Assessing functional state of the body when wearing a reusable protective suit to minimize risks of contagion among medical personnel

View or download the full article: 
UDC: 
613.636
Authors: 

A.B. Yudin1, M.V. Kaltygin1, E.A. Konovalov1, A.A. Vlasov1, D.A. Altov1, V.E. Batov2, A.E. Shiryaeva1, E.A. Yakunchikova1, O.A. Danilova1

Organization: 

1State Scientific Research Test Institute of the Ministry of Defense of the Russian Federation, 4 Lesoparkovaya Str., St. Petersburg, 195043, Russian Federation
2S.M. Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation, 6 Akademika Lebedeva Str., St. Petersburg, 194044, Russian Federation

Abstract: 

Personal protective equipment has become the last line of protection for medical personnel during the pandemic of the new coronavirus infection since it allows minimizing risks of biological contagion. Given the existing staffing shortage, medical workers have to spend from 4 to 12 hours a day in the “red zone” where they necessarily wear personal protective equipment. Protective clothing is known to produce negative effects on functional state of the body and personnel’s working capacities. Assessment of up-to-date protective suits will allow developing recommendations on their suitable application bearing in mind a balance between necessary protection, providing favorable ergonomics, and reducing risks of adverse effects on functional state and working capacities.

Our research aim was to hygienically assess health risks for medical workers who had to wear reusable protective suits.

Our research object was a reusable suit made from polyether fabric with polyurethane membrane coating and antistatic threads. We performed an experiment aimed at evaluating thermal state of the body, psychophysiological state, and responses by the volunteers’ cardiorespiratory system in laboratory conditions during an 80 hour working shift under controlled microclimate. Participants in the experiment were questioned in order to assess suits’ ergonomics.

Heat exchange dynamics and amount of changes in thermal physiological parameters caused by wearing a protective suit determined heat contents of volunteers’ bodies that conformed to optimal standard values. Data on psychophysiological and mental state taken in research dynamics didn’t have any statistically significant changes. Gas exchange indicators naturally grew during the “load” phase; however, there were no significant changes detected in any phase in the research.

Hygienic assessment of the thermal state, functional state of the cardiovascular and respiratory systems, and psychophysio-logical indicators confirmed that wearing a protective suit was quite safe and didn’t involve any health risks for volunteers.

Keywords: 
personal protective equipment, health risk, thermal state of the body, functional state of the body, gas exchange, psychophysiological indicators
Yudin A.B., Kaltygin M.V., Konovalov E.A., Vlasov A.A., Altov D.A., Batov V.E., Shiryaeva A.E., Yakunchikova E.А., Danilova O.A. Assessing functional state of the body when wearing a reusable protective suit to minimize risks of contagion among medical personnel. Health Risk Analysis, 2021, no. 4, pp. 151–160. DOI: 10.21668/health.risk/2021.4.17.eng
References: 
  1. Shulakova N.I., Tutelyan A.V., Kvasova O.A., Akimkin V.G., Konyukhov A.V. Risk factors for SARS-COV-2 infection in health care workers and prevention measures. Meditsina truda i promyshlennaya ekologiya, 2021, vol. 61, no. 1, pp. 34–39 (in Russian).
  2. Lee J., Venugopal V., Latha P.K., Alhadad S.B., Leow C.H.W., De Goh N.Y., Tan E., Kjellstrom T. [et al.]. Heat stress and thermal perception amongst healthcare workers during the COVID-19 pandemic in India and Singapore. Int. J. Environ. Res. Public Health, 2020, vol. 17, no. 21, pp. 8100. DOI: 10.3390/ijerph17218100
  3. Shpagina L.A., Kuzmina L.P., Kotova O.S., Shpagin I.S., Kamneva N.V., Kuznetsova G.V., Likhenko-Logvinenko K.V. COVID-19 in healthcare workers (literature review and own data). Meditsina truda i promyshlennaya ekologiya, 2021, vol. 61, no. 1, pp. 18–26. DOI: 10.31089/1026-9428-2021-61-1-18-26 (in Russian).
  4. Gorblyansky Yu.Yu., Kontorovich E.P., Ponamareva O.P., Volynskaya E.I. Professional aspects of the new coronavirus infection (COVID-19). Meditsina truda i promyshlennaya ekologiya, 2021, vol. 61, no. 2, pp. 103–114. DOI: 10.31089/1026-9428-2021-61-2-103-114 (in Russian).
  5. Agarwal A., Agarwal S., Motiani P. Difficulties encountered while using PPE kits and how to overcome them: An Indian perspective. Cureus, 2020, vol. 12, no. 11, pp. e11652. DOI: 10.7759/cureus.11652
  6. Ong J.J.Y., Bharatendu C., Goh Y., Tang J.Z.Y., Sooi K.W.X., Tan Y.L., Tan B.Y.Q., Teoh H.-L. [et al.]. Headaches associated with personal protective equipment – a cross-sectional study among frontline healthcare workers during COVID-19. Headache, 2020, vol. 60, no. 5, pp. 864–877. DOI: 10.1111/head.13811
  7. Parush A., Wacht O., Gomes R., Frenkel A. Human factor considerations in using personal protective equipment in the COVID-19 pandemic context: binational survey study. J. Med. Internet Res., 2020, vol. 22, no. 6, pp. 19947. DOI: 10.2196/19947
  8. Van Zundert T.C.R.V., Overloop J.V., Tran D.Q., Van Zundert A.A.J. Operating 12-hour staff shifts on COVID-19 patients: A Harmful and Unwanted Proposal. Anesth. Analg., 2020, vol. 131, no. 6, pp. e257–e258. DOI: 10.1213.ANE.0000000000005202
  9. Konyuhov A.V., Geregei A.M., Lemeshko V.I. Features of the thermal state of medical workers when using personal protective equipment against biological factors. Meditsina truda i promyshlennaya ekologiya, 2020, vol. 60, no. 11, pp. 801–803. DOI: 10.31089/1026-9428-2020-60-11-801-803 (in Russian).
  10. Losik T.K., Afanas'yeva R.F., Konstantinov E.I. Physiologic and hygienic evaluation of heat state in military men performing continuous physical work in heating microclimate. Meditsina truda i promyshlennaya ekologiya, 2015, no. 10, pp. 41–45 (in Russian).
  11. Burmistrova O.V., Losik T.K., Shuporin E.S. Physiological and hygienic substantiation of development of a technique of an estimation of overalls for protection working in the heating environment on indicators of a thermal condition. Meditsina truda i promyshlennaya ekologiya, 2019, vol. 59, no. 12, pp. 1013–1019. DOI: 10.31089/1026-9428-2019-59-12-1013-1019 (in Russian).
  12. Burmistrova O.V., Perov S.Yu., Konshina T.A. Comparative physiological and hygienic assessment of personal protective equipment properties in various configurations from power frequency electric field. Meditsina truda i promyshlennaya ekologiya, 2020, vol. 60, no. 9, pp. 600–604. DOI: 10.31089/1026-9428-2020-60-9-600-604 (in Russian).
  13. Rational use of personal protective equipment for COVID-19 and considerations during severe shortages: interim guidance, 23 December 2020. WHO, 2020. Available at: https://apps.who.int/iris/bitstream/handle/10665/338033/WHO-2019-nCoV-IP... (01.06.2021).
  14. Loibner M., Hagauer S., Schwantzer G., Berghold A., Zatloukal K. Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study. PLoS One, 2019, vol. 14, no. 1, pp. e0210775. DOI: 10.1371/journal.pone.0210775
  15. Coca A., Quinn T., Kim J.-H., Wu T., Powell J., Roberge R., Shaffe R. Physiological evaluation of personal protective ensembles recommended for use in West Africa. Disaster Med. Public Health Prep., 2017, vol. 11, no. 5, pp. 580–586. DOI: 10.1017/dmp.2017.13
  16. Kryukov E.V., Shulenin K.S., Cherkashin D.V., Fisun A.Ya., Mavrenkov E.M., Kutelev G.G., Chibiryakova E.O. Experience in medical support of ships and units of foreign armies during the new coronavirus pandemic. Morskaya meditsina, 2021, vol. 7, no. 1, pp. 69–77. DOI: 10.22328/2413-5747-2021-7-1-69-77 (in Russian).
  17. Park S.H. Personal protective equipment for healthcare workers during the COVID-19 Pandemic. Infect. Chemother., 2020, vol. 52, no. 2, pp. 165–182. DOI: 10.3947/ic.2020.52.2.165
  18. Davey S.L., Lee B.J., Robbins T., Randeva H., Thake C.D. Heat stress and PPE during COVID-19: impact on healthcare workers’ performance, safety and well-being in NHS settings. J. Hosp. Infect., 2021, vol. 108, pp. 185–188. DOI: 10.1016/j.jhin.2020.11.027
  19. Zhao Y., Liang W., Luo Y., Chen Y., Liang P., Zhong R., Chen A., He J. Personal protective equipment protecting healthcare workers in the Chinese epicenter of COVID-19. Clin. Microbiol. Infect., 2020, vol. 26, no. 12, pp. 1716–1718. DOI: 10.1016/j.cmi.2020.07.029
Received: 
29.06.2021
Accepted: 
30.11.2021
Published: 
30.12.2021

You are here