Consider the Options; Can Decontamination and Reuse be the Answer to N95 Respirator Shortage in COVID-19 Pandemic?

Abstract

Health care workers (HCWs) are heavily involved in the fight against COVID-19 in all over the world. They have the vital role of treating patients and searching for the proper treatment for the disease, while supporting and protecting their families. It is imperative that the systems should try hard to keep them safe and healthy. World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) have recently published guidelines for keeping HCWs safe and protected. The Personal Protective Equipment (PPE) is the cornerstone of recommendations and contains face mask (air purifying respirator), goggles or face shield, gown, and gloves. There is no doubt that a proper mask (e.g. N95) is the most important element of the protective gear when it comes to transmission of COVID-19.

1. Centers for Disease Control and Prevention. Using Personal Protective Equipment (PPE); 2020. [Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html].
2. World Health Organization. Advice on the use of masks in the context of COVID-19; 2020. [Available from: https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak].
3. Emergency Care Research Institute. Safety of Extended Use and Reuse of N95 respirators; 2020 [Available from: https://www.elsevier.com/data/assets/pdf_file/0006/997863/COVID-ECRI-N95- Respirators_2020-03.pdf].
4. National Institute for Occupational Safety and Health. COVID-19 Evidence Service highlights NIOSH face mask findings; 2020. [Available from: https://federallabs.org/news/covid-19-evidence-service-highlights-niosh-face-mask-findings].
5. Heimbuch BK, Wallace WH, Kinney K, Lumley AE, Wu CY, Woo MH, et al. A pandemic influenza preparedness study: use of energetic methods to decontaminate filtering facepiece respirators contaminated with H1N1 aerosols and droplets. Am J Infect Control. 2011;39(1):e1-9.
6. Lore MB, Heimbuch BK, Brown TL, Wander JD, Hinrichs SH. Effectiveness of three decontamination treatments against influenza virus applied to filtering facepiece respirators. Ann Occup Hyg. 2012;56(1):92-101.
7. Lin TH, Tang FC, Hung PC, Hua ZC, Lai CY. Relative survival of Bacillus subtilis spores loaded on filtering facepiece respirators after five decontamination methods. Indoor Air. 2018:Epub ahead of print.
8. Heimbuch BK, Kinney K, Lumley AE, Harnish DA, Bergman M, Wander JD. Cleaning of filtering facepiece respirators contaminated with mucin and Staphylococcus aureus. Am J Infect Control. 2014;42(3):265-70.
9. Lin TH, Chen CC, Huang SH, Kuo CW, Lai CY, Lin WY. Filter quality of electret masks in filtering 14.6–594 nm aerosol particles: Effects of five decontamination methods. PLoS One. 2017;12(10):e0186217.
10. Viscusi DJ, Bergman MS, Novak DA, Faulkner KA, Palmiero A, Powell J, et al. Impact of three biological decontamination methods on filtering facepiece respirator fit, odor, comfort, and donning ease. J Occup Environ Hyg. 2011;8(7):426-36.
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IssueVol 4 No 2s (2020): COVID-19 QRcode
SectionLetter to the editor
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Farsi D, Mofidi M, Mahshidfar B, Hafezimoghadam P. Consider the Options; Can Decontamination and Reuse be the Answer to N95 Respirator Shortage in COVID-19 Pandemic?. Front Emerg Med. 2020;4(2s):e41.

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