Role of Personal Protective Measures in Prevention of COVID-19 Spread Among Physicians in Bangladesh: a Multicenter Cros

  • PDF / 733,784 Bytes
  • 7 Pages / 595.276 x 790.866 pts Page_size
  • 91 Downloads / 127 Views

DOWNLOAD

REPORT


COVID-19

Role of Personal Protective Measures in Prevention of COVID-19 Spread Among Physicians in Bangladesh: a Multicenter Cross-Sectional Comparative Study Md. Musab Khalil 1 & Md Mashiul Alam 2 & Mostafa Kamal Arefin 3 & Mamunur Rashid Chowdhury 4 & Muhammad Rezeul Huq 5 & Joybaer Anam Chowdhury 6 & Ahad Mahmud Khan 7 Accepted: 20 August 2020 # The Author(s) 2020

Abstract This study aims to determine the role of personal protective measures in the prevention of COVID-19 spread among the physicians working at different health facilities in Bangladesh. This hospital-based cross-sectional comparative study was conducted from May to June 2020. A total of 98 COVID-19 positive physicians and 92 COVID-19 negative physicians (physicians with no symptoms of COVID-19 or who tested negative) were enrolled. The questionnaire was adapted from a tool developed by the World Health Organization (WHO) for risk assessment and management of exposure of healthcare workers in the context of COVID-19. Data were collected from the respondents online using Google forms. There was no significant difference in baseline information between COVID-19 positive and COVID-19 negative physicians. The physicians, who were unaware of direct participation in COVID-19 patient care, had higher odds of being COVID-19 positive (OR = 4.018; CI: 1.532–10.535). Additionally, the physicians, who were unaware of the COVID-19 status while performing the aerosol-generated procedure (AGP), had a higher chance of being COVID-19 positive (OR = 2.522; CI: 1.020–6.233). Using face shields/goggles (OR = 0.437; CI:0.228–0.837) and regular decontamination of the patient’s surroundings (OR = 0.392; CI:0.176–0.873) while usual take care of patients and use of N95 masks while performing AGP (OR = 0.372; CI:0.159–0.873) had protective roles against COVID-19 among the physicians. The physicians who had reused the medical gown had two times more chances of being tested positive for COVID-19 than those who had not reused it (OR = 2.3; CI:1.251–4.259). The use of face shields/goggles and N95 masks and decontamination of the patient’s surroundings may give protection against COVID-19. Additionally, reusing medical gowns should be avoided as much as possible. Keywords COVID-19 . Risk factors . Personal protective equipment . Healthcare workers . Physicians . Bangladesh

This article is part of the Topical Collection on COVID-19

Introduction

* Ahad Mahmud Khan [email protected]; [email protected]

Coronavirus disease 2019 (COVID-19) has already affected millions of people with more than half-a-million deaths worldwide since the advent of SARS-CoV-2 in late 2019. Although some countries, e.g., China, Singapore, and South Korea, are forerunners to win this run against this deadly virus, this pandemic is still a high-level concern in most countries across the globe. At present, the infection rate and death toll are on the rise among South-Asian countries such as Bangladesh, India, and others [1]. Bangladesh has counted more than two hundred thousand infected people