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Auswahl der wissenschaftlichen Literatur zum Thema „Respirators-Australia“
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Zeitschriftenartikel zum Thema "Respirators-Australia"
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Chan, Jun Keat, Kah Hong Yep, Sarah Magarey, Zoe Keon-Cohen und Matt Acheson. „Fit Testing Disposable P2/N95 Respirators during COVID-19 in Victoria, Australia: Fit Check Evaluation, Failure Rates, and a Survey of Healthcare Workers“. COVID 1, Nr. 1 (06.07.2021): 83–96. http://dx.doi.org/10.3390/covid1010007.
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Quantitative fit testing was utilised to evaluate the Department of Health and Human Services in Victoria (DHHS) recommended fit check and determine pass/fail rates for self-selected P2/N95 respirators. Survey experience and training related to P2/N95 respirators were also obtained. This was an observational study at a specialist tertiary referral centre, Melbourne, Australia, between 29 May 2020 and 5 June 2020. The primary outcome was quantitative fit test pass/fail results, with fit check reported against fit test as a 2 × 2 contingency table. The secondary outcomes were the number of adjustments needed to pass, as well as the pass rates for available sizes and types of self-selected respirators, survey data for attitudes, experience and training for P2/N95 respirators. The fit check predicts respirator seal poorly (PPV 34.1%, 95% CI 25.0–40.5). In total, 69% (40/58) of respirators failed quantitative fit testing after initial respirator application and is a clinically relevant finding (first-up failure rate for P2/N95 respirators). Only one person failed the fit test for all three respirator fit tests. There was significant variability between each of the seven types of self-selected P2/N95 respirators, although sample sizes were small. Few participants were trained in the use of P2/N95 respirators or the fit check prior to COVID-19, with a high number of participants confident in achieving a P2/95 respirator seal following a fit test. The fit check alone was not a validated method in confirming an adequate seal for P2/N95 respirators. Quantitative fit testing can facilitate education, improve the seal of P2/N95 respirators, and needs to be integrated into a comprehensive Respiratory Protection Program (RPP).
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Chughtai, Abrar Ahmad, Holly Seale, William D. Rawlinson, Mohana Kunasekaran und C. Raina Macintyre. „Selection and Use of Respiratory Protection by Healthcare Workers to Protect from Infectious Diseases in Hospital Settings“. Annals of Work Exposures and Health 64, Nr. 4 (07.03.2020): 368–77. http://dx.doi.org/10.1093/annweh/wxaa020.
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Abstract Objectives Infection control policies and guidelines recommend using facemasks and respirators to protect healthcare workers (HCWs) from respiratory infections. Common types of respirators used in healthcare settings are filtering facepiece respirators (FFRs) and powered air-purifying respirators (PAPRs). Aims of this study were to examine the current attitudes and practices of HCWs regarding the selection and use of respiratory protection and determine the acceptability of a novel PAPR. Methods In-depth interviews were undertaken with 20 HCWs from a large tertiary hospital in Sydney, Australia. Participants were fit tested with a lightweight tight-fitting half-facepiece PAPR (CleanSpace2™ Power Unit, PAF-0034, by CleanSpace Technology®) using the TSI™ Portacount quantitative fit test method. Results Interview results showed that HCWs had a limited role in the selection and use of facemasks and respirators and had been using the devices provided by the hospital. The majority of subjects had no knowledge of hospital policy for the use of facemasks and respirators, had not been trained on the use of respirators, and had not been fit tested previously. Compliance with the use of facemasks and respirators was perceived as being low and facemasks and respirators were typically used only for short periods of time. All 20 participants were successfully fit tested to the CleanSpace2™ PAPR (overall geometric mean fit factor—6768). According to the exit surveys, CleanSpace2™ PAPRs were easy to don (14/20) and doff (15/20) and comfortable to wear (14/20). Most participants believed that PAPRs provide higher protection, comfort and reusability over N95 FFR and can be used during pandemics and other high-risk situations. Conclusions HCWs should be aware of infection control policies and training should be provided on the correct use of respiratory protective devices. PAPRs can be used in hospital settings to protect HCWs from certain highly infectious and emerging pathogens, however, HCWs require adequate training on storage, use, and cleaning of PAPRs.
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Barakat-Johnson, M., J. Stephenson, K. Dempsey, L. Innes, S. Jain, T. Leong, T. Schouten, F. Coyer und A. Hallahan. „Fit testing and comfort evaluation of prophylactic dressing use for healthcare workers under N95/P2 respirators in one health service district in Australia“. Journal of Hospital Infection 123 (Mai 2022): 100–107. http://dx.doi.org/10.1016/j.jhin.2022.02.016.
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Farabi, Maududi, und Mila Tejamaya. „Respiratory Protection Programs (RPP) Implementation at Production Unit of A Tin Smelter at Bangka Belitung Islands Province“. Jurnal Ilmu Kesehatan Masyarakat 11, Nr. 3 (30.11.2020): 248–63. http://dx.doi.org/10.26553/jikm.2020.11.3.248-263.
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The fume generated from the reaction of flux and molten tin produces tin compounds in the atmosphere which potentially lead to stanosis or also known as tin pneumoconiosis after chronic inhalation and prolonged exposure in the workplaces e.g. in smelter industries. The risk can be minimized by implementing Respiratory Protection Program (RPP). This study aimed to evaluate the implementation of RPP at one smelter industries in Bangka Belitung Province. This is a evaluation study that qualitatively evaluate the implementation of RPP. eigth RPP elements from National safety Council (NSC) Australia was used as guideline. The secondary data from Occupational Health and Safety inspection and monitoring report at one of tin smelter from Department of Manpower (Disnaker), Banga Belitung Island province. It was found that several RPP elements have not been fully implemented, which were (1) compliance with respirator standards, (2) no selection of respirators procedure, (3) no protective clothing, (4) no fit testing execution, (5) improper management of cleaning and inspections, and (6) no evaluation of respirator usage. Moreover, specific work process that need Supplied Air Respirator (SAR) has not been anticipated, and improvement in the training materials, periodic training schedule and evaluation of the Respiratory Protection Program were emphasized. There were 3 informants in this study consisting of company managers, safety officers, and labor inspector. The implementation of RPP at PT X. Tin needs to be enhanced. Continuous coaching, monitoring, inspection, and evaluation related to the Respiratory Protection Program must be carried out more intensively both internally and externally from the government.
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Islam, M. Saiful, Kazi M. Rahman, Yanni Sun, Mohammed O. Qureshi, Ikram Abdi, Abrar A. Chughtai und Holly Seale. „Current knowledge of COVID-19 and infection prevention and control strategies in healthcare settings: A global analysis“. Infection Control & Hospital Epidemiology 41, Nr. 10 (15.05.2020): 1196–206. http://dx.doi.org/10.1017/ice.2020.237.
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AbstractObjective:In the current absence of a vaccine for COVID-19, public health responses aim to break the chain of infection by focusing on the mode of transmission. We reviewed the current evidence on the transmission dynamics and on pathogenic and clinical features of COVID-19 to critically identify any gaps in the current infection prevention and control (IPC) guidelines.Methods:In this study, we reviewed global COVID-19 IPC guidelines by organizations such as the World Health Organization (WHO), the US Centers for Disease Control and Prevention (CDC), and the European Centre for Disease Prevention and Control (ECDC). Guidelines from 2 high-income countries (Australia and United Kingdom) and from 1 middle-income country (China) were also reviewed. We searched publications in English on ‘PubMed’ and Google Scholar. We extracted information related to COVID-19 transmission dynamics, clinical presentations, and exposures that may facilitate transmission. We then compared these findings with the recommended IPC measures.Results:Nosocomial transmission of SARS-CoV-2 in healthcare settings occurs through droplets, aerosols, and the oral–fecal or fecal–droplet route. However, the IPC guidelines fail to cover all transmission modes, and the recommendations also conflict with each other. Most guidelines recommend surgical masks for healthcare providers during routine care and N95 respirators for aerosol-generating procedures. However, recommendations regarding the type of face mask varied, and the CDC recommends cloth masks when surgical masks are unavailable.Conclusion:IPC strategies should consider all the possible routes of transmission and should target all patient care activities involving risk of person-to-person transmission. This review may assist international health agencies in updating their guidelines.
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Wyer, Mary, Ruth Barratt, Su-yin Hor, Patricia E. Ferguson und Gwendolyn L. Gilbert. „Exploring healthcare workers’ perspectives of video feedback for training in the use of powered air purifying respirators (PAPR) at the onset of the COVID-19 pandemic“. BMC Medical Education 22, Nr. 1 (23.09.2022). http://dx.doi.org/10.1186/s12909-022-03742-8.
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Abstract Background With the advent of COVID-19, many healthcare workers (HWs) in Australia requested access to powered air purifying respirators (PAPR) for improved respiratory protection, comfort and visibility. The urgency of the response at our hospital required rapid deployment of innovative training to ensure the safe use of PAPRs, in particular, a video-feedback training option to prepare HWs for PAPR competency. Aim To explore the feasibility, acceptability, and utility of video-feedback in PAPR training and competency assessment. Methods Semi-structured interviews were conducted with 12 HWs, including clinicians from Intensive Care, Anaesthetics and Respiratory Medicine, at a large teaching hospital in Australia. Findings Participants believed that the use of video-feedback in PAPR training was feasible, acceptable and useful. They described a variety of benefits to learning and retention, from a variety of ways in which they engaged with the personal video-feedback. Participants also described the impact of reviewing personalised practice footage, compared to generic footage of an ideal performance. Conclusion By conceptualising video-feedback using a pedagogical approach, this study contributes to knowledge around optimising methods for training HWs in PPE use, particularly when introducing a new and complex PPE device during an infectious disease outbreak.
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Ananda-Rajah, Michelle, Benjamin Veness, Danielle Berkovic, Catriona Parker, Greg Kelly und Darshini Ayton. „Hearing the voices of Australian healthcare workers during the COVID-19 pandemic“. BMJ Leader, 17.12.2020, leader—2020–000386. http://dx.doi.org/10.1136/leader-2020-000386.
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BackgroundThe statistics of healthcare worker (HCW) COVID-19 infections do not convey the lived experience of HCWs during the pandemic. This study explores the working conditions and issues faced by Australian HCWs.MethodsQualitative analysis of free-text responses from Australian HCWs from 3 August to 26 October 2020 from an open letter calling for better respiratory protection for HCWs, transparent reporting of HCW COVID-19 infections and diversity in national infection control policy development. The open letter was sent to an email list of 23 000 HCWs from a previous campaign and promoted on social media.ResultsAmong 3587 HCWs who signed the open letter during the study period, 569 free-text responses were analysed. Doctors and nurses accounted for 58% and 33% of respondents, respectively. Most respondents came from Victoria (48%), New South Wales (20%), Queensland (12%) or Western Australia (11%). Dominant themes included concerns about: work health and safety standards; guidelines on respiratory protection including the omission of fit-testing of P2/N95 respirators; deficiencies in the availability, quality, appropriateness and training of personal protective equipment; and a command-and-control culture that enabled bullying in response to concerns about safety that culminated a loss of trust in leadership, self-reported COVID-19 infections in some respondents and moral injury.ConclusionDeficiencies in work health and safety, respiratory protection, personal protective equipment and workplace culture have resulted in a loss of psychological and physical safety at work associated with an occupational moral injury. The challenge for healthcare leaders is to repair trust by addressing HCW concerns and fast track solutions in collaboration with them.
Dissertationen zum Thema "Respirators-Australia"
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Gardner, Jan Maria, University of Western Sydney, of Science Technology and Environment College und School of Environment and Agriculture. „Assessment of effective implementation of respirator programs in industry in NSW“. THESIS_CSTE_EAG_Gardner_J.xml, 2002. http://handle.uws.edu.au:8081/1959.7/781.
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In spite of the substantial repository of literature about respirators, little is known about the practicalities of their use. The focus of this research was about the practical aspects of using respirators in New South Wales workplaces. Two self-administered postal surveys were used to assess the level of implementation of respirator programs in 1996 and 2001. After five years, six elements improved. The most improvement was seen in the area of documentation including written procedures, keeping training records, recording respirator tasks, and maintenance records. The second survey investigated respirator maintenance and found little automated cleaning. Thorough washing was scarce with more than 50% of organisations relying on moist towelettes. For the third portion of the research methodology 485 used, half facepiece reusable respirators from 36 different sites were examined to determine the most common respirator defects. Maintenance and cleaning procedures were primitive and probably inadequate. Disinfection or sanitisation was common practice indicating concern about infectious diseases. The 2001 survey found that physical inspection of respirators in the workplace usually checked for the common types of defects found in the examination of used respirators. Weight, breathing resistance, heat and tightness were reported as causes of discomfort. The key outcomes from the research were that respirator programs were poorly implemented in a group of organisations that were expected to have more expertise than most and that the most common defects could be corrected by good respirator cleaning programs.Doctor of Philosphy (PhD)
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Gardner, Jan Maria. „Assessment of effective implementation of respirator programs in industry in NSW“. Thesis, View thesis, 2002. http://handle.uws.edu.au:8081/1959.7/781.
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In spite of the substantial repository of literature about respirators, little is known about the practicalities of their use. The focus of this research was about the practical aspects of using respirators in New South Wales workplaces. Two self-administered postal surveys were used to assess the level of implementation of respirator programs in 1996 and 2001. After five years, six elements improved. The most improvement was seen in the area of documentation including written procedures, keeping training records, recording respirator tasks, and maintenance records. The second survey investigated respirator maintenance and found little automated cleaning. Thorough washing was scarce with more than 50% of organisations relying on moist towelettes. For the third portion of the research methodology 485 used, half facepiece reusable respirators from 36 different sites were examined to determine the most common respirator defects. Maintenance and cleaning procedures were primitive and probably inadequate. Disinfection or sanitisation was common practice indicating concern about infectious diseases. The 2001 survey found that physical inspection of respirators in the workplace usually checked for the common types of defects found in the examination of used respirators. Weight, breathing resistance, heat and tightness were reported as causes of discomfort. The key outcomes from the research were that respirator programs were poorly implemented in a group of organisations that were expected to have more expertise than most and that the most common defects could be corrected by good respirator cleaning programs.