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Conservation Practices for Personal Protective Equipment: A Systematic Review with Focus on Lower-Income Countries.
Thiel, Cassandra L; Sreedhar, Pallavi; Silva, Genevieve S; Greene, Hannah C; Seetharaman, Meenakshi; Durr, Meghan; Roberts, Timothy; Vedanthan, Rajesh; Lee, Paul H; Andrade, Gizely; El-Shahawy, Omar; Hochman, Sarah E.
Afiliación
  • Thiel CL; Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA.
  • Sreedhar P; Columbia College, Columbia University, New York, NY 10027, USA.
  • Silva GS; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
  • Greene HC; Social Science Division, New York University Abu Dhabi, Abu Dhabi P.O. Box 129188, United Arab Emirates.
  • Seetharaman M; College of Literature, Science, and Arts, University of Michigan, Ann Arbor, MI 48109, USA.
  • Durr M; Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA.
  • Roberts T; Health Sciences Library, NYU Grossman School of Medicine, New York, NY 10016, USA.
  • Vedanthan R; Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA.
  • Lee PH; Department of Oral and Maxillofacial Surgery, NYU Grossman School of Medicine, New York, NY 10016, USA.
  • Andrade G; Department of Emergency Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.
  • El-Shahawy O; Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA.
  • Hochman SE; Department of Medicine, Division of Infectious Diseases and Immunology, NYU Grossman School of Medicine, New York, NY 10016, USA.
Int J Environ Res Public Health ; 20(3)2023 01 31.
Article en En | MEDLINE | ID: mdl-36767940
During the start of the COVID-19 pandemic, shortages of personal protective equipment (PPE) necessitated unprecedented and non-validated approaches to conserve PPE at healthcare facilities, especially in high income countries where single-use disposable PPE was ubiquitous. Our team conducted a systematic literature review to evaluate historic approaches for conserving single-use PPE, expecting that lower-income countries or developing contexts may already be uniquely conserving PPE. However, of the 50 included studies, only 3 originated from middle-income countries and none originated from low-income countries. Data from the included studies suggest PPE remained effective with extended use and with multiple or repeated use in clinical settings, as long as donning and doffing were performed in a standard manner. Multiple decontamination techniques were effective in disinfecting single use PPE for repeated use. These findings can inform healthcare facilities and providers in establishing protocols for safe conservation of PPE supplies and updating existing protocols to improve sustainability and overall resilience. Future studies should evaluate conservation practices in low-resource settings during non-pandemic times to develop strategies for more sustainable and resilient healthcare worldwide.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Guideline / Systematic_reviews Límite: Humans Idioma: En Revista: Int J Environ Res Public Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Guideline / Systematic_reviews Límite: Humans Idioma: En Revista: Int J Environ Res Public Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza