Availability of personal protective equipment and diagnostic and treatment facilities for healthcare workers involved in COVID-19 care: A cross-sectional study in Brazil, Colombia, and Ecuador

PLoS One. 2020 Nov 11;15(11):e0242185. doi: 10.1371/journal.pone.0242185. eCollection 2020.

Abstract

Many affected counties have had experienced a shortage of personal protective equipment (PPE) during the coronavirus disease (COVID-19) pandemic. We aimed to investigate the needs of healthcare professionals and the technical difficulties faced by them during the initial outbreak. A cross-sectional web-based survey was conducted among the healthcare workforce in the most populous cities from three Latin American countries in April 2020. In total, 1,082 participants were included. Of these, 534 (49.4%), 263 (24.3%), and 114 (10.5%) were physicians, nurses, and other professionals, respectively. At least 70% of participants reported a lack of PPE. The most common shortages were shortages in gown coverall suits (643, 59.4%), N95 masks (600, 55.5%), and face shields (569, 52.6%). Professionals who performed procedures that generated aerosols reported shortages more frequently (p<0.05). Professionals working in the emergency department and primary care units reported more shortages than those working in intensive care units and hospital-based wards (p<0.001). Up to 556 (51.4%) participants reported the lack of sufficient knowledge about using PPE. Professionals working in public institutions felt less prepared, received less training, and had no protocols compared with their peers in working private institutions (p<0.001). Although the study sample corresponded to different hospital centers in different cities from the participating countries, sampling was non-random. Healthcare professionals in Latin America may face more difficulties than those from other countries, with 7 out of 10 professionals reporting that they did not have the necessary resources to care for patients with COVID-19. Technical and logistical difficulties should be addressed in the event of a future outbreak, as they have a negative impact on healthcare workers. Clinical trial registration: NCT04486404.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Betacoronavirus / isolation & purification
  • Brazil
  • COVID-19
  • Colombia
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / virology
  • Cross-Sectional Studies
  • Ecuador
  • Health Facilities
  • Health Personnel / psychology*
  • Humans
  • Pandemics
  • Personal Protective Equipment / statistics & numerical data*
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / virology
  • SARS-CoV-2
  • Surveys and Questionnaires

Associated data

  • ClinicalTrials.gov/NCT04486404

Grants and funding

This study used research funding of the Atenea Research Group of the Foundation for the Promotion of Health and Biomedical Research – FISABIO. It did not receive any other funding from public or private institutions. On the other hand, CEMEDIP did not provided support to this study. CEMEDIP provided in the form of partial-time salaries for author EV. CEMEDIP did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. EV participated in conception and design of the survey. The specific roles of these authors are articulated in the ‘authors contributions’ section.