Debate on MERS-CoV respiratory precautions: Surgical mask or N95 respirators?

Singapore Medical Journal

Volumn 55, Issue 6, 2014, Pages 294-297

  Chung, Jasmine Shimin ^a   Ling, Moi Lin ^a   Seto, Wing Hong ^b   Ang, Brenda Sze Peng ^c   Tambyah, Paul Anantharajah ^d  

^a SINGAPORE GENERAL HOSPITAL   (Singapore)

^b UNIVERSITY OF HONG KONG   (Hong Kong)

^c TAN TOCK SENG HOSPITAL   (Singapore)

^d NATIONAL UNIVERSITY HEALTH SYSTEM   (Singapore)

Author keywords

MERS CoV; N95 respirators; Surgical masks

Indexed keywords

AIRBORNE INFECTION; CORONAVIRUS; DISEASE TRANSMISSION; HEALTH CARE PERSONNEL; HUMAN; INFECTION CONTROL; MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS; N95 RESPIRATOR; NOTE; PRACTICE GUIDELINE; PROTECTIVE EQUIPMENT; SAFETY; SEVERE ACUTE RESPIRATORY SYNDROME; SURGICAL MASK; SYSTEMATIC REVIEW (TOPIC); WORLD HEALTH ORGANIZATION; CORONAVIRUS INFECTIONS; GAS MASK; INFECTIOUS DISEASE MEDICINE; MASK; MIDDLE EAST; PROCEDURES; PUBLIC HEALTH; SINGAPORE; TRANSMISSION; TRAVEL;

COMMUNICABLE DISEASE CONTROL; CORONAVIRUS INFECTIONS; HUMANS; INFECTIOUS DISEASE MEDICINE; MASKS; MIDDLE EAST; MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS; PUBLIC HEALTH; RESPIRATORY PROTECTIVE DEVICES; SINGAPORE; TRAVEL;

EID: 84903380127     PISSN: 00375675     EISSN: None     Source Type: Journal    
DOI: 10.11622/smedj.2014076     Document Type: Note

References (35)

1. World Health Organization (WHO). Global Alert and Response (GAR): Middle East respiratory syndrome coronavirus (MERS-CoV)- update. 23 April 2014 [online]. Available at: http://www.who.int/csr/don/2014_04_23_mers/en/. Accessed April 24, 2014.
2. Centers for Disease Control and Prevention. Middle East Respiratory Syndrome (MERS) [online]. Available at: http://www.cdc.gov/coronavirus/mers/. Accessed April 24, 2014.
3. World Health Organization (WHO). Global Alert and Response (GAR): Coronavirus infections [online]. Available at: http://www.who.int/csr/don/archive/disease/coronavirus_infections/en/. Accessed April 24, 2014.
4. World Health Organization (WHO). Global Alert and Response (GAR): Middle East respiratory syndrome coronavirus (MERS-CoV)- update. 17 April, 2014 [online]. Available at: http://www.who.int/csr/don/2014_04_17_mers/en/. Accessed April 24, 2014.
5. World Health Organization (WHO). Infection prevention and control during health care for probable or confirmed cases of novel coronavirus (nCoV) infection: interim guidance, 6 May 2013.
6. Health Protection Agency, United Kingdom. Infection Control Advice: Possible or Confirmed MERS-CoV Cases: Version 2.0, 28 June 2013 [online]. Available at: http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317136232722. Accessed February 13, 2014.
7. Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations for Hospitalised Patients with Middle East Respiratory Syndrome Coronavirus (MERS-CoV)[online]. Available at: http://www.cdc.gov/coronavirus/mers/infection-prevention-control.html. Accessed February 13, 2014.
8. Guery B, Poissy J, el Mansouf L, et al; MERS-CoV study group. Clinical features and viral diagnosis of two cases of infection with Middle East Respiratory Syndrome coronavirus: a report of nosocomial transmission. Lancet 2013; 381:2265-72.
9. Assiri A, McGeer A, Perl TM, et al; KSA MERS-CoV Investigation Team. Hospital outbreak of Middle East respiratory syndrome coronavirus. N Engl J Med 2013; 369:407-16.
10. World Health Organization (WHO). Internal travel and health: SARS (Severe Acute Respiratory Syndrome) [online]. Available at: http://www.who.int/ith/diseases/sars/en/index.html. Accessed February 13, 2014.
11. Centers for Disease Control and Prevention. Severe Acute Respiratory Syndrome (SARS) Basic Fact Sheet [online]. Available at: http://www.cdc.gov/sars/about/fs-SARS.html#spreads. Accessed February 13, 2014.
12. Seto WH, Tsang D, Yung RW, et al; Advisors of Expert SARS group of Hospital Authority. Effectiveness of precautions against droplets and contact in prevention of nosocomial transmission of severe acute respiratory syndrome (SARS). Lancet 2003; 361:1519-20.
13. Ho PL, Tang XP, Seto WH. SARS: hospital infection control and admission strategies. Respirology 2003; 8 Suppl:S41-5.
14. Nickell LA, Crighton EJ, Tracy CS, et al. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ 2004; 170:793-8.
15. Love RG. Acceptable breathing resistance for respirator use. J Int Soc Respir Protection 1983; 1:45-66.
16. Kao TW. The physiological impact of N95 masks on medical staff [online] Available at: http://clinicaltrials.gov/ct/show/NCT00173017. Accessed February 13, 2014.
17. Lim EC, Seet RC, Lee KH, et al. Headaches and the N95 face-mask amongst healthcare providers. Acta Neurol Scand 2006; 113:199-202.
18. Health Protection Agency (HPA) UK Novel Coronavirus Investigation team. Evidence of person-to-person transmission within a family cluster of novel coronavirus infections, United Kingdom, February 2013. Euro Surveill 2013; 18:20427.
19. Memish ZA, Zumla AI, Al-Hakeem RF, Al-Rabeeah AA, Stephens GM. Family cluster of Middle East respiratory syndrome coronavirus infections. N Engl J Med 2013; 368:2487-94.
20. Chan KH, Chan JF, Tse H, et al. Cross-reactive antibodies in convalescent SARS patients' sera against the emerging novel human coronavirus EMC (2012) by both immunofluorescent and neutralizing antibody tests. J Infec 2013; 67:130-40.
21. World Health Organization (WHO). Global Alert and Response (GAR). Update 49 - SARS case fatality ratio, incubation period. 7 May 2003 [online]. Available at: http://www.who.int/csr/sarsarchive/2003_05_07a/en/. Accessed February 13, 2014.
22. Assiri A, Al-Tawfiq JA, Al-Rabeeah AA, et al. Epidemiological, demographic, and clinical characteristics of 47 cases of Middle East respiratory syndrome coronavirus disease from Saudi Arabia: a descriptive study. Lancet Infect Dis 2013; 13:752-61.
23. Jefferson T, Del Mar C, Dooley L, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review. BMJ 2009; 339:b3675.
24. Chen WQ, Ling WH, Lu CY, et al. Which preventive measures might protect health care workers from SARS? BMC Public Health 2009; 9:81.
25. Fowler RA, Guest CB, Lapinsky SE, et al. Transmission of severe acute respiratory syndrome during intubation and mechanical ventilation. Am J Respir Crit Care Med 2004; 169:1198-1202.
26. Raboud J, Shigayeva A, McGeer A, et al. Risk factors for SARS transmission from patients requiring intubation: a multicentre investigation in Toronto, Canada. PLoS One 2010; 5:e10717.
27. Scales DC, Green K, Chan AK, et al. Illness in intensive care staff after brief exposure to severe acute respiratory syndrome. Emerg Infect Dis 2003; 9:1205-10.
28. Christian MD, Loutfy M, McDonald LC, et al; SARS Investigation Team. Possible SARS coronavirus transmission during cardiopulmonary resuscitation. Emerg Infect Dis 2004; 10:287-93.
29. Dwosh HA, Hong HH, AustGarden D, Herman S, Schabas R. Identification and containment of an outbreak of SARS in a community hospital. CMAJ 2003; 168:1415-1420.
30. Society of Healthcare Epidemiology of America (SHEA). Position Statement: Interim guidance on infection control precautions for novel swine-origin influenza H1N1 in healthcare facilities, 10 June 2009.
31. World Health Organization (WHO). Interim guidance on infection prevention and control during health care for confirmed, probable or suspected cases of pandemic (H1N1) 2009 virus infection and influenza-like illnesses, 16 December 2009.
32. Centers for Disease Control and Prevention. Interim guidance on infection control measures for 2009 H1N1 influenza in healthcare settings, including protection of healthcare personnel [online]. Available at: http://www.cdc.gov/h1n1flu/guidelines_infection_control.htm. Accessed February 13, 2014.
33. The National Academies. IOM recommends N95 respirators to protect health care workers from H1N1 flu. 3 September 2009 [online]. Available at: http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=12748. Accessed February 13, 2014.
34. Blachere FM, Lindsley WG, Pearce TA, et al. Measurement of airborne influenza virus in a hospital emergency department. Clin Infect Dis 2009; 48:438-4340.
35. Loeb M, Dafoe N, Mahony J, et al. Surgical masks vs. N95 respiratory for preventing influenza among health care workers: a randomised trial. JAMA 2009; 302:1865-1871.