Health Care Workers and Respiratory Protection: Is the User Seal Check a Surrogate for Respirator Fit-Testing?

2011 ◽  
Vol 8 (5) ◽  
pp. 267-270 ◽  
Author(s):  
Quinn Danyluk ◽  
Chun-Yip Hon ◽  
Mike Neudorf ◽  
Annalee Yassi ◽  
Elizabeth Bryce ◽  
...  
Author(s):  
Valeriy Aleksandrovich Kaptsov

Relevance of the problem. The incidence of infectious diseases among health care workers is higher than the population. Better protection of workers from inhalation of bioaerosols will reduce the risk of their disease. The purpose of the study.The goal is to establish how and to what extent the use of personal respiratory protection equipment (PPE) worsens the gas exchange during breathing, and preventing their timely and proper use in the polluted atmosphere. Materials and methods. Available publications from NIOSH, Taylor & Francis, Oxford University Press and other sourceshave been used. Results. The respirator’s usage increases the «dead space», reducing the concentration of oxygen and increasing the concentration of carbon dioxide in the inhaled air. The concentration of CO2may exceed the Occupational Exposure Limits many times. The degree of exposure depends on the type of RPD and the tidal volume; in case of a light work the exposure increases. The requirements for certification of respirators cover only the case of heavy work. Therefore, meeting these requirements does not allow for an adequate assessment of the impact of the respirator on the employee when performing light work. Excessive exposure to carbon dioxide, combined with reduced oxygen concentration in the inhaled air, discomfort and skin irritation, prevents the use of the respirator and can lead to disability. Conclusion. The article gives recommendations on how to improve the protection of medical workers from inhalation of bioaerosols: reducing air pollution with the medical masks and ventilation; use the filtering Powered Air Purifying Respirators (PAPR); changing requirements to respiratory containment. There are recommendations to improve the protection of health workers from inhalation of bioaerosols — reduction of air pollution by masks and ventilation; use of PPE with air supply to the front part; changing requirements for certification of respirators.


2009 ◽  
Vol 361 (19) ◽  
pp. 1823-1825 ◽  
Author(s):  
Kenneth I. Shine ◽  
Bonnie Rogers ◽  
Lewis R. Goldfrank

2018 ◽  
Vol 67 (2) ◽  
pp. 56-67 ◽  
Author(s):  
Bonnie Rogers ◽  
Kathleen Buckheit ◽  
Judith Ostendorf

According to the Bureau of Labor Statistics, more than 18 million health care workers in the United States are currently employed in the health care field and at risk of infectious respiratory exposure. With the emergence of global infectious diseases such as Ebola and Severe Acute Respiratory Syndrome (SARS), there is a need for increased and more clinically competent use of respiratory protection among healthcare workers. In an effort to improve knowledge about the practice of respiratory protection against respiratory infectious agents, a NIOSH-funded project that included an educational program, observations of HCWs, and focus groups was conducted. This study aimed to develop, implement, and evaluate respiratory protection educational program for HCWs and hospital management. This study identified respiratory protection practice issues among HCWs and strategies for integration of respiratory protection standards and procedures into practice. Findings from these efforts were used to develop respiratory protection competencies. Any worker who has the potential for respiratory exposure to infectious agents should be protected and should be able to demonstrate these specific competencies to achieve a standard level of respiratory protection.


2020 ◽  
Vol 213 (6) ◽  
pp. 251 ◽  
Author(s):  
C Raina MacIntyre ◽  
Michelle Ananda‐Rajah ◽  
Mark Nicholls ◽  
Ashley L Quigley

2020 ◽  
Vol 213 (7) ◽  
pp. 293 ◽  
Author(s):  
Adrian Regli ◽  
Britta S Ungern‐Sternberg

2017 ◽  
Vol 7 (3) ◽  
Author(s):  
Mark Shirley ◽  
◽  
Linda Hawes Clever ◽  
David J. Prezant ◽  
Kerri Rupe ◽  
...  

Health Scope ◽  
2018 ◽  
Vol 7 (4) ◽  
Author(s):  
Marzieh Honarbakhsh ◽  
Mehdi Jahangiri ◽  
Haleh Ghaem ◽  
Mohammad Ghorbani ◽  
Fatemeh Omidvari ◽  
...  

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