Personal protective equipment for reducing the risk of COVID-19 infection among health care workers involved in emergency trauma surgery during the pandemic: An umbrella review

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dc.contributor.authorGriswold, Dylan P.
dc.contributor.authorGempeler, Andres
dc.contributor.authorKolias, Angelos
dc.contributor.authorHutchinson, Peter J.
dc.contributor.authorRubiano, Andres M.
dc.date.accessioned2022-02-02T20:32:31Z
dc.date.available2022-02-02T20:32:31Z
dc.date.issued2021
dc.description.abstractenglishBackground: Health care facilities in low- and middle-income countries are inadequately resourced to adhere to current COVID-19 prevention recommendations. Recommendations for surgical emergency trauma care measures need to be adequately informed by available evidence and adapt to particular settings. To inform future recommendations, we set to summarize the effects of different personal protective equipment (PPE) on the risk of COVID-19 infection in health personnel caring for trauma surgery patients. Methods: We conducted an umbrella review using Living Overview of Evidence platform for COVID-19, which performs regular automated searches in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and more than 30 other sources. Systematic reviews of experimental and observational studies assessing the efficacy of PPE were included. Indirect evidence from other health care settings was also considered. Risk of bias was assessed with the AMSTAR II tool (Assessing the Methodological Quality of Systematic Reviews, Ottawa, ON, Canada), and the Grading of Recommendations, Assessment, Development, and Evaluation approach for grading the certainty of the evidence is reported (registered in International Prospective Register of Systematic Reviews, CRD42020198267). Results: Eighteen studies that fulfilled the selection criteria were included. There is high certainty that the use of N95 respirators and surgical masks is associated with a reduced risk of COVID-19 when compared with no mask use. In moderate- to high-risk environments, N95 respirators are associated with a further reduction in risk of COVID-19 infection compared with surgical masks. Eye protection also reduces the risk of contagion in this setting. Decontamination of masks and respirators with ultraviolet germicidal irradiation, vaporous hydrogen peroxide, or dry heat is effective and does not affect PPE performance or fit. Conclusion: The use of PPE drastically reduces the risk of COVID-19 compared with no mask use in health care workers. N95 and equivalent respirators provide more protection than surgical masks. Decontamination and reuse appear feasible to overcome PPE shortages and enhance the allocation of limited resources. These effects are applicable to emergency trauma care and should inform future recommendations. Level of evidence: Review, level II.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doi10.1097/TA.0000000000003073
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn2163-0763
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/6718
dc.language.isoeng
dc.publisherWolters Kluwer Healthspa
dc.publisher.journalJournal of Trauma and Acute Care Surgeryspa
dc.relation.ispartofseriesJournal of Trauma and Acute Care Surgery, 2163-0763, April, Volume 90, Issue 4 , 2021, p e72-e80spa
dc.relation.urihttps://journals.lww.com/jtrauma/Fulltext/2021/04000/Personal_protective_equipment_for_reducing_the.22.aspx
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.localAcceso abiertospa
dc.subject.keywordsUmbrella reviewspa
dc.subject.keywordsBroad evidence synthesisspa
dc.subject.keywordsCOVID-19spa
dc.subject.keywordsGlobal healthspa
dc.subject.keywordsTrauma surgeryspa
dc.titlePersonal protective equipment for reducing the risk of COVID-19 infection among health care workers involved in emergency trauma surgery during the pandemic: An umbrella reviewspa
dc.title.translatedPersonal protective equipment for reducing the risk of COVID-19 infection among health care workers involved in emergency trauma surgery during the pandemic: An umbrella reviewspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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