Powered Respirators Are Effective, Sustainable, and Cost-Effective Personal Protective Equipment for SARS-CoV-2.

Autor:	Munro A; NIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.; Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, United Kingdom., Prieto J; School of Health Sciences and Institute for Life Sciences, University of Southampton, Southampton, United Kingdom.; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Mentzakis E; School of Economics, Social and Political Science, University of Southampton, Southampton, United Kingdom., Dibas M; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Mahobia N; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Baker P; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Herbert S; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Smith T; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Hine M; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Hall J; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., McClarren A; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Davidson M; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Brooks J; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Fisher J; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Griffiths D; PeRSo Implementation Team, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom., Morgan H; Faculty of Engineering & Physical Sciences and Institute for Life Sciences, University of Southampton, Southampton, United Kingdom., Giulietti C; School of Economics, Social and Political Science, University of Southampton, Southampton, United Kingdom., Faust SN; NIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.; Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, United Kingdom., Elkington P; NIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.; Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, United Kingdom.
Jazyk:	angličtina
Zdroj:	Frontiers in medical technology [Front Med Technol] 2021 Oct 14; Vol. 3, pp. 729658. Date of Electronic Publication: 2021 Oct 14 (Print Publication: 2021).
DOI:	10.3389/fmedt.2021.729658
Abstrakt:	Objectives: The provision of high-quality personal protective equipment (PPE) has been a critical challenge during the COVID-19 pandemic. We evaluated an alternative strategy, mass deployment of a powered air-purifying respirator (PeRSo), in a large university hospital. Methods: We performed prospective user feedback via questionnaires sent to healthcare workers (HCWs) issued PeRSos, economic analysis, and evaluated the real-world impact. Results: Where paired responses were available, PeRSo was preferred over droplet precautions for comfort, patient response, overall experience, and subjective feeling of safety. For all responses, more participants reported the overall experience being rated "Very good" more frequently for PeRSo. The primary limitation identified was impairment of hearing. Economic simulation exercises revealed that the adoption of PeRSo within ICU is associated with net cost savings in the majority of scenarios and savings increased progressively with greater ITU occupancy. In evaluation during the second UK wave, over 3,600 respirators were deployed, all requested by staff, which were associated with a low staff absence relative to most comparator hospitals. Conclusions: Health services should consider a widespread implementation of powered reusable respirators as a safe and sustainable solution for the protection of HCWs as SARS-CoV-2 becomes an endemic viral illness. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Munro, Prieto, Mentzakis, Dibas, Mahobia, Baker, Herbert, Smith, Hine, Hall, McClarren, Davidson, Brooks, Fisher, Griffiths, Morgan, Giulietti, Faust and Elkington.)
Databáze:	MEDLINE
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