与用于评估医护人员 N95 口罩功效的规程相关的口罩密合度测试数据回顾

IF 0.9 Q4 INFECTIOUS DISEASES
Jody Hook, Louisa M. Sasko, Sheree M.S. Smith
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引用次数: 0

摘要

口罩密合度定量测试(QNFT)是确认 N95/P2 口罩密合度是否正确的黄金标准,可确保医护人员免受空气传播病毒的侵害。根据职业安全与健康管理局(OSHA)的指导,密合度测试的最终结果是根据 OSHA 协议中的动作得出的累积分数。基于规程的操作模拟了卫生专业人员临床护理的各个方面,进行面罩密合度测试是为了在护理环境中提供保护,防止空气传播病毒和污染物。确定进行 QNFT 的研究是否报告了 OSHA 协议中个别动作的结果。我们为系统性综述制定了全面的搜索策略,以确定符合条件的研究,这些研究发表于 2011 年 5 月至 2021 年 5 月之间。两名研究人员对检索到的所有全文进行了独立筛选,并通过讨论解决了所有分歧。搜索共发现 557 项研究。去除 119 篇重复文章后,根据标题和摘要对 437 篇文章进行了审查,排除了 411 篇研究。对 27 篇全文进行了资格评估,所有文章均因以下原因被排除:研究未报告 OSHA 长或短方案的结果(12 篇)、研究未使用 OSHA 长或短方案评估面罩适合度(10 篇)、文章类型(讨论/评论/编辑)或研究类型错误(1 篇)。尽管使用了非常宽泛的搜索条件,但仍未找到符合条件的研究,因此该结果被宣布为空白综述。国际公认的 QNFT 协议有许多动作反映了医护人员在提供临床护理时的身体动作。有关面罩密合度测试的研究似乎没有报告每个动作的结果,只提供了累积结果。这一发现表明,有必要了解在提供临床护理过程中面罩泄漏的潜在风险,面罩密合度测试中的动作失败就是证明。需要开展进一步研究,以了解通过每个面罩密合度测试动作的重要性,以及在提供临床护理期间与空气传播防护之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A review of mask fit testing data associated with protocols utilized in evaluating the efficacy of N95 masks for health care workers
Quantitative mask fit testing (QNFT) is the gold standard to confirm the correct fit of a N95/P2 mask to ensure health care workers protection from airborne viruses. Using the Occupational Safety and Health Administration (OSHA) guidance indicates a final fit test result is a cumulative score derived from manoeuvres within the OSHA protocol. The protocol-based manoeuvres mimic aspects of clinical care by health professionals and mask fit testing is conducted to provide protection from airborne viruses and pollutants within a care setting. To determine whether studies undertaking QNFT report the results of individual manoeuvres of the OSHA protocol. A comprehensive search strategy for the systematic review was developed to determine eligible studies, published between May 2011 and May 2021. Two researchers independently screened all full text articles retrieved and all disagreements were resolved through discussion. The search found 557 studies. After removing 119 duplicates, 437 articles were reviewed based on title and abstract, 411 studies were excluded. Twenty-seven full text articles were assessed for eligibility, all were excluded for the following reasons: study did not report the results of the long or short OSHA protocol (12), study did not assess mask fit using the long or short OSHA protocol (10), article type (discussion/commentary/editorial) or wrong study type (1). Despite the use of very broad search terms no eligible studies were found and the result was declared an empty review. Internationally accepted QNFT protocols have a number of manoeuvres that reflect health care workers’ physical movements during the delivery of clinical care. Studies of mask fit testing appear to lack the reporting of outcomes for each manoeuvre with only the cumulative results being provided. This finding raises the need to understand potential risk from a mask leak during the delivery of clinical care as evidenced by failing a manoeuvre during mask fit testing. Further research is required to understand the importance of passing each mask fit testing manoeuvre and the relationship to airborne protection during the delivery of clinical care.
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来源期刊
Journal of Infection Prevention
Journal of Infection Prevention Nursing-Advanced and Specialized Nursing
CiteScore
1.70
自引率
8.30%
发文量
46
期刊介绍: Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
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