Validation and Application of Models to Predict Facemask Influenza Contamination in Healthcare Settings

Risk Analysis

Volumn 34, Issue 8, 2014, Pages 1423-1434

  Fisher, Edward M ^a   Noti, John D ^a   Lindsley, William G ^a   Blachere, Francoise M ^a   Shaffer, Ronald E ^a  

^a NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH   (United States)

Author keywords

Contamination; Influenza; Surgical masks

Indexed keywords

AEROSOLS; ESTIMATION; HEALTH CARE; PATHOGENS; RESPIRATORS; RISK ASSESSMENT; SURGERY; VIRUSES;

AEROSOL CONTAMINATION; AIRBORNE CONTAMINATION; CONTAMINATION LEVELS; HEALTHCARE WORKERS; INFLUENZA; LABORATORY STUDIES; N95 FILTERING FACEPIECE RESPIRATORS; POTENTIAL SOURCES;

CONTAMINATION;

AEROSOL; DISEASE TRANSMISSION; GOVERNMENT; HEALTH CARE; HEALTH RISK; INFLUENZA; NUMERICAL MODEL; PATHOGEN;

UNITED STATES;

EID: 84894829304     PISSN: 02724332     EISSN: 15396924     Source Type: Journal    
DOI: 10.1111/risa.12185     Document Type: Article

References (63)

1. CDC. TB Respiratory Protection Program in Health Care Facilities Administrator's Guide. Available at: http://www.cdc.gov/niosh/docs/99-143/, Accessed March 2010.
2. CDC. Interim Domestic Guidance on the Use of Respirator to Prevent the Transmission of SARS. Available at: http://www.cdc.gov/ncidod/sars/respirators.htm, Accessed March 2010.
3. CDC. Interim Recommendations for Facemask and Respirator Use to Reduce Novel Influenza a (H1N1) Virus Transmission. Available at: http://www.cdc.gov/h1n1flu/masks.htm, Accessed September 2009.
4. Janssen LL, Nelson TJ, Cuta KT. Workplace protection factors for an N95 filtering facepiece respirator. Journal of Occupational and Environmental Hygiene, 2007; 4:698-707.
5. Bidwell J, Janssen L. Workplace performance of an N95 respirator in a concrete block manusfacturing plant. Journal of the International Society for Respiratory Protection, 2004; 21:94-102.
6. Cho HW, Yoon CS. Workplace field testing of the pressure drop of particulate respirators using welding fumes. Annals of Occupational Hygiene, 2012; 56:948-958.
7. Cho KJ, Jones S, Jones G, McKay R, Grinshpun SA, Dwivedi A, Shukla R, Singh U, Reponen T. Effect of particle size on respiratory protection provided by two types of N95 respirators used in agricultural settings. Journal of Occupational and Environmental Hygiene, 2010; 7:622-627.
8. Han DH. Correlations between workplace protection factors and fit factors for filtering facepieces in the welding workplace. Industrial Health, 2002; 40:328-334.
9. Janssen L, Bidwell J, McCullough N. Performance of an N95 filtering facepiece respirator in a grinding operation. Journal of the International Society for Respiratory Protection, 2007; 24:21-31.
10. Noti JD, Lindsley WG, Blachere FM, Cao G, Kashon ML, Thewlis RE, McMillen CM, King WP, Szalajda JV, Beezhold DH. Detection of infectious influenza virus in cough aerosols generated in a simulated patient examination room. Clinical Infectious Diseases, 2012; 54:1569-1577.
11. Oberg T, Brosseau LM. Surgical mask filter and fit performance. American Journal of Infection Control, 2008; 36:276-282.
12. Lindsley WG, King WP, Thewlis RE, Reynolds JS, Panday K, Cao G, Szalajda JV. Dispersion and exposure to a cough-generated aerosol in a simulated medical examination room. Journal of Occupational and Environmental Hygiene, 2012; 9:681-690.
13. Balazy A, Toivola M, Adhikari A, Sivasubramani SK, Reponen T, Grinshpun SA. Do N95 respirators provide 95% protection level against airborne viruses, and how adequate are surgical masks? American Journal of Infection Control, 2006; 34:51-57.
14. Eninger RM, Honda T, Adhikari A, Heinonen-Tanski H, Reponen T, Grinshpun SA. Filter performance of N99 and N95 facepiece respirators against viruses and ultrafine particles. Annals of Occupational Hygiene, 2008; 52:385-396.
15. Johnson DF, Druce JD, Birch C, Grayson ML. A quantitative assessment of the efficacy of surgical and N95 masks to filter influenza virus in patients with acute influenza infection. Clinical Infectious Diseases, 2009; 49:275-277.
16. Harnish DA, Heimbuch BK, Husband M, Lumley AE, Kinney K, Shaffer RE, Wander JD. Challenge of N95 filtering facepiece respirators with viable H1N1 influenza aerosols. Infection Control and Hospital Epidemiology, 2013; 34:494-499.
17. Mitchell R, Ogunremi T, Astrakianakis G, Bryce E, Gervais R, Gravel D, Johnston L, Leduc S, Roth V, Taylor G, Vearncombe M, Weir C, Canadian Nosocomial Infection Surveillance Program. Impact of the 2009 influenza a (H1N1) pandemic on Canadian health care workers: A survey on vaccination, illness, absenteeism, and personal protective equipment. American Journal of Infection Control, 2012; 40:611-616.
18. Chor JS, Pada SK, Stephenson I, Goggins WB, Tambyah PA, Medina M, Lee N, Leung TF, Ngai KL, Law SK, Rainer TH, Griffiths S, Chan PK. Differences in the compliance with hospital infection control practices during the 2009 influenza H1N1 pandemic in three countries. Journal of Hospital Infection, 2012; 81:98-103.
19. Baig AS, Knapp C, Eagan AE, Radonovich LJJr., Health care workers' views about respirator use and features that should be included in the next generation of respirators. American Journal of Infection Control, 2010; 38:18-25.
20. Casanova L, Alfano-Sobsey E, Rutala WA, Weber DJ, Sobsey M. Virus transfer from personal protective equipment to healthcare employees' skin and clothing. Emerging Infectious Diseases, 2008; 14:1291-1293.
21. Fisher E, Rengasamy S, Viscusi D, Vo E, Shaffer R. Development of a test system to apply virus-containing particles to filtering facepiece respirators for the evaluation of decontamination procedures. Applied and Environmental Microbiology, 2009; 75:1500-1507.
22. Radonovich J, Roberge R, Levinson A, Baig A, Davey V, Shaffer RE. Better Respiratory Equipment Using Advanced Technologies for Healthcare Employees (Project B.R.E.A.T.H.E.). A Report of an Interagency Working Group of the U.S. Federal Government. Available at: http://www.publichealth.va.gov/docs/cohic/project-breathe-report-2009.pdf, Accessed March 2010.
23. Committee on the Development of Reusable Facemasks for Use During an Influenza Pandemic, Institute of Medicine. Reusability of Facemasks During an Influenza Pandemic. Washington, DC: National Academy Press, 2006.
24. CDC. Questions and Answers Regarding Respiratory Protection for Preventing 2009 H1N1 Influenza Among Healthcare Personnel Available at: http://www.cdc.gov/h1n1flu/guidelines_infection_control_qa.htm, Accessed March 2010.
25. Gao R, Cao B, Hu Y, Feng Z, Wang D, Hu W, Chen J, Jie Z, Qiu H, Xu K, Xu X, Lu H, Zhu W, Gao Z, Xiang N, Shen Y, He Z, Gu Y, Zhang Z, Yang Y, Zhao X, Zhou L, Li X, Zou S, Zhang Y, Li X, Yang L, Guo J, Dong J, Li Q, Dong L, Zhu Y, Bai T, Wang S, Hao P, Yang W, Zhang Y, Han J, Yu H, Li D, Gao GF, Wu G, Wang Y, Yuan Z, Shu Y. Human infection with a novel avian-origin influenza a (H7N9) virus. New England Journal of Medicine, 2013; 368:1888-1897.
26. Uyeki TM, Cox NJ. Global concerns regarding novel Influenza A (H7N9) virus infections. New England Journal of Medicine, 2013; 368:1862-1864.
27. Fisher EM, Shaffer RE. A method to determine the available UV-C dose for the decontamination of filtering facepiece respirators. Journal of Applied Microbiology, 2011; 110:287-295.
28. Fisher EM, Williams JL, Shaffer RE. The effect of soil accumulation on multiple decontamination processing of N95 filtering facepiece respirator coupons using physical methods. Journal of the International Society for Respiratory Protection, 2010; 27:16-26.
29. Fisher EM, Williams JL, Shaffer RE. Evaluation of microwave steam bags for the decontamination of filtering facepiece respirators. PLoS One, 2011; 6:e18585.
30. Heimbuch BK, Wallace WH, Kinney KR, Lumley AE, Wu CY, Woo MH, Wander JD. A pandemic influenza preparedness study: Use of energetic methods to decontaminate filtering facepiece respirators contaminated with H1N1 aerosols and droplets. American Journal of Infection Control 2011; 39:e1-9.
31. Viscusi DJ, Bergman M, Sinkule E, Shaffer RE. Evaluation of the filtration performance of 21 N95 filtering face piece respirators after prolonged storage. American Journal of Infection Control, 2009; 37:381-386.
32. Viscusi DJ, Bergman MS, Eimer BC, Shaffer RE. Evaluation of five decontamination methods for filtering facepiece respirators. Annals of Occupational Hygiene, 2009; 53:815-827.
33. Viscusi DJ, Bergman MS, Novak DA, Faulkner KA, Palmiero AJ, Powell JB, Shaffer RE. Impact of three biological decontamination methods on filtering facepiece respirator fit, odor, comfort, and donning ease. Journal of Occupational and Environmental Hygiene, 2011; 8:426-436.
34. Viscusi DJ, King WP, Shaffer RE. Effect of decontamination on the filtration efficiency of two filtering facepiece respirator models. Journal of the International Society for Respiratory Protection, 2007; 24:93-107.
35. Vo E, Rengasamy S, Shaffer R. Development of a test system to evaluate procedures for decontamination of respirators containing viral droplets. Applied and Environmental Microbiology, 2009; 75:7303-7309.
36. ASTM Standard E2720-10. Evaluation of the effectiveness of decontamination procedures for air permeable materials when challenged with biological aerosols containing human pathogenic viruses. 2010. ASTM International. West Conshohocken, PA doi: 10.1520/E2720-10 Available at: www.astm.org.
37. ASTM Standard E2721-10. Evaluation of the effectiveness of decontamination procedures for surfaces when challenged with droplets containing human pathogenic viruses. 2010. ASTM International. West Conshohocken, PA doi: 10.1520/E2721-10 Available at: www.astm.org.
38. Fisher EM, Richardson AW, Harpest SD, Hofacre KC, Shaffer RE. Reaerosolization of MS2 bacteriophage from an N95 filtering facepiece respirator by simulated coughing. Annals of Occupational Hygiene, 2012; 56:315-325.
39. Brienen NC, Timen A, Wallinga J, van Steenbergen JE, Teunis PF. The effect of mask use on the spread of influenza during a pandemic. Risk Analysis, 2010; 30:1210-1218.
40. Atkinson MP, Wein LM. Quantifying the routes of transmission for pandemic influenza. Bulletin of Mathematical Biology, 2008; 70:820-867.
41. Jones RM, Adida E. Influenza infection risk and predominate exposure route: Uncertainty analysis. Risk Analysis, 2011; 31:1622-1631.
42. Lai AC, Poon CK, Cheung AC. Effectiveness of facemasks to reduce exposure hazards for airborne infections among general populations. Journal of the Royal Society Interface, 2012; 9:938-948.
43. Nicas M, Jones RM. Relative contributions of four exposure pathways to influenza infection risk. Risk Analysis, 2009; 29:1292-1303.
44. Nicas M, Sun G. An integrated model of infection risk in a health-care environment. Risk Analysis, 2006; 26:1085-1096.
45. Tracht SM, Del Valle SY, Hyman JM. Mathematical modeling of the effectiveness of facemasks in reducing the spread of novel influenza a (H1N1). PLoS One, 2010; 5:e9018.
46. Wein LM, Atkinson MP. Assessing infection control measures for pandemic influenza. Risk Analysis, 2009; 29:949-962.
47. Blachere FM, Lindsley WG, Slaven JE, Green BJ, Anderson SE, Chen BT, Beezhold DH. Bioaerosol sampling for the detection of aerosolized influenza virus. Influenza and Other Respiratory Viruses, 2007; 1:113-120.
48. Lindsley WG, Schmechel D, Chen BT. A two-stage cyclone using microcentrifuge tubes for personal bioaerosol sampling. Journal of Environmental Monitoring, 2006; 8:1136-1142.
49. Lindsley WG, Blachere FM, Davis KA, Pearce TA, Fisher MA, Khakoo R, Davis SM, Rogers ME, Thewlis RE, Posada JA, Redrow JB, Celik IB, Chen BT, Beezhold DH. Distribution of airborne influenza virus and respiratory syncytial virus in an urgent care medical clinic. Clinical Infectious Diseases, 2010; 50:693-698.
50. Lindsley WG, Pearce TA, Hudnall JB, Davis KA, Davis SM, Fisher MA, Khakoo R, Palmer JE, Clark KE, Celik I, Coffey CC, Blachere FM, Beezhold DH. Quantity and size distribution of cough-generated aerosol particles produced by influenza patients during and after illness. Journal of Occupational and Environmental Hygiene, 2012; 9:443-449.
51. Yang W, Elankumaran S, Marr LC. Concentrations and size distributions of airborne influenza a viruses measured indoors at a health centre, a day-care centre and on aeroplanes. Journal of the Royal Society Interface, 2011; 8:1176-1184.
52. Tseng CC, Chang LY, Li CS. Detection of airborne viruses in a pedeatrics department measured using real-time qpcr coupled to an air sampling filter method. Journal of Environmental Health, 2010; 73:22-28.
53. Thompson KA, Pappachan JV, Bennett AM, Mittal H, Macken S, Dove BK, Nguyen-Van-Tam JS, Copley VR, O'Brien S, Hoffman P, Parks S, Bentley A, Isalska B, Thomson G, Consortium ES. Influenza aerosols in UK hospitals during the H1N1 (2009) pandemic-The risk of aerosol generation during medical procedures. PLoS One, 2013; 8:e56278.
54. Bischoff WE, Swett K, Leng I, Peters TR. Exposure to influenza virus aerosols during routine patient care. Journal of Infectious Diseases, 2013; 207:1037-1046.
55. Dharmadhikari AS, Mphahlele M, Stoltz A, Venter K, Mathebula R, Masotla T, Lubbe W, Pagano M, First M, Jensen PA, van der Walt M, Nardell EA. Surgical face masks worn by patients with multidrug-resistant tuberculosis: Impact on infectivity of air on a hospital ward. American Journal of Respiratory and Critical Care Medicine, 2012; 185:1104-1109.
56. Mansour MM, Smaldone GC. Respiratory source control versus receiver protection: Impact of facemask fit. Journal of Aerosol Medicine and Pulmonary Drug Delivery, 2013; 26:131-137.
57. Milton DK, Fabian MP, Cowling BJ, Grantham ML, McDevitt JJ. Influenza virus aerosols in human exhaled breath: Particle size, culturability, and effect of surgical masks. PLoS Pathogens, 2013; 9:e1003205.
58. Epstein RM, Franks P, Shields CG, Meldrum SC, Miller KN, Campbell TL, Fiscella K. Patient-centered communication and diagnostic testing. Annals of Family Medicine, 2005; 3:415-421.
59. Detmar SB, Muller MJ, Schornagel JH, Wever LD, Aaronson NK. Health-related quality-of-life assessments and patient-physician communication: A randomized controlled trial. Journal of the American Medical Association, 2002; 288:3027-3034.
60. Radonovich LJ, Cheng J, Shenal BV, Hodgson M, Bender BS. Respirator tolerance in health care workers. Journal of the American Medical Association, 2009; 301:36-38.
61. Cho KJ, Reponen T, McKay R, Dwivedi A, Adhikari A, Singh U, Shukla R, Jones S, Jones G, Grinshpun SA. Comparison of workplace protection factors for different biological contaminants. Journal of Occupational and Environmental Hygiene, 2011; 8:417-425.
62. Lore MB, Sebastian JM, Brown TL, Viner AS, McCullough NV, Hinrichs SH. Performance of conventional and antimicrobial-treated filtering facepiece respirators challenged with biological aerosols. Journal of Occupational and Environmental Hygiene, 2012; 9:69-80.
63. Rengasamy S, Fisher E, Shaffer RE. Evaluation of the survivability of MS2 viral aerosols deposited on filtering face piece respirator samples incorporating antimicrobial technologies. American Journal of Infection Control, 2010; 38:9-17.