Assessing efficacy of instructor based orientation to donning doffing protocols and modifications to doffing area infrastructure in reducing SARS-CoV-2 infection among Doctors assigned to COVID-19 patient care

Assessing efficacy of instructor based orientation to donning doffing protocols and modifications to doffing area infrastructure in reducing SARS-CoV-2 infection among Doctors assigned to COVID-19 patient care

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summary: Background: We assess the efficacy of orientation programmes for doctors of proper donning, doffing techniques for personal protective equipment (PPE) and safe practices inside the COVID-19 hospital in reducing the COVID-19 infection rate among doctors.Methods: A total of 767 resident doctors and 197 faculty visits on weekly rotation were recorded over a six month period.Doctors were guided through orientation sessions before their entry into the COVID-19 hospital from 1 August 2020.The infection rate among doctors was used to study the efficacy of the programme.

McNemars GREENS VANILLA Chi-square test was used to compare the infection rate in the two groups before saddle western blanket and after orientation sessions were commenced.Discussion: A statistically significant reduction in SARS-CoV-2 infection was seen among resident doctors after orientation programmes and infrastructure modification (3% vs 7.4%, P=0.03).

Twenty-eight of 32 (87.5%) doctors who tested positive developed asymptomatic to mild infection.The infection rate was 3.65% and 2.

1% among residents and faculty respectively.There was no mortality recorded.Conclusion: Orientation programme for healthcare workers for PPE donning and doffing protocols with practical demonstration and trial of PPE usage can significantly reduce COVID-19 infection.Such sessions should be mandatory for all workers on deputation in designated area for Infectious Diseases and in pandemic situations.