Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 5 Issue 1

Effectiveness of Inspectors’ Team in Increasing Compliance with Personal Protective Equipment Use and Reducing COVID19 Infection Spread Among Healthcare Workers; A Prospective Study

Mohammad Shehab1*, Sameera Shuaibi2, Iman Qadhi3 and Ahmad Alfadhli4

1COVID19 Crisis Team Coordinator, Consultant Physician, Department of Internal Medicine, Mubarak Al-Kabeer University Hospital, Kuwait
2Medical Resident, Department of Internal Medicine, Mubarak Al-kabeer University Hospital, Kuwait
3Surgical Resident, Department of General Surgery, Mubarak Al-kabeer University Hospital, Kuwait
4Head of COVID19 Crisis Team, Consultant Physician, Department of Internal Medicine , Mubarak Al-kabeer University Hospital, Kuwait

*Corresponding Author: Mohammad Shehab, COVID19 Crisis Team Coordinator, Consultant Physician, Department of Internal Medicine, Mubarak Al-Kabeer University Hospital, Kuwait.

Received: November 11, 2020; Published: December 10, 2020



Introduction: There are several methods described in the literature to increase compliance with personal protective equipment (PPE) use and reduce health care workers (HCW) related infections. One of those methods is the institution of PPE inspectors’ team. The purpose of this study to evaluate whether the implementation of such a team will ensure proper adherence to PPE protocols and reduce COVID-19 infection among HCWs.

Methods: A team of PPE inspectors was introduced in a tertiary care university hospital, where they randomly evaluated and reinforced PPE use in accordance with the guidelines set by the local health authority. The study period was from the 10th of May 2020 until the 31st of August 2020. The evaluations were divided into three categories; appropriate, missing, or unnecessary use of PPE and were compared to trends in healthcare workers’ COVID-19 infection rates.

Results: A total of 720 HCWs were evaluated from the 10th of May 2020 until the 31st of August 2020. The appropriate use of PPE increased from 56% to 89% during the study period. Meanwhile, the incidence of positive COVID-19 among HCWs, which has peaked to 31 cases per day on the 18th of May 2020, has been declining to below 5 cases per day towards the end of the study period.

Conclusion: PPE inspectors’ team served a positive role in increasing compliance with PPE use and was associated with reduction in the spread of COVID-19 infection among HCWs.

Keywords: COVID-19; HCW; Hospital; PPE; SARCOVQA: Quality Assurance



  1. World Health Organization. “Naming the coronavirus disease (COVID-19): and the virus that causes it” (2020).
  2. Jayaweera M., et al. “Transmission of COVID-19 virus by droplets and aerosols: A critical review on the unresolved dichotomy”. Environment Research 188 (2020): 109819.
  3. Fu L., et al. “Clinical characteristics of coronavirus disease 2019 (COVID-19) in China: a systematic review and meta-analysis”. Journal of Infection 80 (2020): 656-665.
  4. Ing EB., et al. “Physician deaths from corona virus (COVID-19) disease”. Occupational Medicine 70 (2020): 370-374.
  5. Boškoski I., et al. “COVID-19 pandemic and personal protective equipment shortage: protective efficacy comparing masks and scientific methods for respirator reuse”. Gastrointestinal Endoscopy 92 (2020): 519-523.
  6. Kilinc FS. “A review of isolation gowns in healthcare: fabric and gown properties”. Journal of Engineered Fibers and Fabrics 10 (2015): 180-190.
  7. MacIntyre CR and Wang Q. “Physical distancing, face masks, and eye protection for prevention of COVID-19”. Lancet 395 (2020): 1950-1951.
  8. Chou R., et al. “Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review”. Annals of Internal Medicine 173 (2020): 120-136.
  9. Black JRM., et al. “COVID-19: the case for health-care worker screening to prevent hospital transmission”. Lancet 395 (2020): 1418-1420.
  10. Koh D. “Occupational risks for COVID-19 infection”. Occupational Medicine 70 (2020): 3-5.
  11. Cheng VC., et al. “Estimating Coronavirus Disease 2019 Infection Risk in Health Care Workers”. JAMA Netw Open 3(2020): e209687.
  12. Zhou M., et al. “Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China”. Journal of Hospital Infection 105 (2020): 183-187.
  13. Ehrlich H., et al. “Strategic planning and recommendations for healthcare workers during the COVID-19 pandemic”. American Journal of Emergency Medicine 38 (2020): 1446-1447.
  14. Ağalar C and Engin D. “Protective measures for COVID-19 for healthcare providers and laboratory personnel”. Turkish Journal of Medical Sciences 50 (2020): 578-584.
  15. California Department of Public Health. Latest Covid-19 Facts. California Department of Public Health (2020).
  16. Wisconsin Department of Health Services, Covid-19: Wisconsin Cases. Wisconsin Department of Health Services (2020).
  17. Honda H and Iwata K. “Personal protective equipment and improving compliance among healthcare workers in high-risk settings”. Current Opinion on Infection Disease 29 (2016): 400-406.
  18. Beam EL., et al. “A method for evaluating health care workers’ personal protective equipment technique”. American Journal on Infection Control 39 (2011): 415-420.
  19. Casanova LM., et al. “Assessment of self-contamination during removal of personal protective equipment for ebola patient care”. Infection Control and Hospital Epidemiology 37 (2016): 1156-1161.
  20. Wilson N., et al. “Airborne transmission of covid-19”. BMJ 20 (2020): 370:m3206.
  21. Morawska L and Cao J. “Airborne transmission of SARS-CoV-2: The world should face the reality”. Environment International 10 (2020): 105730.
  22. Nguyen LH., et al. “Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study”. Lancet Public Health 5(2020): e475-483.
  23. Lockhart SL., et al. “Personal protective equipment (PPE): for both anesthesiologists and other airway managers: principles and practice during the COVID-19 pandemic”. Canadian Journal of Anesthesia 67 (2020): 1005-1015.
  24. Patel AB., et al. “Stewardship of personal protective equipment: an important pandemic resource for ppe preservation and education”. Infection Control and Hospital Epidemiology (2020): 1-2.


Citation: Mohammad Shehab., et al. “Effectiveness of Inspectors’ Team in Increasing Compliance with Personal Protective Equipment Use and Reducing COVID19 Infection Spread Among Healthcare Workers; A Prospective Study”. Acta Scientific Medical Sciences 5.1 (2021): 23-32.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor0.851

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