Evidence map›Paper›PMID 39798852›Full record

ArticleAmerican journal of infection control2025

Self-contamination risk and failure modes during high-level PPE doffing: A pilot comparison of 2 powered air-purifying respirator (PAPR) hoods.

Kimberly Erukunuakpor, Jill Morgan, Colleen S Kraft, David Grimm, Alexandra Nguyen, Joel M Mumma, Lisa M Casanova

Abstract readComparative Study
In one paragraph

Article in American journal of infection control, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kimberly ErukunuakporDepartment of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA.
Jill MorganSerious Communicable Diseases Program, Emory Healthcare, Atlanta, GA.
Colleen S KraftSerious Communicable Diseases Program, Emory Healthcare, Atlanta, GA; Department of Pathology/Laboratory Medicine, Medicine/Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA.
David GrimmSchool of Psychology, Georgia Institute of Technology, Atlanta, GA.
Alexandra NguyenSchool of Psychology, Georgia Institute of Technology, Atlanta, GA.
Joel M MummaSchool of Psychology, Georgia Institute of Technology, Atlanta, GA.
Lisa M CasanovaDepartment of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA. Electronic address: lcasanova@gsu.edu.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundPersonal protective equipment doffing protocols can reduce risks of pathogen self-contamination. Powered air-purifying respirators may increase these risks. This study compares viral contamination and errors during simulated doffing of single-layer versus double-layer hood powered air-purifying respirators.

methodsEight participants performed 2 simulations (video recorded for failure modes [FMs] and effects analysis): 1 single-layer hood (laid over Tyvek suit) and 1 double-layer hood (top laid over and bottom tucked into suit). Hoods were contaminated with viruses. After doffing, inner gloves, face, hands, and scrubs were sampled.

resultsVirus contaminated at least 1 site in 6/8 single- and 5/8 double-layer simulations. Virus-contaminated inner gloves in single- (6 participants, median 5.42 × 10 DISCUSSION: Double-layer doffing reduced inner glove contamination. The double-layer protocol may reduce glove-face shield contact but allow more opportunities for error. Double-layer doffing errors may less frequently lead to contamination than single layer.

conclusionsContamination and FMs may differ between double- and single-layer doffing. Although inner glove contamination was reduced, double-layer doffing may need redesign to reduce FMs and contamination.

Indexed as

COVID-19Equipment ContaminationPersonal Protective EquipmentRespiratory Protective DevicesHumansPilot ProjectsHuman factorsOccupational healthPAPRRespiratory protection

Identifiers

PMID39798852
PMCPMC12005961

What OpenQuestion holds

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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.