医务人员呼吸防护用品适合性检验和密合性检查有效性的系统综述  

Effectiveness of fit testing versus fit checking for healthcare workers respiratory protective equipment:A systematic review

作　　者：Charlotte Goko Elizabeth Forster Matthew Mason Peta-Anne Zimmerman 

机构地区：[1]School of Nursing&Midwifery,Griffith University,Australia [2]Menzies Health Institute Queensland,Griffith University,Australia [3]Collaborative for the Advancement of Infection Prevention and Control,Australia [4]University of the Sunshine Coast,Queensland,Australia [5]Infection Control Department,Gold Coast Hospital and Health Services,Australia

出　　处：《International Journal of Nursing Sciences》2023年第4期568-578,共11页国际护理科学（英文）

摘　　要：目的呼吸防护在医疗卫生工作中至关重要,应使用适当的颗粒过滤呼吸器和等效的呼吸防护用品,以确保良好的佩戴气密性,最大限度地降低医务人员的空气传播感染风险。该文旨在对呼吸防护用品适合性检验和密合性检查有效性研究进行综述和分析。方法系统检索了2003年1月至2022年4月发表的文献,检索范围包括CINAHL、Cochrane图书馆、EMBASE、PubMed、Ovid数据库Medline子库和灰色文献。研究方案已在PROSPERO注册(CRD42020213968)。结果共检索出561篇文献,25篇被纳入该综述,包括22项量性研究和3篇指南文献。在评估呼吸防护用品的有效性方面,适合性检验是更有效且被广泛采用的可靠方法,但呼吸防护程序应该同时包括适合性检验和密合性检查,以最大限度地提高呼吸防护用品的有效性。新型冠状病毒疫情凸显了医务人员相关知识的缺乏,相关教育培训可有效提高呼吸防护用品使用的有效性。结论为确保医务工作者的安全,适合性测试和密合性检查均应采用。建议由专业人员实施全面的呼吸防护项目,包括教育培训、适合性测试和密合性检查,还需要探索适用于实际使用环境的适合性检验方法。Objectives:Respiratory protection is critical in healthcare to minimise the risk of airborne infections for healthcare workers(HCWs).It emphasizes the use of proper fitting of particulate filter respirators and equivalent respiratory protective equipment(RPE)to ensure a good facial seal.The systematic review aimed to compare the effectiveness of fit testing and fit checking for HCWs’respiratory protective equipment.Methods:A systematic review of the literature exploring RPE for HCWs to determine the effectiveness of fit-testing versus fit-checking from January 2003 to April 2022 was identified using CINAHL Complete via EBSCO Host,Cochrane Library,EMBASE,PubMed,and MEDLINE via Ovid electronic databases,and grey literature.The study protocol was registered with PROSPERO(registration number:CRD42020213968).Results:Of the 561 articles identified in the search,25 articles(22 quantitative studies and three guidelines)were included in this review.Overall,these studies suggest fit-testing as a method that is more effective,widely adopted,and reliable in assessing the effectiveness of RPE;however,a respiratory program should include both fit-testing and fit-checking to maximise effectiveness of the RPE.The COVID-19 epidemic highlighted a lack of knowledge among HCWs regarding fit-checking and fit-testing,and relevant education increased the effectiveness of respiratory equipment protection.Conclusion:It is imperative that both fit-testing and fit-checking is implemented in order to ensure HCW safety.It is recommended to integrate education,fit-testing and fit-checking into a comprehensive respiratory protective program run by trained fit-testers.There is also a need for practical testing methods that incorporate the clinical environment.

关 键 词：适合性检验 密合性检查 医护人员 呼吸防护用品 个人防护装备 佩戴气密性检查 

分 类 号：TP3[自动化与计算机技术—计算机科学与技术]