AJIC: American Journal of Infection Control
Volume 38, Issue 7 , Pages 501-508 , September 2010

Quantifying exposure risk: Surgical masks and respirators

  • Keith T. Diaz, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Keith T. Diaz, MD, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, T17-040 Health Sciences Center, 100 Nicolls Rd, Stony Brook University Medical Center, Stony Brook, NY 11794-8172.
  • ,
  • Gerald C. Smaldone, MD, PhD

References 

  1. Aiello AE, Murray GF, Perez V, Coulbourn RM, Davis BM, Uddin M, et al. Mask use, hand hygiene, and seasonal influenza-like illness among young adults: a randomized intervention trial. J Infect Dis; 201:491-8.
  2. Shine KI, Rogers B, Goldfrank LR. Novel H1N1 influenza and respiratory protection for health care workers. N Engl J Med. 2009;361:1823–1825
  3. Radonovich LJ, Perl TM, Davey V, Cohen H. Preventing the soldiers of health care from becoming victims on the pandemic battlefield: respirators or surgical masks as the armor of choice. Disaster Med Public Health Prep. 2009;(Suppl 2):S203–S210
  4. CDC. Novel influenza A (H1N1) outbreak information. Available from: http://cdc.gov/h1n1flu/masks.htm. Accessed February 18, 2010.
  5. Siegel JD, Jackson M, Chiarello L. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. Available from: http://www.cdc.gov/hicpac/2007IP/2007isolationPrecautions.html. Accessed February 18, 2010.
  6. Brankston G, Gitterman L, Hirji Z, Lemieux C, Gardam M. Transmission of influenza A in human beings. Lancet Infect Dis. 2007;7:257–265
  7. Tellier R. Review of aerosol transmission of influenza A virus. Emerg Infect Dis. 2006;12:1657–1662
  8. Balazy A, Toivola M, Reponen T, Podgorski A, Zimmer A, Grinshpun SA. Manikin-based performance evaluation of N95 filtering-facepiece respirators challenged with nanoparticles. Ann Occup Hyg. 2006;50:259–269
  9. Lawrence RB, Duling MG, Calvert CA, Coffey CC. Comparison of performance of three different types of respiratory protection devices. J Occup Environ Hyg. 2006;3:465–474
  10. Balazy A, Toivola M, Adhikari A, Sivasubramani SK, Reponen T, Grinshpun SA. Do N95 respirators provide 95% protection level against airborne viruses, and how adequate are surgical masks?. Am J Infect Control. 2006;34:51–57
  11. Oberg T, Brosseau LM. Surgical mask filter and fit performance. Am J Infect Control. 2008;36:276–282
  12. Fennelly KP. The role of masks in preventing nosocomial transmission of tuberculosis. Int J Tuberc Lung Dis. 1998;2:S103–S109
  13. Johnson DF, Druce JD, Birch C, Grayson ML. A quantitative assessment of the efficacy of surgical and N95 masks to filter influenza virus in patients with acute influenza infection. Clin Infect Dis. 2009;49:275–277
  14. Bailar JC, Pool R. Assessment of the NIOSH head-and-face anthropometric survey of US respirator users. Washington, DC: The National Academies Press; 2007;
  15. Papineni RS, Rosenthal FS. The size distribution of droplets in the exhaled breath of healthy human subjects. J Aerosol Med. 1997;10:105–116
  16. Johnson GR, Morawska L. The mechanism of breath aerosol formation. J Aerosol Med Pulm Drug Deliv. 2009;22:229–237
  17. Motley K. Glossary of respiratory protection terms: OSHA/NIOSH: Repsiratory protection terms. Available from: http://www.trustcrm.com/ectny/respiratory_advisor/oshafiles/glossary.html. Accessed March 12, 2010.
  18. Ninomura P. Ventilation standard for healthcare facilities. ASHRAE J. 2008;52:52–58
  19. EPA . Building air quality: a guide for building owners and facility managers. US Environmental Protection Agency. 1991;148;Available from: http://www.epa.gov/iaq/largebldgs/baqtoc.htmlAccessed May 20, 2010
  20. Weber A, Willeke K, Marchioni R, et al. Aerosol penetration and leakage characteristics of masks used in the health care industry. Am J Infect Control. 1993;21:167–173
  21. Weiss MM, Weiss PD, Weiss DE, Weiss JB. Disrupting the transmission of influenza A: face masks and ultraviolet light as control measures. Am J Public Health. 2007;97(Suppl 1):S32–S37
  22. Fletcher GJ, Christopher S, Gnanamony M. Why does size matter for viruses—a new paradigm on viral size. Med Hypotheses. 2009;73:133–137
  23. Duling MG, Lawrence RB, Slaven JE, Coffey CC. Simulated workplace protection factors for half-facepiece respiratory protective devices. J Occup Environ Hyg. 2007;4:420–431
  24. Coffey CC, Campbell DL, Zhuang Z. Simulated workplace performance of N95 respirators. Am Ind Hyg Assoc J. 1999;60:618–624
  25. Coffey CC, Lawrence RB, Campbell DL, Zhuang Z, Calvert CA, Jensen PA. Fitting characteristics of eighteen N95 filtering-facepiece respirators. J Occup Environ Hyg. 2004;1:262–271

 Supported in part by Crosstex International Inc.

 Conflicts of interest: G.C.S. serves as a consultant to Crosstex International Inc. The remaining author has no conflicts to report.

PII: S0196-6553(10)00597-3

doi: 10.1016/j.ajic.2010.06.002

AJIC: American Journal of Infection Control
Volume 38, Issue 7 , Pages 501-508 , September 2010