Evidence map›Paper›PMID 32653432›Full record

SynthesisThe Journal of hospital infection2020

Decontamination interventions for the reuse of surgical mask personal protective equipment: a systematic review.

D J Zorko, S Gertsman, K O'Hearn, N Timmerman, N Ambu-Ali, T Dinh, M Sampson, L Sikora, J D McNally, K Choong

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in The Journal of hospital infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Autoresuscitation after circulatory arrest: an updated systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Demonstration of a Home Laundering Method for Cloth Facepieces to Achieve Hygienic and Sustainable Reuse.New solutions : a journal of environmental and occupational health policy : NS · 2025
    Article
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  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Plastics in the time of COVID-19 pandemic: Protector or polluter?The Science of the total environment · 2021
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

D J ZorkoDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
S GertsmanChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
K O'HearnChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
N TimmermanDepartment of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
N Ambu-AliDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
T DinhMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
M SampsonLibrary Services, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
L SikoraHealth Sciences Library, University of Ottawa, Ottawa, Ontario, Canada.
J D McNallyChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
K ChoongDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada; Department of Critical Care, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada. Electronic address: choongk@mcmaster.ca.
Children's Hospital of Eastern Ontario · CAMcMaster University · CAImpact · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high demand for personal protective equipment during the novel coronavirus outbreak has prompted the need to develop strategies to conserve supply. Little is known regarding decontamination interventions to allow for surgical mask reuse.

aimTo identify and synthesize data from original research evaluating interventions to decontaminate surgical masks for the purpose of reuse.

methodsMEDLINE, Embase, CENTRAL, Global Health, the WHO COVID-19 database, Google Scholar, DisasterLit, preprint servers, and prominent journals from inception to April 8

findingsSeven studies met eligibility criteria: one evaluated the effects of heat and chemical interventions applied after mask use on mask performance, and six evaluated interventions applied prior to mask use to enhance antimicrobial properties and/or mask performance. Mask performance and germicidal effects were evaluated with heterogeneous test conditions. Safety outcomes were infrequently evaluated. Mask performance was best preserved with dry heat decontamination. Good germicidal effects were observed in salt-, N-halamine-, and nanoparticle-coated masks.

conclusionThere is limited evidence on the safety or efficacy of surgical mask decontamination. Given the heterogeneous methods used in studies to date, we are unable to draw conclusions on the most efficacious and safe intervention for decontaminating surgical masks.

Indexed as

Guidelines as TopicBetacoronavirusCoronavirus InfectionsCOVID-19DecontaminationEquipment ReuseHumansMasksPandemicsPersonal Protective EquipmentPneumonia, ViralProspective StudiesRespiratory Protective DevicesSARS-CoV-2COVID-19DecontaminationPersonal protective equipmentSARS-CoV-2Surgical masksSystematic review

Identifiers

PMID32653432
PMCPMC7347478
OpenAlexW3041394485

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.