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Hospital respiratory protection practices in 6 U.S. states: a public health evaluation study.

Authors
Peterson-K; Novak-D; Stradtman-L; Wilson-D; Couzens-L
Source
Am J Infect Control 2015 Jan; 43(1):63-71
NIOSHTIC No.
20045563
Abstract
Background: Lessons learned from the influenza A (H1N1) virus revealed a need to better understand hospitals' respiratory protection programmatic practice gaps. This article reports findings from a multistate assessment of hospitals' adherence to the Occupational Safety and Health Administration's respiratory protection program (RPP) requirements and the Centers for Disease Control and Prevention's infection control guidance. Methods: Onsite surveys were conducted in 98 acute care hospitals in 6 U.S. states, including >1,500 hospital managers, unit managers, and health care workers. Descriptive statistics were used to assess hospital adherence. Results: Most acute care hospitals adhere to requirements for initial medical evaluations, fit testing, training, and recommended respiratory protection when in close contact with patients who have suspected or confirmed seasonal influenza. Low hospital adherence was found for respiratory protection with infectious diseases requiring airborne precautions, aerosol-generating procedures with seasonal influenza, and checking of the respirator's user seal. Hospitals' adherence was also low with follow-up program evaluations, medical re-evaluations, and respirator maintenance. Conclusion: Efforts should be made to closely examine ways of strengthening hospitals' RPPs to ensure the program's ongoing effectiveness and workers' proper selection and use of respiratory protection. Implications for improved RPPs and practice are discussed.
Keywords
Medical-facilities; Viral-diseases; Viral-infections; Respiratory-protection; Respiratory-infections; Respiration; Respiratory-system-disorders; Infection-control; Health-care-personnel; Training; Workers; Work-environment; Worker-healthAntibody-response; Animals; Laboratory-animals; Immune-system; Proteins; Cell-function; Cellular-function; Fungi; Infectious-diseases
Contact
Debra Novak PhD, RNb, National Institute for Occupational Safety and Health/National Personal Protective Technology Laboratory, Pittsburgh, PA 15263
CODEN
AJICDC
Publication Date
20150101
Document Type
Journal Article
Email Address
ian5@cdc.gov
Funding Type
Contract; Cooperative Agreement
Fiscal Year
2015
NTIS Accession No.
NTIS Price
Identifying No.
Contract-200-2009-31310
Issue of Publication
1
ISSN
0196-6553
NIOSH Division
NPPTL
Source Name
American Journal of Infection Control
State
PA
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