# Factors associated with access and use of PPE during COVID-19: A cross-sectional study of Italian physicians

## TL;DR

This study surveyed Italian physicians about their access to and use of personal protective equipment during the early stages of the COVID-19 pandemic.

## Contribution

The study highlights the importance of both PPE availability and proper training in reducing healthcare workers' risk perception during a pandemic.

## Key findings

- Only 13% of physicians reported consistent access to PPE during the study period.
- Physicians who received adequate PPE information were more confident in using PPE correctly and perceived less risk.
- Clear and complete information on PPE use was associated with better donning and doffing performance.

## Abstract

During the course of the Novel Coronavirus (SARS-CoV-2) pandemic, Italy has reported one of the highest number of infections. Nearly ten percent of reported coronavirus infections in Italy occurred in healthcare workers. This study aimed to understand physicians’ access to personal protective equipment (PPE) and to information about their use, risk perception and strategies adopted to prevent contracting the infection.

We undertook a cross-sectional, online self-reported survey implemented between March 31 and April 5 2020 of Italian physicians.

Responses were received from 516 physicians, only 13% of which reported to have access to PPE every time they need them. Approximately half of the physicians reported that the information received about the use of PPE was either clear (47%) or complete (54%). Risk perception about contracting the infection was influenced by receiving adequate information on the use of PPE. Access to adequate information on the use of PPE was associated with better ability to perform donning and doffing procedures [OR = 2.2 95% C.I. 1.7–2.8] and reduced perception of risk [OR = 0.5, 95% C.I. 0.4–0.6].

Results from this rapid survey indicate that while ramping up supplies on PPE for healthcare workers is certainly of mandatory importance, adequate training and clear instructions are just as important.