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Nursing issues
Use of personal protective equipment reduces the risk of contamination by highly infectious diseases such as COVID-19
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  • Published on: 6 July 2021
    Letter to the Editor - Use of personal protective equipment reduces the risk of contamination by highly infectious diseases such as COVID-19
    • Micah DJ Peters, Researcher University of South Australia, Clinical and Health Sciences, Rosemary Bryant AO Research Centre

    Response to: Dos Santos WM Use of personal protective equipment reduces the risk of contamination by highly infectious diseases such as COVID-19 Evidence-Based Nursing 2021: 24:41

    Nurses need accessible and thorough evidence-based guidance to support safe, effective care due to the risk of SARS-CoV-2/COVID-19 infection, sickness, and death. Selection and use of appropriate Personal Protective Equipment (PPE) is fundamental to respiratory protection programs and access to the latest evidence is vital to underpin practice and policy decisions.

    The Evidence-Based Nursing commentary by Dr Dos Santos on a recent Cochrane Review of PPE use in healthcare workers offers some useful insights. However, there are other key details and findings from the original review that are also important for readers. While covering more of the body appeared to result in enhanced protection, more difficult donning, doffing, and poorer user comfort could lead to higher contamination risk. Also, more breathable PPE might result in a similar number of contamination spots on the user’s trunk compared to less permeable materials (MD 1.60, 95% CI −0.15 to 3.35) and potentially increase user satisfaction (MD −0.46, 95% CI −0.84 to −0.08).

    Centers for Disease Control and Prevention guidance resulted in less contamination compared with using no guidance (small patches: MD −5.44, 95% CI −7.43 to −3.45). Other key findings include:

    - One-step glove plus gown removal versus separa...

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    Conflict of Interest:
    None declared.