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Are UK doctors getting sufficient protective equipment against covid-19?
The BMJ ( IF 105.7 ) Pub Date : 2020-04-02 , DOI: 10.1136/bmj.m1297
Anna Sayburn 1
Affiliation  

The BMA has warned that doctors are at risk of serious illness or even death because of a lack of proper personal protective equipment (PPE). To determine the vulnerability of healthcare workers on the front line, we look at what the latest guidelines recommend and the evidence behind the use of different grades of equipment, from surgical face masks to full PPE. Are doctors and other healthcare workers being equipped with the protection the evidence indicates they need? Revised guidelines from Public Health England recommend that healthcare workers caring for patients with suspected or confirmed covid-19 should “have access to the PPE that protects them for the appropriate setting and context” and that “risk is not uniform and so elements of the updated guideline are intended for interpretation and application dependent on local assessment of risk.”1 Evidence indicates that aerosol transmission (where the virus is suspended in air) is not driving the pandemic, although certain procedures, such as intubation, risk creating aerosols. Instead, the virus is most commonly transmitted in droplet form, when someone sneezes and coughs, possibly infecting someone nearby, or when droplets fall on hard surfaces and can survive for hours. Public Health England recommends different protection for different risk levels when healthcare workers treat patients with confirmed or suspected covid-19: The guidance allows for local or individual risk assessment when the patient’s risk of having covid-19 is not known. Where clinicians are providing face-to-face assessment or direct care where the risk cannot be established, the guidance …

中文翻译:

英国医生是否获得了足够的针对covid-19的防护设备?

BMA警告说,由于缺乏适当的个人保护设备(PPE),医生有患重病甚至死亡的危险。为了确定一线医护人员的脆弱性,我们查看了最新指南的建议以及使用从手术口罩到完整的个人防护设备等不同等级设备背后的证据。有证据表明医生和其他医护人员需要保护吗?英格兰公共卫生的修订指南建议,护理患有疑似或确诊covid-19的患者的医护人员应“能够在适当的环境下使用PPE来保护他们”,并且“风险并不统一,因此更新的内容该指南旨在根据当地风险评估进行解释和应用。” 1证据表明,气溶胶传播(病毒悬浮在空气中)并没有推动大流行,尽管某些程序(例如插管)会产生气溶胶。相反,当某人打喷嚏和咳嗽时,该病毒通常以飞沫形式传播,可能感染附近的某人,或水滴落在坚硬的表面上并可以存活数小时。当医护人员治疗确诊或疑似covid-19的患者时,英国公共卫生建议针对不同的风险水平采取不同的保护措施:当患者未知covid-19的风险未知时,该指南允许进行局部或个人风险评估。如果临床医生在无法确定风险的情况下提供面对面的评估或直接护理,则指导...
更新日期:2020-04-03
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