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Inicio Enfermedades Infecciosas y Microbiología Clínica (English Edition) Reply to “There may be interpretation bias regarding donning and doffing proce...
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Vol. 39. Núm. 6.
Páginas 313-314 (junio - julio 2021)
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Vol. 39. Núm. 6.
Páginas 313-314 (junio - julio 2021)
Letter to the Editor
Acceso a texto completo
Reply to “There may be interpretation bias regarding donning and doffing process
Respuesta a “Puede haber un sesgo de interpretación con respecto al proceso de colocación y retirada”
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416
Betul Kozanhana,
Autor para correspondencia
betulkozanhan@gmail.com

Corresponding author.
, Mahmut Sami Tutarb, Derya Arslanc
a Department of Anaesthesiology and Reanimation, Konya Training and Research Hospital, University of Health Sciences Turkey, Konya, Turkey
b Department of Anaesthesiology and Reanimation, Konya Numune State Hospital, Konya, Turkey
c Department of Pediatric Cardiology, University of Health Sciences Turkey, Konya Training and Research Hospital, Konya, Turkey
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Dear Editor,

We thank Basaran B and et al. for their interest in our article, which investigates whether videos available on YouTube, presenting procedures of donning and doffing personal protective equipment, can be useful learning resources for healthcare workers.1,2 They expressed concern about interpretation errors while evaluating the Youtube videos of donning and doffing personal protective equipment (PPE) because of our European Centre for Disease Prevention and Control (ECDC) preference hence the lack of evidence-based gold-standard technique among guidelines yet.3,4 Scientific research conducted over time will reveal that which of the guideline prepared regarding using PPE are the “gold standard,” however more than one donning and doffing method may be acceptable.5 Several factors influenced the ECDC guideline's preference to evaluate each video's content in our study's donning and doffing procedure. First of all, the ECDC guideline was prepared in 25 non-English languages.3 Unfortunately, we have been caught unprepared for the public health emergency of an international concern-Covid-19 pandemic—as the world. Therefore, a guideline presented for non-English languages will, of course, may have an extra advantage in this complex environment that confuses. Another reason for our preference is that “handwashing” is specially specified between each step in ECDC.3 Hence performing proper hand hygiene according to international recommendations is a critical aspect.6 Especially after the shift-at the stage where mistakes were more possible-HCWs need more attention. Cheng Lin and et al. showed that removing the gown and mask with the buddy's assistance avoided contamination and exposure to the greatest extent.7 Finally, ECDC also was recommended a second operator's aid for both donning and doffing of PPE.3 Considering all of these and our study results, YouTube can be used as a learning resource during the Covid-19 outbreak if an appropriate selection process is applied to identify useful videos that help to don and doffing PPE.

Conflict of interest

No potential conflict of interest was reported by the authors.

References
[1]
Başaran B, Tolu S. There may be interpretation bias regarding donning and doffing process. Enferm Infecc Microbiol Clin. [Epub ahead of print].
[2]
B. Kozanhan, M.S. Tutar, D. Arslan.
Can “YouTube” help healthcare workers for learning accurate donning and doffing of personel protective equipments?.
Enferm Infecc Microbiol Clin, (2020),
[3]
European Centre for Disease Prevention and Control. Guidance for wearing and removing personal protective equipment in healthcare settings for the care of patients with suspected or confirmed COVID-19; 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/guidance-wearing-and-removing-personal-protective-equipment-healthcare-settings.
[4]
M.D.J. Peters, C. Marnie, A. Butler.
Policies and procedures for personal protective equipment: Does inconsistency increase risk of contamination and infection?.
Int J Nurs Stud, 109 (2020), pp. 103653
[5]
Centers for Disease Control and Prevention.
Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic.
CDC, (2019),
[6]
World Health Organization.
Guidelines on hand hygiene in health care 2009.
WHO, (2009),
[7]
L. Cheng, L. Chen, L. Xiao, J. Zhang, Y. Cheng, L. Zhou, et al.
Problems and solutions of personal protective equipment doffing in COVID-19.
Open Med, 15 (2020), pp. 605-612
Copyright © 2021. Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica
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