PPE Kit–Covid -19 Ancillaries

700.00 650.00

PPE kit contain

1x Gown

1x Face Shield

1x Goggle

1x Hair Net

1x 3 Ply Face Mask

1x Shoes Cover

1x Disposable Bag

700.00 650.00

(-7%)
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Ministry of Health and Family Welfare
Directorate General of Health Services [Emergency Medical Relief]

Novel Coronavirus Disease 2019 (COVID-19): Guidelines on rational use of Personal Protective
Equipment

1. About this guideline
This guideline is for health care workers and others working in points of entries (POEs), quarantine
centers, hospital, laboratory and primary health care / community settings. The guideline uses setting
approach to guide on the type of personal protective equipment to be used in different settings.

2. Introduction
Coronaviruses are a large family of viruses, some causing illness in people and others that circulate
among animals, including camels, cats and bats. Rarely, animal coronaviruses can evolve and infect
people and then spread between people such as has been seen with MERS and SARS.
The outbreak of Novel coronavirus disease (now named COVID-19) was initially noticed from a
seafood market in Wuhan city in Hubei Province of China in mid-December, 2019, has spread to
more than 185 countries/territories worldwide including India.
The causative agent for COVID-19, earlier termed provisionally as novel Coronavirus has been
officially named as SARS-CoV-2.

3. Mode of transmission
There is clear evidence of human-to-human transmission of SARS-CoV-2. It is thought to be
transmitted mainly through respiratory droplets that get generated when people cough, sneeze, or
exhale. SARS-CoV-2 also gets transmitted by touching, by direct touch and through contaminated
surfaces or objects and then touching their own mouth, nose, or possibly their eyes. Healthcare
associated infection by SARS-CoV-2 virus has been documented among healthcare workers in many
countries.

The people most at risk of COVID-19 infection are those who are in close contact with a
suspect/confirmed COVID-19 patient or who care for such patients.

4. Personal Protective Equipment (PPE)
Personal Protective Equipment’s (PPEs) are protective gears designed to safeguard the health of
workers by minimizing the exposure to a biological agent.

4.1 Components of PPE
Components of PPE are goggles, face-shield, mask, gloves, coverall/gowns (with or without aprons),
head cover and shoe cover. Each component and rationale for its use is given in the following
paragraphs:

4.1.1 Face shield and goggles
Contamination of mucous membranes of the eyes, nose and mouth is likely in a scenario of droplets
generated by cough, sneeze of an infected person or during aerosol generating procedures carried out
in a clinical setting. Inadvertently touching the eyes/nose/mouth with a contaminated hand is another
likely scenario. Hence protection of the mucous membranes of the eyes/nose/mouth by using face
shields/ goggles is an integral part of standard and contact precautions. The flexible frame of
goggles should provide good seal with the skin of the face, covering the eyes and the surrounding
areas and even accommodating for prescription glasses.

4.1.2 Masks
Respiratory viruses that includes Coronaviruses target mainly the upper and lower respiratory tracts.
Hence protecting the airway from the particulate matter generated by droplets / aerosols prevents
human infection. Contamination of mucous membranes of the mouth and nose by infective droplets
or through a contaminated hand also allows the virus to enter the host. Hence the droplet
precautions/airborne precautions using masks are crucial while dealing with a suspect or confirmed
case of COVID-19/performing aerosol generating procedures.
Masks are of different types. The type of mask to be used is related to particular risk profile of the
category of personnel and his/her work. There are two types of masks which are recommended for
various categories of personnel working in hospital or community settings, depending upon the work
environment:
1. Triple layer medical mask
2. N-95 Respirator mask

4.1.2.1 Triple layer medical mask
A triple layer medical mask is a disposable mask, fluid-resistant, provide protection to the wearer
from droplets of infectious material emitted during coughing/sneezing/talking.

4.1.2.2. N-95 Respirator mask
An N-95 respirator mask is a respiratory protective device with high filtration efficiency to airborne
particles. To provide the requisite air seal to the wearer, such masks are designed to achieve a very
close facial fit.
Such mask should have high fluid resistance, good breathability (preferably with an expiratory
valve), clearly identifiable internal and external faces, duckbill/cup-shaped structured design that
does not collapse against the mouth.
If correctly worn, the filtration capacity of these masks exceeds those of triple layer medical masks.
Since these provide a much tighter air seal than triple layer medical masks, they are designed to
protect the wearer from inhaling airborne particles.

4.1.3 Gloves
When a person touches an object/surface contaminated by COVID-19 infected person, and then
touches his own eyes, nose, or mouth, he may get exposed to the virus. Although this is not thought to be a predominant mode of transmission, care should be exercised while handling objects/surface
potentially contaminated by suspect/confirmed cases of COVID-19.
Nitrile gloves are preferred over latex gloves because they resist chemicals, including certain
disinfectants such as chlorine. There is a high rate of allergies to latex and contact allergic dermatitis
among health workers. However, if nitrile gloves are not available, latex gloves can be used. Nonpowdered gloves are preferred to powdered gloves.

4.1.4 Coverall/Gowns
Coverall/gowns are designed to protect torso of healthcare providers from exposure to virus.
Although coveralls typically provide 360-degree protection because they are designed to cover the
whole body, including back and lower legs and sometimes head and feet as well, the design of
medical/isolation gowns do not provide continuous whole-body protection (e.g., possible openings in
the back, coverage to the mid-calf only).
By using appropriate protective clothing, it is possible to create a barrier to eliminate or reduce
contact and droplet exposure, both known to transmit COVID-19, thus protecting healthcare
workers working in close proximity (within 1 meter) of suspect/confirmed COVID-19 cases or their
secretions.
Coveralls and gowns are deemed equally acceptable as there is a lack of comparative evidence to
show whether one is more effective than the other in reducing transmission to health workers.
Gowns are considerably easier to put on and for removal. An apron can also be worn over the gown
for the entire time the health worker is in the treatment area. Coveralls/gowns have stringent
standards that extend from preventing exposure to biologically contaminated solid particles to
protecting from chemical hazards.

4.1.5 Shoe covers
Shoe covers should be made up of impermeable fabric to be used over shoes to facilitate personal
protection and decontamination.

4.1.6. Head covers
Coveralls usually cover the head. Those using gowns, should use a head cover that covers the head
and neck while providing clinical care for patients. Hair and hair extensions should fit inside the
head cover.
The specifications for all the PPEs are at Annexure-A.

Annexure A
Personal Protection Equipment (PPE) -Specifications
(for Contact & Airborneprecautions)
1. PPE Kit
1.1 Gloves
• Nitrile
• Non-sterile
• Powder free
• Outer gloves preferably reachmid-forearm (minimum 280 mmtotal length)
• Different sizes (6.5 &7)
• Quality compliant with the below standards, or equivalent:
a. EU standard directive 93/42/EECClassI,EN455
b. EU standard directive 89/686/EEC Category Ill, EN 374
c. ANSI/SEA 105-2011
d. ASTM D6319-10
1.2 Coverall (medium and large)*
• Impermeable to blood and body fluids
• Single use
• Avoid culturally unacceptable colors e.g. black
• Light colors are preferable to better detect possible contamination
• Thumb/fingerloopstoanchorsleevesinplace
• Quality compliant with following standard
a. Meets or exceedsISO 16603 class 3 exposure pressure, or equivalent

1.3 Goggles
• With transparent glasses, zero power, wellfitting, covered from allsides with
elastic band/or adjustable holder.
• Good seal with the skin of the face
• Flexible frame to easily fit allface contours without too much pressure
• Covers the eyes and the surrounding areas and accommodates for prescription glasses
• Fog and scratch resistant
• Adjustable band to secure firmly so as not to become loose during clinical activity
• Indirect venting to reduce fogging
• May be re-usable (provided appropriate arrangementsfor decontamination are in
place) or disposable
• Quality compliant with the below standards, or equivalent:
a. EU standard directive 86/686/EEC, EN 166/2002
b. ANSI/SEA Z87.1-2010

1.4. N-95 Masks
• Shape thatwillnot collapse easily
• High filtration efficiency
• Good breathability, with expiratory valve
• Quality compliantwithstandardsformedicalN95respirator:

a. NIOSH N95, EN 149FFP2, or equivalent

• Fluid resistance: minimum 80 mmHg pressure based on ASTM F1862, ISO 22609,
or equivalent
• Quality compliant with standards for particulate respirator that can be worn with
full- face shield

1.5. Shoe Covers
• Made up of the same fabric as of coverall
• Should cover the entire shoe and reach above ankles

1.6. Face Shield
• Made of clear plastic and provides good visibility to both the wearer and the patient
• Adjustable band to attach firmly around the head and fitsnuggly against the forehead
• Fog resistant (preferable)
• Completely covers the sides and length of the face
• May be re-usable (made of material which can be cleaned and disinfected)
or disposable
• Quality compliant with the below standards, or equivalent:
a. EU standard directive 86/686/EEC, EN 166/2002
b. ANSI/SEA Z87.1-2010
3. Triple Layer MedicalMask
• Three layeredmedicalmask of non-wovenmaterial with nose piece, having
filter efficiency of 99% for 3micron particle size.
a. ISI specifications orequivalent
4. Gloves

• Nitrile
• Non-sterile
• Powderfree
• Outer gloves preferably reach mid-forearm (minimum 280mm totallength)
• Different sizes (6.5 & 7)
• Quality compliant with the below standards, or equivalent:

1. EU standard directive 93/42/EECClassI,EN 455
2. EU standard directive 89/686/EECCategory Ill, EN 374
3. ANSI/SEA 105-2011
4. ASTM D6319-10
5. BodyBags-Specifications
1) Impermeable
2) Leak proof
3) Air sealed
4) Double sealed
5) Disposable
6) Opaque
7) White
8) U shape with Zip
9) 4/6 grips
10) Size: 2.2 x 1.2 Mts
11) Standards:
a) ISO 16602:2007
b) ISO 16603:2004
c) IS016604:2004
d) ISO/DIS 22611:2003

All items to be supplied need to be accompanied with certificate of analysis from national/
international organizations/labs indicating conformity to standards

All items: Expiry 5 years
* Due to scarcity of coveralls, and risk versus benefit, that as an emergency temporary measure in
larger public interest, in present given circumstances, the fabric that cleared/passed ‘Synthetic
Blood Penetration Resistance Test’ (ISO 16603) and the garment that passed ‘Resistance to
penetration by biologically contaminated solid particles (ISO 22612:2005) may be considered as the
benchmark specification to manufacture Coveralls.” The Coveralls should be taped at the seams to
prevent fluid/droplets/aerosol entry.

The test for these two standards (ISO 16603 and ISO 22612:2005), which can be performed in
Indian laboratories are as per WHO Disease Commodity Package (Version 4.0)

 

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PPE Kit–Covid -19 Ancillaries
PPE Kit–Covid -19 Ancillaries

700.00 650.00

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