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Conservation Practices for Personal Protective Equipment: A Systematic Review with Focus on Lower-Income Countries

Author

Listed:
  • Cassandra L. Thiel

    (Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA)

  • Pallavi Sreedhar

    (Columbia College, Columbia University, New York, NY 10027, USA)

  • Genevieve S. Silva

    (Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA)

  • Hannah C. Greene

    (Social Science Division, New York University Abu Dhabi, Abu Dhabi P.O. Box 129188, United Arab Emirates)

  • Meenakshi Seetharaman

    (College of Literature, Science, and Arts, University of Michigan, Ann Arbor, MI 48109, USA)

  • Meghan Durr

    (Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA)

  • Timothy Roberts

    (Health Sciences Library, NYU Grossman School of Medicine, New York, NY 10016, USA)

  • Rajesh Vedanthan

    (Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA)

  • Paul H. Lee

    (Department of Oral and Maxillofacial Surgery, NYU Grossman School of Medicine, New York, NY 10016, USA)

  • Gizely Andrade

    (Department of Emergency Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA)

  • Omar El-Shahawy

    (Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA)

  • Sarah E. Hochman

    (Department of Medicine, Division of Infectious Diseases and Immunology, NYU Grossman School of Medicine, New York, NY 10016, USA)

Abstract

During the start of the COVID-19 pandemic, shortages of personal protective equipment (PPE) necessitated unprecedented and non-validated approaches to conserve PPE at healthcare facilities, especially in high income countries where single-use disposable PPE was ubiquitous. Our team conducted a systematic literature review to evaluate historic approaches for conserving single-use PPE, expecting that lower-income countries or developing contexts may already be uniquely conserving PPE. However, of the 50 included studies, only 3 originated from middle-income countries and none originated from low-income countries. Data from the included studies suggest PPE remained effective with extended use and with multiple or repeated use in clinical settings, as long as donning and doffing were performed in a standard manner. Multiple decontamination techniques were effective in disinfecting single use PPE for repeated use. These findings can inform healthcare facilities and providers in establishing protocols for safe conservation of PPE supplies and updating existing protocols to improve sustainability and overall resilience. Future studies should evaluate conservation practices in low-resource settings during non-pandemic times to develop strategies for more sustainable and resilient healthcare worldwide.

Suggested Citation

  • Cassandra L. Thiel & Pallavi Sreedhar & Genevieve S. Silva & Hannah C. Greene & Meenakshi Seetharaman & Meghan Durr & Timothy Roberts & Rajesh Vedanthan & Paul H. Lee & Gizely Andrade & Omar El-Shahaw, 2023. "Conservation Practices for Personal Protective Equipment: A Systematic Review with Focus on Lower-Income Countries," IJERPH, MDPI, vol. 20(3), pages 1-23, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2575-:d:1053106
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    References listed on IDEAS

    as
    1. Katarzyna Majchrzycka & Małgorzata Okrasa & Justyna Skóra & Beata Gutarowska, 2016. "Evaluation of the Survivability of Microorganisms Deposited on Filtering Respiratory Protective Devices under Varying Conditions of Humidity," IJERPH, MDPI, vol. 13(1), pages 1-13, January.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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