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      Disonancias en las imágenes transmitidas por los medios de comunicación en los brotes epidémicos a propósito de los Equipos de Protección Individual (EPIs) Translated title: Dissonances in the images transmitted by the media in epidemic outbreaks about of Personal Protective Equipment (PPE)

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          Abstract

          RESUMEN. Objetivos: Subrayar cómo las imágenes difundidas por los medios de comunicación para ilustrar noticias sobre brotes epidémicos, pueden contribuir a la confusión en cuanto a los EPIs que se deben utilizar para las diferentes actividades y a la forma de su utilización. Material y Métodos: Se analizan imágenes que ilustraban noticias sobre el brote de coronavirus aparecidas en diferentes medios de comunicación y se destacan las que hemos denominado disonancias en cuanto a los EPIs utilizados y a su forma de utilización. Resultados y discusión: Se observan diferencias en los EPIs utilizados y en la forma de colocación de los mismos en las referidas imágenes. Lo que puede contribuir al equívoco y a la inseguridad de los profesionales sanitarios que han de utilizarlos. Conclusiones: Sería muy útil unificar y estandarizar equipos para las diferentes tareas así como los protocolos de colocación y retirada, con el debido entrenamiento de los profesionales.

          Translated abstract

          ABSTRACT Objectives: To underline how the images disseminated by the media to illustrate news on outbreaks, can contribute to confusion regarding the PPE to be used for the different activities and the way in which they are used. Material and Methods: Images that illustrate news about the coronavirus outbreak that appeared in different media are analyzed, and those that we have called dissonances in terms of the PPE used and how they are used are highlighted. Results and Discussion: Differences are observed in the PPE used and in the way they are placed in the referred images. This can contribute to the misunderstanding and insecurity of the health professionals who have to use them. Conclusions: It would be very useful to unify and standardize equipment for different tasks as well as placement and removal protocols, with the proper training of professionals.

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          Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission

          Background Healthcare workers (HCWs) use personal protective equipment (PPE) in Ebola virus disease (EVD) situations. However, preventing the contamination of HCWs and the environment during PPE removal crucially requires improved strategies. This study aimed to compare the efficacy of three PPE ensembles, namely, Hospital Authority (HA) Standard Ebola PPE set (PPE1), Dupont Tyvek Model, style 1422A (PPE2), and HA isolation gown for routine patient care and performing aerosol-generating procedures (PPE3) to prevent EVD transmission by measuring the degree of contamination of HCWs and the environment. Methods A total of 59 participants randomly performed PPE donning and doffing. The trial consisted of PPE donning, applying fluorescent solution on the PPE surface, PPE doffing of participants, and estimation of the degree of contamination as indicated by the number of fluorescent stains on the working clothes and environment. Protocol deviations during PPE donning and doffing were monitored. Results PPE2 and PPE3 presented higher contamination risks than PPE1. Environmental contaminations such as those originating from rubbish bin covers, chairs, faucets, and sinks were detected. Procedure deviations were observed during PPE donning and doffing, with PPE1 presenting the lowest overall deviation rate (%) among the three PPE ensembles (p < 0.05). Conclusion Contamination of the subjects’ working clothes and surrounding environment occurred frequently during PPE doffing. Procedure deviations were observed during PPE donning and doffing. Although PPE1 presented a lower contamination risk than PPE2 and PPE3 during doffing and protocol deviations, the design of PPE1 can still be further improved. Future directions should focus on designing a high-coverage-area PPE with simple ergonomic features and on evaluating the doffing procedure to minimise the risk of recontamination. Regular training for users should be emphasised to minimise protocol deviations, and in turn, guarantee the best protection to HCWs. Electronic supplementary material The online version of this article (10.1186/s13756-018-0433-y) contains supplementary material, which is available to authorized users.
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            Improving the Use of Personal Protective Equipment

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              Author and article information

              Journal
              medtra
              Revista de la Asociación Española de Especialistas en Medicina del Trabajo
              Rev Asoc Esp Espec Med Trab
              Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
              1132-6255
              2020
              : 29
              : 2
              : 46-55
              Affiliations
              [1] Cáceres Extremadura orgnameServicio Extremeño de Salud orgdiv1Complejo Hospitalario Universitario de Cáceres España
              Article
              S1132-62552020000200009 S1132-6255(20)02900200009
              dcecb66e-b6da-4b1b-b415-c26d493a4adc

              This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

              History
              : 22 April 2020
              : 11 June 2020
              Page count
              Figures: 0, Tables: 0, Equations: 0, References: 15, Pages: 10
              Product

              SciELO Spain

              Categories
              Textos Originales

              brotes epidémicos,epidemic outbreaks,Disonancias,PPE,EPIs,media images,Dissonances,imágenes en los medios

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