Evidence map›Paper›PMID 34783656›Full record

ArticleeLife2021

Efficacy of FFP3 respirators for prevention of SARS-CoV-2 infection in healthcare workers.

Mark Ferris, Rebecca Ferris, Chris Workman, Eoin O'Connor, David A Enoch, Emma Goldesgeyme, Natalie Quinnell, Parth Patel, Jo Wright, Geraldine Martell and 5 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  4. Cytosponge procedures produce fewer respiratory aerosols and droplets than esophagogastroduodenoscopies.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2024
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  8. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
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  9. COVID-19 lockdown revisionism.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
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  12. Observational
  13. Article
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  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Infection prevention and surgery in the pandemic era.Surgery (Oxford, Oxfordshire) · 2021
    Review
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

15 authors at 4 institutions in 2 countries.

Mark Ferris *Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.ORCID 0000-0001-5040-4263
Rebecca Ferris *Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Chris WorkmanCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Eoin O'ConnorSchool of Clinical Medicine, Cambridge, United Kingdom.ORCID 0000-0002-6846-6881
David A EnochCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Emma GoldesgeymeCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Natalie QuinnellCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Parth PatelCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Jo WrightCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Geraldine MartellCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Christine MoodyCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Ashley ShawCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Christopher Jr Illingworth *MRC Biostatistics Unit, Cambridge, United Kingdom.ORCID 0000-0002-0030-2784
Nicholas J Matheson *Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.ORCID 0000-0002-3318-1851
Michael P Weekes *Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.ORCID 0000-0003-3196-5545
Cambridge University Hospitals NHS Foundation Trust · GBUniversity of Cambridge · GBMRC Biostatistics Unit · GBNHS Blood and Transplant · GB

Funding

Medical Research Council MC_PC_19026Medical Research Council MC_UU_00002/11Medical Research Council MC_UU_12014Medical Research Council MC_UU_12014/12Medical Research Council MR/P008801/1Medical Research Council MR/V038613/1Wellcome TrustWellcome Trust 108070/Z/15/Z
6 · The paper itself

Abstract

Background: Respiratory protective equipment recommended in the UK for healthcare workers (HCWs) caring for patients with COVID-19 comprises a fluid-resistant surgical mask (FRSM), except in the context of aerosol generating procedures (AGPs). We previously demonstrated frequent pauci- and asymptomatic severe acute respiratory syndrome coronavirus 2 infection HCWs during the first wave of the COVID-19 pandemic in the UK, using a comprehensive PCR-based HCW screening programme (Rivett et al., 2020; Jones et al., 2020). Methods: Here, we use observational data and mathematical modelling to analyse infection rates amongst HCWs working on 'red' (coronavirus disease 2019, COVID-19) and 'green' (non-COVID-19) wards during the second wave of the pandemic, before and after the substitution of filtering face piece 3 (FFP3) respirators for FRSMs. Results: Whilst using FRSMs, HCWs working on red wards faced an approximately 31-fold (and at least fivefold) increased risk of direct, ward-based infection. Conversely, after changing to FFP3 respirators, this risk was significantly reduced (52-100% protection). Conclusions: FFP3 respirators may therefore provide more effective protection than FRSMs for HCWs caring for patients with COVID-19, whether or not AGPs are undertaken. Funding: Wellcome Trust, Medical Research Council, Addenbrooke's Charitable Trust, NIHR Cambridge Biomedical Research Centre, NHS Blood and Transfusion, UKRI.

Indexed as

Health PersonnelMasksRespiratory Protective DevicesAdultAerosolsAgedCOVID-19HumansIncidenceInfection ControlMiddle AgedModels, TheoreticalSARS-CoV-2United KingdomYoung AdultAerosolsCOVID-19epidemiologyFFP3global healthhealthcare workerinfectious diseasemaskmicrobiologyPPESARS-CoV-2viruses

Identifiers

PMID34783656
PMCPMC8635983
OpenAlexW3212237234

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.