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COVID-19 大流行期间口罩作为 SARS-CoV-2 防护材料使用的预系统评价。

A pre-systematic review on the use of masks as a protection material for SARS-COV-2 during the COVID-19 pandemic.

机构信息

Universidade Lusófona de Humanidades e Tecnologias - Escola de Ciências e Tecnologias da Saúde, CBIOS - Universidade Lusófona's Research Center for Biosciences and Health Technologies, Lisboa, Portugal.

出版信息

Int J Clin Pract. 2021 Sep;75(9):e14215. doi: 10.1111/ijcp.14215. Epub 2021 Apr 27.

Abstract

BACKGROUND

Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China on 31 December 2019.

AIMS

to review, analyse and discuss all works about the wearing and development of facemasks as potential protection against SARS-COV-2 during the COVID-19 pandemic.

METHODS

PubMed, SciELO, Google Scholar and DOAJ were browsed.

KEYWORDS

"mask and (SARS or Cov)" (1 August 2019 to 12 April 2020).

INCLUSION CRITERIA

original research. PRISMA criteria were followed.

RESULTS

Twenty-one works were selected. Identified topics: effectiveness of protective equipment/devices (PE) (n = 3), universal wearing of facemasks plus other protective measures in the community (n = 3), impact of infection control measures on hospitals and epidemiological tracing (n = 3), development of new PE (n = 2), sanitisation of facemasks (n = 4), clinical guidance (n = 4) and questionnaires (n = 2).

DISCUSSION

It seems that the effectiveness of PE, namely facemasks, is not fully known. Universal wearing of facemasks may be simultaneously recommended with other protective measures. Nosocomial and community infections seem to be preventable. New PE, methods of facemask sanitisation and clinical guidance are emerging, but caution is recommended regarding their adoption, revision and monitoring by international boards and institutions. Questionnaires are useful tools for collecting citizens' opinions on implementing public health measures, and thus contribute to mitigating the COVID-19 pandemic.

CONCLUSIONS

Universal wearing of facemasks in the community is likely to be recommended during the COVID-19pandemic. Since SARS-COV-2 is highly contagious, a set of measures should be considered. Facemask sanitisation is possible, but standardised procedures are lacking. New PE is emerging and requires detailed regulatory approval. It is advisable to monitor public opinion.

摘要

背景

2019 年 12 月 31 日,中国武汉首次报告了 2019 年冠状病毒病(COVID-19)。

目的

回顾、分析和讨论 COVID-19 大流行期间作为 SARS-COV-2 潜在防护措施的口罩佩戴和发展的所有相关工作。

方法

浏览了 PubMed、SciELO、Google Scholar 和 DOAJ。

关键词

“mask and (SARS or Cov)”(2019 年 8 月 1 日至 2020 年 4 月 12 日)。

纳入标准

原始研究。采用 PRISMA 标准。

结果

共选择了 21 项研究。确定的主题包括:防护设备/装置的有效性(n=3)、社区内普遍佩戴口罩和其他防护措施(n=3)、感染控制措施对医院和流行病学追踪的影响(n=3)、新型防护设备的开发(n=2)、口罩消毒(n=4)、临床指导(n=4)和问卷调查(n=2)。

讨论

似乎防护设备,特别是口罩的有效性尚未完全确定。普遍佩戴口罩可能会同时与其他防护措施一起推荐。医院和社区内的感染似乎是可以预防的。新的防护设备、口罩消毒方法和临床指导正在出现,但建议国际委员会和机构谨慎采用、修订和监测。问卷调查是收集公民对实施公共卫生措施意见的有用工具,有助于减轻 COVID-19 大流行的影响。

结论

在 COVID-19 大流行期间,可能会建议在社区内普遍佩戴口罩。由于 SARS-COV-2 具有高度传染性,因此应考虑采取一系列措施。口罩消毒是可行的,但缺乏标准化程序。新型防护设备正在出现,需要详细的监管批准。监测公众意见是明智的。

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本文引用的文献

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Hydrogen peroxide vapor decontamination of N95 respirators for reuse.过氧化氢蒸汽对 N95 口罩进行再处理消毒。
Infect Control Hosp Epidemiol. 2022 Jan;43(1):45-47. doi: 10.1017/ice.2021.48. Epub 2021 Feb 9.
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Testing for coverage from personal protective equipment.检测个人防护装备的覆盖范围。
Anaesthesia. 2020 Jul;75(7):966-967. doi: 10.1111/anae.15079. Epub 2020 Apr 22.

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