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2017 ; 96
(1
): 42-48
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Personal protective equipment solution for UK military medical personnel working
in an Ebola virus disease treatment unit in Sierra Leone
#MMPMID28420487
Reidy P
; Fletcher T
; Shieber C
; Shallcross J
; Towler H
; Ping M
; Kenworthy L
; Silman N
; Aarons E
J Hosp Infect
2017[May]; 96
(1
): 42-48
PMID28420487
show ga
The combination of personal protective equipment (PPE) together with donning and
doffing protocols was designed to protect British and Canadian military medical
personnel in the Kerry Town Ebola Treatment Unit (ETU) in Sierra Leone. The PPE
solution was selected to protect medical staff from infectious risks, notably
Ebola virus, and chemical (hypochlorite) exposure. PPE maximized dexterity,
enabled personnel to work in hot temperatures for periods of up to 2h, protected
mucosal membranes when doffing outer layers, and minimized potential
contamination of the doffing area with infectious material by reducing the
requirement to spray PPE with hypochlorite. The ETU was equipped to allow medical
personnel to provide a higher level of care than witnessed in many existing ETUs.
This assured personnel working as part of the international response that they
would receive as close to Western treatment standards as possible if they were to
contract Ebola virus disease (EVD). PPE also enabled clinical interventions that
are not seen routinely in West African EVD treatment regimens, whilst providing a
robust protective barrier. Competency in using PPE was developed during a
nine-day pre-deployment training programme. This allowed over 60 clinical
personnel per deployment to practice skills in PPE in a simulated ETU and in
classrooms. Overall, the training provided: (i) an evidence base underpinning the
PPE solution chosen; (ii) skills in donning and doffing of PPE; (iii) personnel
confidence in the selected PPE; and (iv) quantifiable testing of each
individual's capability to don PPE, perform tasks and doff PPE safely.