COVID-19 infection is related to differences in the use of personal protective equipment by orthopaedic specialist trainees caring for hip fracture patients during the second surge of COVID-19 in the North West of England.

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
S MastanNasri Zreik

Abstract

Personal protective equipment (PPE) may protect health-care workers from COVID-19 infection and limit nosocomial spread to vulnerable hip fracture patients. We performed a cross-sectional survey amongst orthopaedic trainees to explore PPE practice in 19 hospitals caring for hip fracture patients in the North West of England. During the second wave of the pandemic, 14/19 (74%) hospitals experienced an outbreak of COVID-19 amongst staff or patients on the orthopaedic wards. An FFP3 respirator mask was used by doctors in only 6/19 (32%) hospitals when seeing patients with COVID-19 and a cough and in 5/19 (26%) hospitals when seeing asymptomatic patients with COVID-19. A COVID-19 outbreak was reported in 11/13 (85%) orthopaedic units where staff wore fluid resistant surgical masks compared to 3/6 (50%) units using an FFP3 respirator mask (RR 1.69, 95% CI 0.74-3.89) when caring for symptomatic patients with COVID-19. Similarly, a COVID-19 outbreak was reported in more orthopaedic units caring for asymptomatic patients with COVID-19 where staff wore fluid resistant surgical masks (12/14 (86%)) as compared to an FFP3 respirator mask (2/5 (40%)) (RR 2.14, 95% CI 0.72-6.4). Urgent re-evaluation of PPE use is required to reduce nosocomia...Continue Reading

References

Nov 16, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Vittoria OffedduClarence C Tam
Jul 31, 2020·The Journal of Hospital Infection·Charlotte ZhengAodhan Breathnach
Oct 12, 2020·BMJ Open Respiratory Research·Tanya JacksonSebastian Straube
Nov 21, 2020·The Journal of Hospital Infection·S MastanUNKNOWN COVIDHipFracture Study Group

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