Evidence map›Paper›PMID 32763333›Full record

ArticleThe Journal of hospital infection2020

Is there an adequate alternative to commercially manufactured face masks? A comparison of various materials and forms.

G R Teesing, B van Straten, P de Man, T Horeman-Franse

Open access · hybridAbstract readComparative Study
In one paragraph

Article 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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.7field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Masks for COVID-19.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2022
    Review
  7. Article
  8. What do masks mask? A study on transdermal COMedical engineering & physics · 2021
    Article
  9. Article
  10. Article
  11. Review
  12. SARS-Cov-2: The Relevance and Prevention of Aerosol Transmission.Journal of occupational and environmental medicine · 2021
    Article
  13. Review
  14. Article
  15. Article
  16. Efficacy of face masks, neck gaiters and face shields for reducing the expulsion of simulated cough-generated aerosols.Aerosol science and technology : the journal of the American Association for Aerosol Research · 2021
    Article
  17. Article
  18. Article
  19. Article
  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

4 authors at 3 institutions in 1 country.

G R TeesingDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands; The Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, the Netherlands. Electronic address: g.teesing@rotterdam.nl.
B van StratenDelft University of Technology, Department of BioMechanical Engineering, Delft, the Netherlands; Van Straten Medical, De Meern, the Netherlands.
P de ManDepartment of Medical Microbiology and Infection Control, Franciscus Gasthuis en Vlietland, Rotterdam, the Netherlands.
T Horeman-FranseDelft University of Technology, Department of BioMechanical Engineering, Delft, the Netherlands.
Delft University of Technology · NLGGD Rotterdam-Rijnmond · NLSint Franciscus Gasthuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a worldwide shortage of medical-grade face masks. Donning masks can play an important role in curbing the spread of SARS-CoV-2.

aimTo conclude whether there is an effective mask for the population to wear in public that could easily be made during a medical face mask shortage using readily available materials.

methodsWe determined the effectiveness of readily available materials and models for making a face mask. The outcomes were compared with N95/FFP2/KN95 masks that entered the Netherlands in April-May 2020. Masks were tested to determine whether they filtered a minimum of 35% of 0.3-μm particles, are hydrophobic, seal on the face, are breathable, and can be washed.

findingsFourteen of the 25 (combinations of) materials filtered at least 35% of 0.3-μm particles. Four of the materials proved hydrophobic, all commercially manufactured filters. Two models sealed the face. Twenty-two of the 25 materials were breathable at <0.7 mbar. None of the hydrophobic materials stayed intact after washing.

conclusionsIt would be possible to reduce the reproduction rate of SARS-CoV-2 from 2.4 to below one if 39% of the population would wear a mask made from ePM₁ 85% commercially manufactured filter fabric and in a duckbill form. This mask performs better than 80% of the imported N95/FFP2/KN95 masks and provides a better fit than a surgical mask. Two layers of quilt fabric with a household paper towel as filter is also a viable choice for protecting the user and the environment.

Indexed as

BetacoronavirusGuidelines as TopicCoronavirus InfectionsCOVID-19Equipment DesignHumansMasksNetherlandsPandemicsPneumonia, ViralRespiratory Protective DevicesSARS-CoV-2TextilesClothePM1FilterMERVSurgical mask

Identifiers

PMID32763333
PMCPMC7403160
OpenAlexW3047375343

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.