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The number of healthcare-associated infections (HCAIs) continues to increase, despite increased efforts to control them.
FREMONT, CA: Adherence to infection prevention and control (IPC) measures, including the proper use of personal protective equipment (PPE), in health care is complex and is influenced by many factors. Isolated interventions do not have the potential to achieve optimal PPE adherence and appropriate provision, leading to incomplete PPE implementation.
It is essential to understand the specific context of each healthcare setting to identify staff, organizational, and system factors that facilitate and hinder PPE use. Interventions need to consider the multi-faceted nature of PPE use, targeting both individual and organizational components to ensure successful implementation.
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PPE shortage and unavailability: A shortage or unavailability of personal protective equipment (PPE) was reported for EVD and COVID-19 cases, including filtering facepiece respirators and gowns, which were needed as additional transmission-based precautions for human safety. Public and private HFs reported these shortages. Specific sizes needed for adequate protection were unavailable, so poorly fitting PPE was used. There were many factors contributing to inadequate adaptations,
Implementation interventions: In order to minimize the shortage of personal protective equipment, masks can be donated to hospitals that are actively evaluating patients for respiratory infection diseases, Non-disposable respirators can be allocated to clinical staff with direct airway manipulation, and procedures can be implemented to prevent equipment degradation. PPE waste and unnecessary use were reported to be reduced through education. PPE reprocessing systems can operate during extreme conditions with improved implementation of PPE stock control and supply procedures.
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