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Abstract

Introduction. Doctors have greater risk of acquiring COVID-19 due to occupational exposure. Personal protective equipment (PPE) is an essential factor in reducing COVID-19 transmission. We aimed to evaluate the behavior changes of PPE usage among doctors in Indonesia before and after getting COVID-19 infection in early pandemic.

Methods. This was a descriptive online survey with cross-sectional design. This survey was conducted from October-December 2020 among Indonesian doctors who were COVID-19 survivors.

Results. A total of 389 doctors who survived COVID-19 infection across Indonesia were included in the final analysis. Most participants were general practitioners and residents (69.2%) with a median age of 40 (22-28) years. After being infected, there was an improvement in the use of N95 respirator masks in isolation rooms (always: 80.9% from 70.2%; sometimes: 13.2% from 15.8%). An improvement in the use of other PPE before and after being infected with COVID-19 was also shown by the use of other PPE such as headcap (93.9% from 83.3%), face shield (90.4% from 83.3%), goggles (70.2% from 62.3%), gown (61.4% from 53.6%), hazmat suit (88.6% from 81.6%), boots (82.5% from 71.1%), and gloves (91.3% from 86.8%). Similar results were also shown in the use of PPE in other non-isolation rooms.

Conclusion. After recovering from COVID-19 infection, these doctors showed an increase usage of adequate PPE both while on duty in isolation and non-isolation rooms.

Bahasa Abstract

Pendahuluan. Dokter merupakan populasi risiko tinggi mengalami infeksi COVID-19 karena tingginya paparan kerja terhadap virus SARS-CoV-2 dibandingkan populasi umum. Penggunaan APD merupakan salah satu faktor penting untuk mencegah penularan COVID-19 bagi tenaga kesehatan. Penelitian ini bertujuan untuk mendapatkan gambaran perubahan perilaku dalam penggunaan APD pada populasi dokter penyintas COVID-19 sebelum dan sesudah terinfeksi COVID-19 di masa awal pandemi.

Metode. Penelitian ini merupakan survei deskriptif dengan desain potong lintang. Survei dilakukan secara online pada Oktober-Desember 2020 dan ditujukan pada dokter penyintas COVID-19 di Indonesia.

Hasil. Sebanyak 389 dokter penyintas COVID-19 di Indonesia diikutsertakan dalam analisis akhir. Sebagian besar responden berprofesi sebagai dokter umum dan residen (69,2%) dengan median usia 40 (22-48) tahun. Setelah terinfeksi COVID-19, terdapat perbaikan penggunaan masker respirator N95 di ruang isolasi (selalu: 80,9% dari 70,2%; kadang-kadang: 13,2% dari 15,8%). Adanya perbaikan penggunaan APD lainnya sebelum dan sesudah terinfeksi COVID-19 juga ditunjukkan dengan penggunaan APD lainnya seperti penutup kepala (93,9% dari 83,3%), pelindung wajah (90,4% dari 83,3%), goggles (70,2% dari 62,3%), gown (61,4% dari 53,6%), hazmat (88,6% dari 81,6%), sepatu boots (82,5% dari 71,1%), dan sarung tangan (91,3% dari 86,8%). Hasil serupa juga ditunjukkan pada penggunaan APD di ruangan non-isolasi lainnya.

Kesimpulan. Terdapat perubahan perilaku dokter-dokter yang telah sembuh dari infeksi COVID-19 berupa peningkatan pemakaian APD yang memadai, baik saat bertugas di ruang isolasi maupun non-isolasi.

Kata Kunci: Alat pelindung diri, COVID-19, dokter, Indonesia

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