About: A unified personal protective equipment ensemble for clinical response to possible high consequence infectious diseases: A consensus document on behalf of the HCID programme

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About: A unified personal protective equipment ensemble for clinical response to possible high consequence infectious diseases: A consensus document on behalf of the HCID programme Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	A unified personal protective equipment ensemble for clinical response to possible high consequence infectious diseases: A consensus document on behalf of the HCID programme
Creator	Beadsworth, Mike Crook, Brian Evans, Cariad Gent, Nick Hall, Samantha Jacobs, Mike Peters, Erica Poller, Bozena Poran, Vin Sykes, Allison Tunbridge, Anne Schmid, Matthias
Source	Elsevier; Medline; PMC
abstract	The importance of appropriate personal protective equipment (PPE) as a component of healthcare worker (HCW) protection was highlighted during the Ebola virus disease (EVD) outbreak in West Africa. The large number of HCW deaths in Africa was in part due to lack of resources or prior training in PPE usage. As part of the Ebola legacy, the High Consequence Infectious Disease (HCID) programme was initiated by NHS England and Public Health England (PHE) to improve preparedness for Ebola and other infections that not only endanger the life of the patient, but also pose particular dangers to HCWs. A systematic review identified national standardisation of PPE protocols as a priority, but recognised that a lack of safety data limited the ability to mandate any one protocol. A simulation-based exercise was developed to assess the safety of PPE ensembles in use in the UK during first assessment of a patient with a possible HCID. A mannequin was adapted to expose volunteer HCWs to synthetic bodily fluids (vomit, sweat, diarrhoea and cough), each with a different coloured fluorescent tracer, invisible other than under ultraviolet (UV) light. After exposure, HCWs were examined under UV lights to locate fluorescent contamination, and were screened again after removing PPE (doffing) to detect any personal contamination. The exercise was videoed, allowing retrospective analysis of contamination events and user errors. The simulation testing identified significant HCW contamination events after doffing, related to protocol failure or complications in PPE doffing, providing conclusive evidence that improvements could be made. At a workshop with an expert stakeholder group, the data were examined and a unified PPE ensemble agreed. This ensemble was then tested in the same simulation exercise and no evidence of any HCW contamination was seen after doffing. Following further review by the working group, a consensus agreement has been reached and a unified ‘HCID assessment PPE’ ensemble, with accompanying donning and doffing protocols, is presented here.
has issue date	2018-08-31(xsd:dateTime)
bibo:doi	10.1016/j.jinf.2018.08.016
bibo:pmid	30176274
has license	no-cc
sha1sum (hex)	fa82190924919c14dc0c76619ce77d9dcfc9d007
schema:url	https://doi.org/10.1016/j.jinf.2018.08.016
resource representing a document's title	A unified personal protective equipment ensemble for clinical response to possible high consequence infectious diseases: A consensus document on behalf of the HCID programme
has PubMed Central identifier	PMC7112614
has PubMed identifier	30176274
schema:publication	J Infect
resource representing a document's body	covid:fa82190924919c14dc0c76619ce77d9dcfc9d007#body_text
is schema:about of	named entity 'HIGH' named entity 'UNIFIED' named entity 'INFECTION' named entity 'ASSESSMENT' named entity 'STAKEHOLDER' named entity 'PRESENTED' named entity 'PPE' named entity 'UNIFIED' named entity 'CONSENSUS' named entity 'ENSEMBLE' named entity 'GROUP' named entity 'FOLLOWING' named entity 'HTTP' named entity 'CONSENSUS' named entity 'CLINICAL RESPONSE' named entity 'ENSEMBLE' named entity 'POSSIBLE' named entity 'CONTAMINATION' named entity 'EXAMINED' named entity 'JOURNAL ' named entity 'NO EVIDENCE OF' named entity 'DONNING' named entity 'WORKING GROUP' named entity 'NC-' named entity '496' named entity 'REVIEW' named entity 'PERSONAL PROTECTIVE EQUIPMENT' named entity 'INFECTIOUS DISEASES' named entity 'RESPONSE TO' named entity 'CONSEQUENCE' named entity 'DOCUMENT ' named entity 'PROGRAMME' named entity 'PROTOCOLS' named entity 'ACCOMPANYING' named entity 'WORKSHOP' named entity 'SEEN' named entity 'SIMULATION' named entity 'EXERCISE' named entity 'HERE' named entity 'DATA' named entity 'TESTED' named entity 'AGREEMENT' named entity 'ORG' named entity 'accompanying' named entity 'assessment' named entity 'PPE' named entity 'Hall' named entity 'response' named entity 'ultraviolet (UV) light' named entity 'Ebola virus disease' named entity 'FFP3' named entity 'PPE' named entity 'PPE' named entity 'HCW' named entity 'PPE' named entity 'non-sterile' named entity 'fluorescent' named entity 'FFP3' named entity 'PPE' named entity 'MERS-CoV' named entity 'PPE' named entity 'PPE' named entity 'mannequin' named entity 'PPE' named entity 'head and neck' named entity 'HCW' named entity 'PPE' named entity 'PPE' named entity 'lack of safety' named entity 'Infection Prevention and Control'

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