Respiratory protection programs and healthcare professionals: compliance, knowledge and perceptions

At least 16 different airborne infections have been associated with occupational transmission in health care workers. Respiratory protection is playing an increasing role in the protection of these workers. This study used a cross-sectional survey design to evaluate compliance with OSHA requirements for respiratory protection programs including respirator fit testing and to assess the knowledge and perceptions regarding respirator use and respiratory protection programs in healthcare facilities. Three groups participated in the survey: members of the Association of Professionals in Infection Control (APIC), safety/employee health administrators, and healthcare workers. Three anonymous surveys were administered to each group. Infection control, safety/employee health administrators, and healthcare workers differed in their perceptions regarding respirators. Safety/employee health administrators were more aware and supportive of respiratory protection but they also had gaps in knowledge. Both groups reported compliance with basic respiratory protection requirements but variable compliance with mandatory OSHA respirator program evaluation and fit testing procedure requirements such as employee selection of an acceptable respirator and allowing fit test subjects to try on respirators for one to five minutes. Survey respondents reported concerns regarding respirator costs, comfort and conflicting recommendations regarding respiratory protection. There was a lack of awareness of FDA approval requirements for respirators. Recommendations include the provision of more training and information regarding respiratory protection for infection control and hospital safety personnel. Future regulatory activity should focus on fitting characteristics of respirators. More research and evaluation of current respiratory protection practices in healthcare facilities is also recommended.Ph. D.Includes bibliographical referencesby Marta Figuero