Indications for accurate and appropriate use of personal protective equipment for healthcare professionals

A systematic review

Autores

Palavras-chave:

COVID-19 [supplementary concept], Coronavirus infections, Disinfection, Respiratory protective devices, Masks

Resumo

BACKGROUND: The speed of the spread of coronavirus disease 2019 (COVID-19) has put enormous pressure on hospitals and other healthcare facilities. This, together with blockages in several countries, has hindered the availability and accessibility of the necessary personal protective equipment (PPE). OBJECTIVE: To identify, systematically evaluate and summarize the available scientific evidence on the efficacy, safety, safe use and reuse of PPE for healthcare professionals, for preventing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. DESIGN AND SETTING: Systematic review of studies analyzing products for disinfecting and enabling reuse of PPE for coronavirus within the evidence-based health program of a federal university in São Paulo (SP), Brazil. METHODS: A systematic search of the relevant literature was conducted in the PubMed, EMBASE, Cochrane Library, CINAHL, SCOPUS, Web of Science and LILACS databases, for articles published up to November 30, 2020. RESULTS: Ten studies were selected. These analyzed the use of N95, surgical and cotton masks, face shields, flexible enclosures with plastic covers or polycarbonate intubation boxes and plastic curtains; and also PPE disinfection using several substances. CONCLUSION: Combined use of a face shield with a N95 mask proved to be superior to other associations for protecting healthcare workers. Some products are useful for disinfecting PPE, such as 70% ethanol, 0.1% sodium hypochlorite and a mixture of quaternary ammonium and H2O2, and hydrogen peroxide. Ultraviolet light and dry heat at 70 °C can be used to decontaminate N95 masks. REGISTRATION NUMBER: DOI: 10.17605/OSF.IO/4V5FD at the OPENSCIENCE Framework.

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Biografia do Autor

Maria Stella Peccin, Evidence-Based Health Department, Universidade Federal de São Paulo

PT, PhD. Associate Professor, Department of Human Movement Sciences, and Advisor, Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Márcio Luís Duarte, Evidence-Based Health Department, Universidade Federal de São Paulo

MD, MSc. Musculoskeletal Radiologist, WEBIMAGEM Telerradiologia, São Paulo (SP), Brazil; and Doctoral Student in Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Aline Mizusaki Imoto, Evidence-Based Health Department, Universidade Federal de São Paulo

PT, PhD. Physiotherapist and Professor, Professional and Academic Master’s Program, Laboratory for Evidence- Based Healthcare, Escola Superior de Ciências da Saúde, Hospital das Forças Armadas, Brasília (DF), Brazil.

Mônica Taminato, Evidence-Based Health Department, Universidade Federal de São Paulo

PhD. Nurse and Associate Professor, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo (SP), Brazil.

Humberto Saconato, Evidence-Based Health Department, Universidade Federal de São Paulo

MD, PhD. Adjunct Professor, Discipline of Emergency and Evidence-Based Medicine, Universidade Federal de São Paulo (UNIFESP), and Researcher, Cochrane Brazil, São Paulo (SP), Brazil.

aria Eduarda Puga, Evidence-Based Health Department, Universidade Federal de São Paulo

MSc, PhD. Librarian, Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Eduardo Signorini Bicas Franco, Evidence-Based Health Department, Universidade Federal de São Paulo

PT, MSc. Doctoral Student in Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Erika Barbosa Camargo, Evidence-Based Health Department, Universidade Federal de São Paulo

MD, PhD. Professor, Postgraduate Program on Public Health Policies, Escola de Governo em Saúde (EGS), Fundação Oswaldo Cruz (Fiocruz), Brasília (DF), Brazil. 

Leila Bernarda Donato Gottems, Evidence-Based Health Department, Universidade Federal de São Paulo

PhD. Professor, Professional and Academic Master’s Program, Laboratory for Evidence-Based Healthcare, Escola Superior em Ciências da Saúde (ESCS), Brasília (DF), Brazil.

Álvaro Nagib Atallah, Evidence-Based Health Department, Universidade Federal de São Paulo

MD, PhD. Head of Evidence-Based Health Department, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

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Publicado

2022-06-01

Como Citar

1.
Peccin MS, Duarte ML, Imoto AM, Taminato M, Saconato H, Puga aria E, Franco ESB, Camargo EB, Gottems LBD, Atallah Álvaro N. Indications for accurate and appropriate use of personal protective equipment for healthcare professionals: A systematic review. Sao Paulo Med J [Internet]. 1º de junho de 2022 [citado 14º de março de 2025];140(1):1-15. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/680

Edição

v. 140 n. 1 (2022)

Seção

Artigo Original

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Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.