Evidence map›Paper›PMID 34971710›Full record

ArticleAmerican journal of infection control2022

P2/N95 filtering facepiece respirators: Results of a large-scale quantitative mask fit testing program in Australian health care workers.

Maxim Milosevic, Raaj Kishore Biswas, Lesley Innes, Martin Ng, Ali Mehmet Darendeliler, Alice Wong, Elizabeth Denney-Wilson

Open access · bronzeAbstract read
In one paragraph

Article in American journal of infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Safety Goggles with Elastic Headband to Improve N95 Fit Following Failed Quantitative Fit Test.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  8. Article
  9. Article
  10. 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

7 authors at 3 institutions in 1 country.

Maxim MilosevicCommunity Oral Health Clinic, Sydney Dental Hospital, Sydney Local Health District, Surry Hills, New South Wales, Australia; Discipline of Orthodontics and Paediatric Dentistry, School of Dentistry, Faculty of Medicine and Health, University of Sydney, Surry Hills, New South Wales, Australia. Electronic address: maxim.milosevic@health.nsw.gov.au.
Raaj Kishore BiswasSydney Local Health District Clinical Research Centre, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia; Transport and Road Safety (TARS) Research Centre, School of Aviation, University of New South Wales, Sydney, New South Wales, Australia.
Lesley InnesCentre for Education and Workforce Development, Sydney Local Health District, Rozelle, New South Wales, Australia.
Martin NgCardiovascular Medicine and Bioengineering, National Health and Medical Research Council Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
Ali Mehmet DarendelilerDiscipline of Orthodontics and Paediatric Dentistry, School of Dentistry, Faculty of Medicine and Health, University of Sydney, Surry Hills, New South Wales, Australia.
Alice WongDiscipline of Orthodontics and Paediatric Dentistry, School of Dentistry, Faculty of Medicine and Health, University of Sydney, Surry Hills, New South Wales, Australia.
Elizabeth Denney-WilsonSusan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
The University of Sydney · AURoyal Prince Alfred Hospital · AUSydney Local Health District · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn response to the COVID-19 pandemic, 6,287 Australian health care workers (HCWs) were fit tested to N95 filtering facepiece respirators (FFRs). This study determined how readily HCWs were fitted to 8 FFRs and how age and sex influenced testing.

methodsHCWs were fit tested following the quantitative OSHA protocol. After bivariate analysis, a logistic regression model assessed the effect of FFR model, HCW age and sex on fit test results.

resultsOf 4,198 female and 2,089 male HCWs tested, 93.3% were successfully fitted. Fifty-five percent passed the first FFR, 21% required 2 and 23% required testing on 3 or more models. Males were 15% less likely to pass compared to females (P < .001). Individuals aged 18-29 were significantly more likely to pass compared to colleagues aged 30-59. Cup-style 3M 1860S was the most suitable model (95% CI: 1.94, 2.54) while the duckbill BSN TN01-11 was most likely to fail (95% CI: 0.11, 0.15).

conclusionsCurrent N95 FFRs exhibit suboptimal fit such that a large proportion (45%) of HCWs require testing on multiple models. Older age and male sex were associated with significantly higher fit failure rates. QNFT programs should consider HCW characteristics like sex, age, racial and facial anthropometric measurements to improve the protection of the health workforce.

Indexed as

COVID-19Occupational ExposureRespiratory Protective DevicesAustraliaEquipment DesignFemaleHealth PersonnelHumansMaleN95 RespiratorsPandemicsairborneCOVID-19infection controlrespiratory protectionSARS-CoV-2

Identifiers

PMID34971710
PMCPMC8767955
OpenAlexW4200470228

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.