A cross-sectional study on knowledge, attitude, and practices of donning and doffing of personal protective equipment: an institutional survey on interns during the COVID-19 pandemic
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20223539Keywords:
Attitude, COVID-19, Donning and doffing, Knowledge, Practice, Personal protective equipment, InternsAbstract
Background: Personal protective equipment (PPE) is a physical barrier that healthcare workers (HCW) wear to stop the transmission of a pathogen from a pathologic specimen or a confirmed or suspected case. It prevents the spread of disease from patient to HCWs as well as the other way around. Eyewear, face shield, surgical mask, particulate respirators, glove, disposable gowns and boots, and head coverings are some examples of these physical barriers. The primary objective of the study is to assess the knowledge, attitude and practices (KAP) of interns towards appropriate use of PPE and secondary objective is to find the role of training on donning and doffing of PPE of interns towards appropriate use of PPE.
Methods: This is an institutional based, analytical cross-sectional study. Data was collected from interns (n=130) posted in COVID-19 ward using a universal sampling method. A predesigned questionnaire was used for study. The data was analyzed using SPSS 26 trial version
Results: Interns were aware of the importance and criticality of donning and doffing procedure, overall level of KAP of donning and doffing of PPE were 96.90%, 73.10% and 86.20% respectively. We found that there was statistically significant mean difference between the KAP scores with respect to training of PPE.
Conclusions: There were some gaps in KAP at institutional level among the interns with regards to donning and doffing of PPE during the beginning of this pandemic.
References
Ducharme J. World Health Organization declares COVID-19 a “pandemic”: here’s what it means. Time. 2020. Available at: https://time.com/ 5791661/who-coronavirus-pandemic-declaration/. Accessed on 10 June, 2020.
Yin Y, Wunderink RG. MERS, SARS and other coronaviruses as causes of pneumonia. Respirology. 2018;23(2):130-7.
World Health Organization. WHO Corona virus Disease (COVID-19) dashboard. 2020. Available at: https://covid19.who.int/. Accessed on 22 October, 2020.
World Health Organization. Keep health workers safe to keep patients safe: WHO. 2020. Available at: https://www.who.int/news/item/17-09-2020-keep-health-workers-safe-to-keep-patients-safe-who. Accessed 22 October, 2020.
Wang J, Zhou M, Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. J Hospital Infect. 2020;105(1):100-101.
World Health Organization, Rational Use of Personal Protective Equipment (PPE) for Coronavirus Disease (COVID-19): Interim Guidance, 19 March 2020, World Health Organization, Geneva, Switzerland, 2020. Available at: https://www.who.int/ publicationsdetail/rational-use-of-personal-protective-equipment-for-coronavirus-disease-(covid-19)-and-considerations-during-severeshortages. Accessed on 12 November, 2022.
Bialek S, Boundy E, Bowen V. Severe outcomes among patients with coronavirus disease 2019 (COVID-19)-United States, February 12–March 16, 2020. Morbidity Mortality Weekly Rep. 2020;69:343-6.
World Health Organization, Coronavirus Disease (COVID-19) Training. Available at: https://www.afro.who.int/publications/coronavirusdisease-covid-19-training-online-training. Accessed on 12 November, 2022.
World Health Organization, Personal Protective Equipment in the Context of Filovirus Disease Outbreak Response Rapid Advice Guideline: Summary of the Recommendations, World Health Organization, Geneva, Switzerland. 2014. Available at: https://apps.who.int/iris/handle/10665/137410. Accessed on 12 November, 2022.
Suen LK, Guo YP, Tong DW, Leung PH, Lung D, Ng MS, et al. Self contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission. Antimicrob Resist Infect Control. 2018;7:157.
Sorbello M, El-Boghdadly K, Di Giacinto I. The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice. Anaesthesia. 2020;75(6):724-32.
Abukhelaif AE. Personal protective equipment knowledge and practices among nurses working at Al-Baha King Fahad Hospital, Saudi Arabia. Archivos De Medicina. 2019;4(1):2.
Mishra A, Shukla V, Saha R, Ray K, Misra R, Basu M. Awareness about donning and doffing of personal protective equipment among doctors working in a fever clinic of West Bengal. Indian J Heal Sci Biomed Res. 2021;14(1):53.
Hossain MA, Rashid MU, Khan MA, Sayeed S, Kader MA, Hawlader MD. Healthcare Workers' knowledge, attitude, and practice regarding personal protective equipment for the prevention of COVID-19. J Multidisciplinary Healthcare. 2021;14:229.
Pandey S, Poudel S, Gaire A, Poudel R, Subedi P, Gurung J et al. Knowledge, attitude and reported practice regarding donning and doffing of personal protective equipment among frontline healthcare workers against COVID-19 in Nepal: A cross-sectional study. PLOS Global Publ Heal. 2021;1(11):e0000066.
Mukesh K, Sommya K, Rameshwar S, Amit P. KAP Score for infection control measures in COVID-19 pandemic amongst doctors: A Cross-Sectional study. Int J Heal Clin Res. 2021;4(2):163-6.
Garg K, Grewal A, Mahajan R, Kumari S, Mahajan A. A cross-sectional study on knowledge, attitude, and practices of donning and doffing of personal protective equipment: An institutional survey of health-care staff during the COVID-19 pandemic. Anesthesia Essays Res. 2020;14(3):370.
Piché-Renaud PP, Groves HE, Kitano T, Arnold C, Thomas A, Streitenberger L et al. Healthcare worker perception of a global outbreak of novel coronavirus (COVID-19) and personal protective equipment: Survey of a pediatric tertiary-care hospital. Infection Cont Hospital Epidemiol. 2021;42(3):261-7.
Prakash S, Kumar R, Patel S, Patralekh MK, Maini L. Public Sector Resident Doctors’ Knowledge and Practices Amidst COVID-19: A Cross-Sectional Analysis. MAMC J Med Sci. 2021;7(1):21.
Indu M, Syriac G, Beena VT, MCherian L, Paul S, Sathyan P. Assessment of knowledge, attitude and practice regarding dental care during COVID 19 pandemic–a cross sectional study among dental health professionals in tertiary care centers of Kerala. Age (years). 2020;30:31-40.
