Are coveralls required as personal protective equipment during the management of COVID-19 patients?

Abstract Objectives Few studies have investigated the contamination of personal protective equipment (PPE) during the management of patients with severe-to-critical coronavirus disease (COVID-19). This study aimed to determine the necessity of coveralls and foot covers for body protection during the...

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Autores principales:	Jongtak Jung, Kyoung-Ho Song, Hyeonju Jeong, Sin Young Ham, Eu Suk Kim, Hong Bin Kim
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Severe acute respiratory syndrome coronavirus 2 Coronavirus disease Personal protective equipment Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/83e19b0718a94bbf978ea4fcfb0b8771
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spelling	oai:doaj.org-article:83e19b0718a94bbf978ea4fcfb0b87712021-11-28T12:37:42ZAre coveralls required as personal protective equipment during the management of COVID-19 patients?10.1186/s13756-021-01017-32047-2994https://doaj.org/article/83e19b0718a94bbf978ea4fcfb0b87712021-11-01T00:00:00Zhttps://doi.org/10.1186/s13756-021-01017-3https://doaj.org/toc/2047-2994Abstract Objectives Few studies have investigated the contamination of personal protective equipment (PPE) during the management of patients with severe-to-critical coronavirus disease (COVID-19). This study aimed to determine the necessity of coveralls and foot covers for body protection during the management of COVID-19 patients. Methods PPE samples were collected from the coveralls of physicians exiting a room after the management of a patient with severe-to-critical COVID-19 within 14 days after the patient’s symptom onset. The surface of coveralls was categorized into coverall-only parts (frontal surface of the head, anterior neck, dorsal surface of the foot cover, and back and hip) and gown-covered parts (the anterior side of the forearm and the abdomen). Sampling of the high-contact surfaces in the patient’s environment was performed. We attempted to identify significant differences in contamination with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) between the coverall-only and gown-covered parts. Results A total of 105 swabs from PPEs and 28 swabs from patient rooms were collected. Of the PPE swabs, only three (2.8%) swabs from the gown-covered parts were contaminated with SARS-CoV-2. However, 23 of the 28 sites (82.1%) from patient rooms were contaminated. There was a significant difference in the contamination of PPE between the coverall-only and gown-covered parts (0.0 vs 10.0%, p = 0.022). Conclusions Coverall contamination rarely occurred while managing severe-to-critical COVID-19 patients housed in negative pressure rooms in the early stages of the illness. Long-sleeved gowns may be used in the management of COVID-19 patients.Jongtak JungKyoung-Ho SongHyeonju JeongSin Young HamEu Suk KimHong Bin KimBMCarticleSevere acute respiratory syndrome coronavirus 2Coronavirus diseasePersonal protective equipmentInfectious and parasitic diseasesRC109-216ENAntimicrobial Resistance and Infection Control, Vol 10, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Severe acute respiratory syndrome coronavirus 2 Coronavirus disease Personal protective equipment Infectious and parasitic diseases RC109-216
spellingShingle	Severe acute respiratory syndrome coronavirus 2 Coronavirus disease Personal protective equipment Infectious and parasitic diseases RC109-216 Jongtak Jung Kyoung-Ho Song Hyeonju Jeong Sin Young Ham Eu Suk Kim Hong Bin Kim Are coveralls required as personal protective equipment during the management of COVID-19 patients?
description	Abstract Objectives Few studies have investigated the contamination of personal protective equipment (PPE) during the management of patients with severe-to-critical coronavirus disease (COVID-19). This study aimed to determine the necessity of coveralls and foot covers for body protection during the management of COVID-19 patients. Methods PPE samples were collected from the coveralls of physicians exiting a room after the management of a patient with severe-to-critical COVID-19 within 14 days after the patient’s symptom onset. The surface of coveralls was categorized into coverall-only parts (frontal surface of the head, anterior neck, dorsal surface of the foot cover, and back and hip) and gown-covered parts (the anterior side of the forearm and the abdomen). Sampling of the high-contact surfaces in the patient’s environment was performed. We attempted to identify significant differences in contamination with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) between the coverall-only and gown-covered parts. Results A total of 105 swabs from PPEs and 28 swabs from patient rooms were collected. Of the PPE swabs, only three (2.8%) swabs from the gown-covered parts were contaminated with SARS-CoV-2. However, 23 of the 28 sites (82.1%) from patient rooms were contaminated. There was a significant difference in the contamination of PPE between the coverall-only and gown-covered parts (0.0 vs 10.0%, p = 0.022). Conclusions Coverall contamination rarely occurred while managing severe-to-critical COVID-19 patients housed in negative pressure rooms in the early stages of the illness. Long-sleeved gowns may be used in the management of COVID-19 patients.
format	article
author	Jongtak Jung Kyoung-Ho Song Hyeonju Jeong Sin Young Ham Eu Suk Kim Hong Bin Kim
author_facet	Jongtak Jung Kyoung-Ho Song Hyeonju Jeong Sin Young Ham Eu Suk Kim Hong Bin Kim
author_sort	Jongtak Jung
title	Are coveralls required as personal protective equipment during the management of COVID-19 patients?
title_short	Are coveralls required as personal protective equipment during the management of COVID-19 patients?
title_full	Are coveralls required as personal protective equipment during the management of COVID-19 patients?
title_fullStr	Are coveralls required as personal protective equipment during the management of COVID-19 patients?
title_full_unstemmed	Are coveralls required as personal protective equipment during the management of COVID-19 patients?
title_sort	are coveralls required as personal protective equipment during the management of covid-19 patients?
publisher	BMC
publishDate	2021
url	https://doaj.org/article/83e19b0718a94bbf978ea4fcfb0b8771
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Are coveralls required as personal protective equipment during the management of COVID-19 patients?

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