Personal protective equipment used by health professionals in the covid-19 pandemic
scope review
DOI:
https://doi.org/10.5935/1415.2762.20210058Keywords:
Personal Protective Equipment, Health Personnel, Coronavirus Infections, Pandemics, COVID-19Abstract
Objective: to map the use of personal protective equipment (PPE) by health professionals in coping
with COVID-19. Method: scope review by the protocol proposed by the Joanna Briggs Institute. The
search was performed in June 2020 using PubMed, CINAHL, LILACS databases. Inclusion criteria:
full articles that followed the research objective, in English, Spanish and Portuguese, review
articles, meta-synthesis, meta-analysis, quantitative, qualitative, and mixed. Exclusion criteria:
editorials, correspondence, and articles without reporting to COVID-19. The extracted information
was compared to each other, describing available evidence that answered the guiding question.
Results: four articles were identified in LILACS, 101 in Pubmed, 35 in CINAHL, being 19 included
in the synthesis, in English. Access to equipment was scarce, incomplete or of poor quality. Improper
use and reuse increases the risk of contamination, which can be reduced with training. Long-term
use caused adverse reactions. Discussion: as reduction, reuse and replacement practices, national
and international protocols were created with guidelines for the reuse of respiratory mask N95 or
equivalent, for a period longer than that foreseen by the manufacturer. The proper selection of PPE
must be compatible with the patient's clinical situation. The main limitations of the research were
the few publications of studies and the constant changes in the pandemic scenario. Conclusion: the
mapping of the use of PPE revealed that the focus should be on the quality, form of use and prior
control of the diagnosis for planning the rational use of equipment.
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