATION; STAPHYLOCOCCUS EPIDERMIDIS; DISEASE TRANSMISSION; PREVENTION AND CONTROL; PROTECTIVE EQUIPMENT; PROTECTIVE GLOVE; QUESTIONNAIRE;

GLOVES, PROTECTIVE; HAND HYGIENE; HEALTH PERSONNEL; HUMANS; INFECTIOUS DISEASE TRANSMISSION, PATIENT-TO-PROFESSIONAL; PERSONAL PROTECTIVE EQUIPMENT; SURVEYS AND QUESTIONNAIRES;

EID: 85058568410     PISSN: 01966553     EISSN: 15273296     Source Type: Journal    
DOI: 10.1016/j.ajic.2018.11.003     Document Type: Article

References (13)

1. Bearman, G, Stevens, MP, Control of drug-resistant pathogens in endemic settings: contact precautions, controversies, and a proposal for a less restrictive alternative. Curr Infect Dis Rep 14 (2012), 620–626.
2. Casanova, L, Alfano-Sobsey, E, Rutala, WA, Weber, DJ, Sobsey, M, Virus transfer from personal protective equipment to healthcare employees' skin and clothing. Emerg Infect Dis 14 (2008), 1291–1293.
3. Guo, YP, Li, Y, Wong, PL, Environment and body contamination: a comparison of two different removal methods in three types of personal protective clothing. Am J Infect Control 42 (2014), e39–e45.
4. Zellmer, C, Van Hoof, S, Safdar, N, Variation in health care worker removal of personal protective equipment. Am J Infect Control 43 (2015), 750–751.
5. Mitchell, R, Roth, V, Gravel, D, Astrakianakis, G, Bryce, E, Forgie, S, et al. Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals. Am J Infect Control 41 (2013), 240–244.
6. Doll, M, Feldman, M, Hartigan, S, Sanogo, K, Stevens, M, McReynolds, M, et al. Acceptability and necessity of training for optimal personal protective equipment (PPE) use. Infect Control Hosp Epidemiol 38 (2017), 226–229.
7. Kwon, JE, Burnham, CD, Reske, KA, Liang, SY, Assessment of healthcare worker protocol deviations and self-contamination during personal protective equipment donning and doffing. Infect Control Hosp Epidemiol 38 (2017), 1077–1083.
8. Tomas, ME, Kundrapu, S, Thota, P, Sunkesula, VC, Cadnum, JL, Mana, TS, et al. Contamination of health care personnel during removal of personal protective equipment. JAMA Intern Med 175 (2015), 1904–1910.
9. Edmond, MB, Diekema, DJ, Perencevich, EN, Ebola virus disease and the need for new personal protective equipment. JAMA 213 (2014), 2495–2496.
10. Alhmidi, H, Koganti, S, Tomas, ME, Cadnum, JL, Jencson, A, Donskey, CJ, A pilot study to assess use of fluorescent lotion in patient care simulations to illustrate pathogen dissemination and train personnel in correct use of personal protective equipment. Antimicrob Resist Infect Control, 5, 2016, 40.
11. Centers for Disease Control and Prevention. Sequence for donning and removing personal protective equipment. Available from: https://www.cdc.gov/hai/prevent/ppe.html. Accessed July 3, 2016.
12. Maliszewski KL, Nuxoll AS. Use of electroporation and conjugative mobilization for genetic manipulation of Staphylococcus epidermidis. In: Fey P, ed. Staphylococcus epidermidis. Methods in molecular biology (methods and protocols), Totowa (NJ): Humana Press; 2014. p. 125-34.
13. Nielsen, J, What is usability?. In: Usability engineering, 1993, Academic Press, Cambridge (MA), 23–48.