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    Mar 02, 2021
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    Extended use or reuse of single-use surgical masks and filtering face-piece respirators during the coronavirus disease 2019 (COVID-19) pandemic: A rapid systematic review.

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    Toomey et al 2020 Extended use ...
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    Authors
    Toomey, E
    Conway, Y
    Burton, C
    Smith, S
    Smalle, M
    Chan, X
    Adisesh, A
    Tanveer, S
    Ross, L
    Thomson, I
    Devane, D
    Greenhalgh, T
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    Issue Date
    2020-10-08
    Submitted date
    2020-11-04
    
    Metadata
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    Journal
    Infection Control and Hospital Epidemiology
    Abstract
    Background: Shortages of personal protective equipment during the coronavirus disease 2019 (COVID-19) pandemic have led to the extended use or reuse of single-use respirators and surgical masks by frontline healthcare workers. The evidence base underpinning such practices warrants examination. Objectives: To synthesize current guidance and systematic review evidence on extended use, reuse, or reprocessing of single-use surgical masks or filtering face-piece respirators. Data sources: We used the World Health Organization, the European Centre for Disease Prevention and Control, the US Centers for Disease Control and Prevention, and Public Health England websites to identify guidance. We used Medline, PubMed, Epistemonikos, Cochrane Database, and preprint servers for systematic reviews. Methods: Two reviewers conducted screening and data extraction. The quality of included systematic reviews was appraised using AMSTAR-2. Findings were narratively synthesized. Results: In total, 6 guidance documents were identified. Levels of detail and consistency across documents varied. They included 4 high-quality systematic reviews: 3 focused on reprocessing (decontamination) of N95 respirators and 1 focused on reprocessing of surgical masks. Vaporized hydrogen peroxide and ultraviolet germicidal irradiation were highlighted as the most promising reprocessing methods, but evidence on the relative efficacy and safety of different methods was limited. We found no well-established methods for reprocessing respirators at scale. Conclusions: Evidence on the impact of extended use and reuse of surgical masks and respirators is limited, and gaps and inconsistencies exist in current guidance. Where extended use or reuse is being practiced, healthcare organizations should ensure that policies and systems are in place to ensure these practices are carried out safely and in line with available guidance.
    Publisher
    Cambridge University Press
    URI
    http://hdl.handle.net/10144/619752
    DOI
    10.1017/ice.2020.1243
    PubMed ID
    33028441
    Type
    Article
    Language
    en
    EISSN
    1559-6834
    ae974a485f413a2113503eed53cd6c53
    10.1017/ice.2020.1243
    Scopus Count
    Collections
    COVID-19

    entitlement

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