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Two masks can be worse than one: N95 respirator failure caused by an overlying face mask

Published online by Cambridge University Press:  20 December 2022

Jeffrey T. Mueller*
Affiliation:
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, Arizona
Holly D. Geyer
Affiliation:
Division of Hospital Internal Medicine, Mayo Clinic, Phoenix, Arizona
Soroor Karimi
Affiliation:
Department of Mechanical Engineering, University of Tulsa, Tulsa, Oklahoma
Karl A. Poterack
Affiliation:
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, Arizona
Maria Teresa A. Seville
Affiliation:
Division of Clinical Trials and Biostatistics, Mayo Clinic, Phoenix, Arizona USA
Skye Buckner Petty
Affiliation:
Division of Clinical Trials and Biostatistics, Mayo Clinic, Phoenix, Arizona USA
Steven M. Tipton
Affiliation:
Department of Mechanical Engineering, University of Tulsa, Tulsa, Oklahoma
*
Author for correspondence: Jeffrey T. Mueller, E-mail: mueller.jeff@mayo.edu

Abstract

We have demonstrated the effect of covering an N95 filtering facepiece respirator (FFR) with an overlying face mask. In total, 100 participants successfully completed quantitative fit testing wearing a 3M 1870+ FFR. Among them, 13 (13%; 95% CI, 7%–22%) failed subsequent fit testing when simultaneously wearing a Halyard 47117 procedural mask over the FFR.

Type
Concise Communication
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Strategies for optimizing the supply of N95 respirators. Centers for Disease Control and Prevention website. https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html#contingency. Published 2021. Accessed June 21, 2022.Google Scholar
Infectious Diseases Society of America guidelines on infection prevention for healthcare personnel caring for patients with suspected or known COVID-19. Infectious Diseases Society of America website. https://www.idsociety.org/practice-guideline/covid-19-guideline-infection-prevention/#toc-7. Published 2021. Updated November 4, 2021. Accessed June 21, 2022.Google Scholar
ECRI clinical evidence assessment: safety of extended use and reuse of N95. 8697—safety of extended use and reuse of N95 respirators. Elsevier website. https://www.elsevier.com/__data/assets/pdf_file/0006/997863/COVID-ECRI-N95-Respirators_2020-03.pdf. Published 2020. Accessed June 29, 2022.Google Scholar
Mueller, JT, Karimi, S, Poterack, KA, Seville, MTA, Tipton, SM. Surgical mask covering of N95 filtering facepiece respirators: the risk of increased leakage. Infect Control Hosp Epidemiol 2021;42:627628.10.1017/ice.2021.50CrossRefGoogle ScholarPubMed
Nelson, TJ, Colton, CE. The effect of inhalation resistance on facepiece leakage. AIHAJ 2000;61:102105.10.1202/0002-8894(2000)061<0102:TEOIRO>2.0.CO;22.0.CO;2>CrossRefGoogle ScholarPubMed
Sinkule, EJ, Powell, JB, Goss, FL. Evaluation of N95 respirator use with a surgical mask cover: effects on breathing resistance and inhaled carbon dioxide. Ann Occup Hyg 2013;57:384398.Google ScholarPubMed
Grinshpun, SA, Yermakov, M, Kano, M. Evaluation of AccuFIT 9000: a novel apparatus for quantitative fit testing of particulate respirators. Ann Work Expo Health 2021;65:458462.CrossRefGoogle ScholarPubMed
Grinshpun, SA, Haruta, H, Eninger, RM, Reponen, T, McKay, RT, Lee, SA. Performance of an N95 filtering facepiece particulate respirator and a surgical mask during human breathing: two pathways for particle penetration. J Occup Environ Hyg 2009;6:593603.CrossRefGoogle Scholar
Healthcare particulate respirator and surgical mask 1860/1860S user instructions. 3M Health Care website. https://multimedia.3m.com/mws/media/892136O/1860-1860s-user-instructions.pdf. Published 2012. Updated June 2012. Accessed June 29, 2022.Google Scholar
3M Aura healthcare particulate respirator and surgical mask 1870+ user instructions. 3M Health Care website. https://multimedia.3m.com/mws/media/892078O/1870-user-instructions.pdf. Published 2021. Updated April 2021. Accessed June 29, 2022.Google Scholar