Affiliation:
1. Department of Anaesthesia and Intensive Care Medicine Royal United Hospital NHS Trust Bath UK
Abstract
SummaryPersonal protective equipment has become an important and emotive subject during the current coronavirus disease 2019 epidemic. Coronavirus disease 2019 is predominantly caused by contact or droplet transmission attributed to relatively large respiratory particles which are subject to gravitational forces and travel only approximately 1 metre from the patient. Airborne transmission may occur if patient respiratory activity or medical procedures generate respiratory aerosols. These aerosols contain particles that may travel much longer distances and remain airborne longer, but their infective potential is uncertain. Contact, droplet and airborne transmission are each relevant during airway manoeuvres in infected patients, particularly during tracheal intubation. Personal protective equipment is an important component, but only one part, of a system protecting staff and other patients from coronavirus disease 2019 cross‐infection. Appropriate use significantly reduces risk of viral transmission. Personal protective equipment should logically be matched to the potential mode of viral transmission occurring during patient care – contact, droplet or airborne. Recommendations from international organisations are broadly consistent, but equipment use is not. Only airborne precautions include a fitted high‐filtration mask, and this should be reserved for aerosol generating procedures. Uncertainty remains around certain details of personal protective equipment including use of hoods, mask type and the potential for re‐use of equipment.
Reference42 articles.
1. Detection of SARS-CoV-2 in Different Types of Clinical Specimens
2. Public Health England.COVID‐19: infection prevention and control guidance.2020.https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/wuhan-novel-coronavirus-wn-cov-infection-prevention-and-control-guidance#mobile-healthcare-equipment(accessed 25/03/2020).
3. Aerosol and surface stability of HCoV-19 (SARS-CoV-2) compared to SARS-CoV-1
4. The role of particle size in aerosolised pathogen transmission: A review
5. Toward Understanding the Risk of Secondary Airborne Infection: Emission of Respirable Pathogens
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