Factors related to the proper use of the N95 respirator in health workers
Keywords:
tuberculosis, infection control, health personnel, health facilities, respiratory protective devicesAbstract
Introduction: Tuberculosis is a disease of interest in occupational health and there is a greater probability of infection and disease in health workers than in the general population. This happens as a consequence of exposure to occupational risk factors and the lack of implementation of tuberculosis control measures.
Objective: Determine the relationship of sociodemographic, occupational factors, knowledge and practices about tuberculosis with the appropriate use of the N95 respirator in health workers in a hospital in the city of Bogotá, Colombia.
Methods: Quantitative study and cross-sectional design. A simple random sampling stratified by occupation and work area was carried out. Descriptive statistics and non-parametric tests were used and were evaluated at a significance level of 5% (P<0.05).
Results: 250 health workers participated. The educational levels of university and postgraduate (P<0.001), the occupations of nurse, specialist doctor, general practitioner and bacteriologist (P<0.001), the work areas of hospitalization, adult intensive care and emergencies (P=0.034), were associated with the proper use of the N95 respirator. Correct knowledge about tuberculosis (P<0.001) was related to the proper use of the N95 respirator.
Conclusions: Through educational actions, it´s recommended to strengthen the knowledge and practices of health workers about tuberculosis and the proper use of the N95 respirator, especially towards the occupations of nursing assistant and other health assistants and technologists, given that statistically showed less adequate use of the N95 respirator
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References
World Health Organization. Global Tuberculosis Report 2022. Geneva, Switzerland: WHO. 2022 [acceso 10/10/2023]. Disponible en: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022
Instituto Nacional de Salud. Boletín epidemiológico semana 52 de 2022. Colombia. 2022 [acceso 10/10/2023]. Disponible en: https://www.ins.gov.co/buscador-eventos/Paginas/Vista-Boletin-Epidemilogico.aspx
Alele FO, Franklin RC, Emeto TI, Leggat P. Occupational tuberculosis in healthcare workers in sub-Saharan Africa: A systematic review. Arch Environ Occup Health. 2019;74(3):95-108. DOI: https://doi.org/10.1080/19338244.2018.1461600
World Health Organization. WHO guidelines on tuberculosis infection prevention and control 2019 update. Geneva, Switzerland: WHO. 2019 [acceso 10/10/2023] Disponible en: https://apps.who.int/iris/bitstream/handle/10665/311259/9789241550512-eng.pdf?ua=1&ua=1
Ismail H, Reffin N, Wan Puteh SE, Hassan MR. Compliance of Healthcare Worker's toward Tuberculosis Preventive Measures in Workplace: A Systematic Literature Review. Int J Environ Res Public Health. 2021 Oct 15;18(20):10864. DOI: https://doi.org/10.3390/ijerph182010864
Koyuncu N, Kadilar C. Ratio and product estimators in stratified random sampling. Stat. Plan. Inference. 2009;139(8):2552-8. DOI: https://doi.org/10.1016/j.jspi.2008.11.009
Galicia-Alarcón LA, Balderrama-Trápaga JA, Edel-Navarro R. Validez de contenido por juicio de expertos: propuesta de una herramienta virtual. Apertura. 2017 [acceso 10/10/2023];9(2):42-53. Disponible en: https://www.redalyc.org/articulo.oa?id=68853736003
Tristán-López A. Modificación al modelo de Lawshe para el dictamen cuantitativo de la validez de contenido de un instrumento objetivo. Avances en Medición. 2008 [acceso 10/10/2023];6:37-48. Disponible en: https://www.humanas.unal.edu.co/lab_psicometria/application/files/9716/0463/3548/VOL_6._Articulo4_Indice_de_validez_de_contenido_37-48.pdf
American Educational Research Association, American Psychological Association, National Council on Measurement in Education. Standards for Psychological Testing. 2014. Washington. (archivo digital)
Centers for Disease Control and Prevention. NIOSH-Approved Particulate Filtering Facepiece Respirators. Atlanta, United States of America. 2021 [acceso 10/10/2023]. Disponible en: https://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/
Hernández-Ávila M, Garrido F, Salazar-Martínez E. Sesgos en estudios epidemiológicos. Salud Publ Mex. 2000 [acceso 10/10/2023];42(5):438-46. Disponible en: https://scielosp.org/pdf/spm/2000.v42n5/438-446/es
World Medical Association. WMA Declaration of Helsinki – ethical principles for medical research involving human subjects. Helsinki, Finland. 1964 [acceso 10/10/2023]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/#:~:text=Medical%20research%20involving%20human%20subjects%20must%20conform%20to%20generally%20accepted,%2C%20as%20appropriate%2C%20animal%20experimentation
Ministerio de Salud y Protección Social de Colombia. Resolución 8430 de 1993 “Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud”. Bogotá, Colombia. 2021 [acceso 10/10/2023]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Shrestha A, Bhattarai D, Thapa B, Basel P, Wagle RR. Health care workers' knowledge, attitudes and practices on tuberculosis infection control, Nepal. BMC Infect Dis. 2017 Nov 17;17(1):724. DOI: https://doi.org/10.1186/s12879-017-2828-4
Ramlan W, Zainuddin H, Kamarudin R. Knowledge and practice on tuberculosis infection control among government primary healthcare workers in a district in Malaysia. International Journal of Public Health & Clinical Sciences (IJPHCS). 2020[acceso 10/10/2023];7(4):178-92. Disponible en: https://www.academia.edu/66465039/Knowledge_and_practice_on_tuberculosis_infection_control_among_government_primary_healthcare_workers_in_a_district_in_Malaysia
Ippolito M, Ramanan M, Bellina D, Catalisano G, Iozzo P, Di Guardo A, Moscarelli A, Grasselli G, Giarratano A, Bassetti M, Tabah A, Cortegiani A. Personal protective equipment use by healthcare workers in intensive care unit during the early phase of COVID-19 pandemic in Italy: a secondary analysis of the PPE-SAFE survey. Ther Adv Infect Dis. 2021 Feb 25;8:2049936121998562. DOI: https://doi.org/10.1177/2049936121998562
Díaz-Guio DA, Díaz-Guio Y, Pinzón-Rodas V, Díaz-Gomez AS, Guarín-Medina JA, Chaparro-Zúñiga Y, Ricardo-Zapata A, Rodriguez-Morales AJ. COVID-19: Biosafety in the Intensive Care Unit. Curr Trop Med Rep 2020;7(4):104-11. DOI: https://doi.org/10.1007/s40475-020-00208-z
Kim H, Lee J, Lee S, Oh J, Kang B, Lim TH, Kang H. Comparison of fit factors among healthcare providers working in the Emergency Department Center before and after training with three types of N95 and higher filter respirators. Medicine (Baltimore). 2019 Feb;98(6):e14250. DOI: https://doi.org/10.1097/MD.0000000000014250
Tadesse AW, Alagaw A, Kassa M, Bekele M. Tuberculosis infection control practices and associated factors among healthcare workers in hospitals of Gamo Gofa Zone, Southern Ethiopia, institution-based cross-sectional study. PLoS One. 2020 Sep 21;15(9):e0239159. DOI: https://doi.org/10.1371/journal.pone.0239159
Shrestha SK, Bhattarai RB, Joshi LR, Adhikari N, Shrestha SK, Basnet R, K C KN. Knowledge, Attitude, and Practices on Drug-Resistant Tuberculosis Infection Control in Nepal: A Cross-Sectional Study. Tuberc Res Treat. 2021 Mar 1;2021:6615180. DOI: https://doi.org/10.1155/2021/6615180
Malotle MM, Spiegel JM, Yassi A, Ngubeni D, O'Hara LM, Adu PA, Bryce EA, Mlangeni N, Gemell GSM, Zungu M. Occupational tuberculosis in South Africa: are health care workers adequately protected? Public Health Action. 2017 Dec 21;7(4):258-67. DOI: https://doi.org/10.5588/pha.17.0070
Williams D, Kave B, Begg F, Marshall C, Segal R, Ng I. Impacts on staff after implementation of a respiratory protection program in a Victorian public hospital. Infect Dis Health. 2021 Nov;26(4):265-72. DOI: https://doi.org/10.1016/j.idh.2021.06.001
Golja E. The assessment of knowledge, attitude and practice towards tuberculosis infection control among health professionals in Nekemte referral hospital, Nekemte, Oromia, West Ethiopia: cross sectional facility based study. Int. j. infect. Control. 2020;16(3). DOI: https://doi.org/10.3396/ijic.v16i3.20305
Vigenschow A, Edoa JR, Adegbite BR, Agbo PA, Adegnika AA, Alabi A, Massinga-Loembe M, Grobusch MP. Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon. BMC Infect Dis. 2021 May 27;21(1):486. DOI: https://doi.org/10.1186/s12879-021-06225-1
Islam MS, Chughtai AA, Banu S, Seale H. Context matters: Examining the factors impacting the implementation of tuberculosis infection prevention and control guidelines in health settings in seven high tuberculosis burden countries. J Infect Public Health. 2021 May;14(5):588-97. DOI: https://doi.org/10.1016/j.jiph.2021.01.014
Nazneen A, Tarannum S, Chowdhury KIA, Islam MT, Islam SMH, Ahmed S, Banu S, Islam MS. Implementation status of national tuberculosis infection control guidelines in Bangladeshi hospitals. PLoS One. 2021 Feb 16;16(2):e0246923. DOI: https://doi.org/10.1371/journal.pone.0246923
Park JS. Prevention of tuberculosis and isolation of tuberculosis patients in health care facilities. Journal of The Korean Medical Association. 2019;62(1):5-10. DOI: https://doi.org/10.5124/jkma.2019.62.1.5
Engelbrecht MC, Kigozi G, Janse van Rensburg AP, Van Rensburg DHCJ. Tuberculosis infection control practices in a high-burden metro in South Africa: A perpetual bane for efficient primary health care service delivery. Afr J Prim Health Care
Fam Med. 2018 May 30;10(1):e1-e6. DOI: https://doi.org/10.4102/phcfm.v10i1.1628
Muñoz-Sánchez AI, Antolinez-Figueroa C. Medidas de protección respiratoria de tuberculosis en personal de salud: revisión integrativa. Av.enferm. 2019;37(3):353-63. DOI: https://doi.org/10.15446/av.enferm.v37n3.77318
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