Department of Occupational Safety and Health, Murray State University, Kentucky (Mr Locke, Dr Dada); Eastman Chemical Company, Tennessee (Mr Locke); and Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, Alabama (Mr Shedd).
J Occup Environ Med. 2021 Nov 1;63(11):e783-e791. doi: 10.1097/JOM.0000000000002366.
Health care professionals and governmental agencies are in consensus regarding contact and droplet transmission of infectious diseases. However, personal protective equipment (PPE) efficacy is not considered for aerosol or airborne transmission of infectious diseases. This review discusses the inhalation of virus-laden aerosols as a viable mechanism of transmission of various respiratory infectious diseases and PPE efficacy.
The Preferred Reporting Items for Systematic reviews, and Meta-Analysis (PRISMA) guidelines was used.
The transmission of infectious disease is of concern for all respirable diseases discussed (SARS-CoV-1, SARS-CoV-2, MERS, influenza, and tuberculosis), and the effectiveness of facemasks is dependent on the efficiency of the filter, fit, and proper use.
PPE should be the last resort in preventing the spread of infectious disease and should only be used for protection and not to control the transmission.
医疗保健专业人员和政府机构一致认为传染病可通过接触和飞沫传播。然而,对于传染病的气溶胶或空气传播,并未考虑个人防护设备(PPE)的效果。本综述讨论了吸入载有病毒的气溶胶作为各种呼吸道传染病和 PPE 效果的可行传播机制。
采用系统评价和荟萃分析(PRISMA)指南的首选报告项目。
传染性疾病的传播是所有讨论的可呼吸疾病(SARS-CoV-1、SARS-CoV-2、MERS、流感和结核病)都关注的问题,口罩的有效性取决于过滤器的效率、贴合度和正确使用。
PPE 应该是预防传染病传播的最后手段,只能用于保护而不能控制传播。