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Evaluation of N95 respirator ultraviolet decontamination and clinical reuse with quantitative fit testing

Part of: SARS-CoV-2/COVID-19

Published online by Cambridge University Press:  03 May 2021

Gregory K. Wanner Open the ORCID record for Gregory K. Wanner [Opens in a new window] ,
Douglas Ader ,
Richard Caplan ,
Amit S. Padaki ,
Debra Ravert  and
Marci Drees
Gregory K. Wanner*
Affiliation:
Department of Emergency Medicine, ChristianaCare, Newark, Delaware
Douglas Ader
Affiliation:
Department of Emergency Medicine, ChristianaCare, Newark, Delaware
Richard Caplan
Affiliation:
Value Institute, ChristianaCare, Newark, Delaware
Amit S. Padaki
Affiliation:
Department of Emergency Medicine, ChristianaCare, Newark, Delaware
Debra Ravert
Affiliation:
Department of Emergency Medicine, ChristianaCare, Newark, Delaware
Marci Drees
Affiliation:
Departments of Medicine, Quality and Patient Safety, ChristianaCare, Newark, Delaware
*
Author for correspondence: Gregory K. Wanner, E-mail: [email protected]
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Abstract

The supply of N95 respirators has been severely strained by the coronavirus disease 2019 (COVID-19) pandemic. We used quantitative fit-testing to evaluate 16 participants and 45 respirators through up to 4 rounds of ultraviolet decontamination and clinical reuse. The mean fit-test failure rate was 29.7%, and the probability of failure increased through N95 reuse.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 9 , September 2022 , pp. 1272 - 1274
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Lowe, JJ, Paladino, KD, Farke, JD, et al. N95 filtering facepiece respirator ultraviolet germicidal irradiation (UVGI) process for decontamination and reuse. Nebraska Medicine website. https://www.nebraskamed.com/sites/default/files/documents/covid-19/n-95-decon-process.pdf?date=03262020. Updated April 10, 2020. Accessed October 30, 2020.Google Scholar
Rodriguez-Martinez, CE, Sossa-Briceño, MP, Cortés, JA. Decontamination and reuse of N95 filtering facemask respirators: a systematic review of the literature. Am J Infect Control 2020;48:1520–1532.CrossRefGoogle ScholarPubMed
Seresirikachorn, K, Phoophiboon, V, Chobarporn, T, et al. Decontamination and reuse of surgical masks and N95 filtering facepiece respirators during the COVID-19 pandemic: a systematic review. Infect Control Hosp Epidemiol 2021;42:25–30.CrossRefGoogle ScholarPubMed
Fischer, RJ, Morris, DH, Van Doremalen, N, et al. Effectiveness of N95 respirator decontamination and reuse against SARS-CoV-2 virus. Emerging Infect Dis 2020;26:2253–2255.CrossRefGoogle ScholarPubMed
Degesys, NF, Wang, RC, Kwan, E, et al. Correlation between N95 extended use and reuse and fit failure in an emergency department. JAMA 2020;324:94–96.CrossRefGoogle Scholar
Lieu, A, Mah, J, Zanichelli, V, Exantus, RC, Longtin, Y. Impact of extended use and decontamination with vaporized hydrogen peroxide on N95 respirator fit. Am J Infect Control 2020;48:1457–1461.CrossRefGoogle ScholarPubMed
Implementing filtering facepiece respirator (FFR) reuse, including reuse after decontamination, when there are known shortages of N95 respirators. Centers for Disease Control and Prevention website. https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/decontamination-reuse-respirators.html. Updated October 19, 2020. Accessed March 29, 2021.Google Scholar
Lindsley, WG, Martin, SB, Thewlis, RE, et al. Effects of ultraviolet germicidal irradiation (UVGI) on N95 respirator filtration performance and structural integrity. J Occup Environ Hyg 2015;12:509–517.CrossRefGoogle ScholarPubMed
Vuma, CD, Manganyi, J, Wilson, K, Rees, D. The effect on fit of multiple consecutive donning and doffing of N95 filtering facepiece respirators. Ann Work Expo Health 2019;63:930–936.CrossRefGoogle ScholarPubMed
Viscusi, DJ, Bergman, MS, Novak, DA, et al. Impact of three biological decontamination methods on filtering facepiece respirator fit, odor, comfort, and donning ease. J Occup Environ Hyg 2011;8:426–436.CrossRefGoogle ScholarPubMed