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Decontamination interventions for the reuse of surgical mask personal protective equipment: a systematic review.
Zorko, D J; Gertsman, S; O'Hearn, K; Timmerman, N; Ambu-Ali, N; Dinh, T; Sampson, M; Sikora, L; McNally, J D; Choong, K.
  • Zorko DJ; Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
  • Gertsman S; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
  • O'Hearn K; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
  • Timmerman N; Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
  • Ambu-Ali N; Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
  • Dinh T; Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
  • Sampson M; Library Services, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
  • Sikora L; Health Sciences Library, University of Ottawa, Ottawa, Ontario, Canada.
  • McNally JD; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
  • Choong K; Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada; Department of Critical Care, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada. Electronic address: choongk@mcmaster.ca.
J Hosp Infect ; 106(2): 283-294, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-636625
Semantic information from SemMedBD (by NLM)
1. Evaluating interventions USES Masks
Subject
Evaluating interventions
Predicate
USES
Object
Masks
2. Decontamination USES Surgical face mask
Subject
Decontamination
Predicate
USES
Object
Surgical face mask
3. Evaluating interventions USES Masks
Subject
Evaluating interventions
Predicate
USES
Object
Masks
4. Decontamination USES Surgical face mask
Subject
Decontamination
Predicate
USES
Object
Surgical face mask
ABSTRACT

BACKGROUND:

The high demand for personal protective equipment during the novel coronavirus outbreak has prompted the need to develop strategies to conserve supply. Little is known regarding decontamination interventions to allow for surgical mask reuse.

AIM:

To identify and synthesize data from original research evaluating interventions to decontaminate surgical masks for the purpose of reuse.

METHODS:

MEDLINE, Embase, CENTRAL, Global Health, the WHO COVID-19 database, Google Scholar, DisasterLit, preprint servers, and prominent journals from inception to April 8th, 2020, were searched for prospective original research on decontamination interventions for surgical masks. Citation screening was conducted independently in duplicate. Study characteristics, interventions, and outcomes were extracted from included studies by two independent reviewers. Outcomes of interest included impact of decontamination interventions on surgical mask performance and germicidal effects.

FINDINGS:

Seven studies met eligibility criteria one evaluated the effects of heat and chemical interventions applied after mask use on mask performance, and six evaluated interventions applied prior to mask use to enhance antimicrobial properties and/or mask performance. Mask performance and germicidal effects were evaluated with heterogeneous test conditions. Safety outcomes were infrequently evaluated. Mask performance was best preserved with dry heat decontamination. Good germicidal effects were observed in salt-, N-halamine-, and nanoparticle-coated masks.

CONCLUSION:

There is limited evidence on the safety or efficacy of surgical mask decontamination. Given the heterogeneous methods used in studies to date, we are unable to draw conclusions on the most efficacious and safe intervention for decontaminating surgical masks.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Pneumonia, Viral / Respiratory Protective Devices / Decontamination / Guidelines as Topic / Equipment Reuse / Coronavirus Infections / Pandemics / Personal Protective Equipment / Masks Subject: Pneumonia, Viral / Respiratory Protective Devices / Decontamination / Guidelines as Topic / Equipment Reuse / Coronavirus Infections / Pandemics / Personal Protective Equipment / Masks Type of study: Clinical Practice Guide / Observational study / Prognostic study / Systematic review Language: English Journal: J Hosp Infect Year: 2020

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Pneumonia, Viral / Respiratory Protective Devices / Decontamination / Guidelines as Topic / Equipment Reuse / Coronavirus Infections / Pandemics / Personal Protective Equipment / Masks Subject: Pneumonia, Viral / Respiratory Protective Devices / Decontamination / Guidelines as Topic / Equipment Reuse / Coronavirus Infections / Pandemics / Personal Protective Equipment / Masks Type of study: Clinical Practice Guide / Observational study / Prognostic study / Systematic review Language: English Journal: J Hosp Infect Year: 2020
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