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Journal of Healthcare Engineering
Volume 2016, Article ID 8572493, 12 pages
http://dx.doi.org/10.1155/2016/8572493
Research Article

Particle Size-Selective Assessment of Protection of European Standard FFP Respirators and Surgical Masks against Particles-Tested with Human Subjects

1Department of Environmental Engineering and Science, Feng Chia University, Taichung 40724, Taiwan
2Division of Occupational Hygiene, Institute of Labor, Occupational Safety and Health, Ministry of Labor, New Taipei City 22143, Taiwan
3Institute of Biomedical Engineering and Nanomedicine, National Health Research Institutes, Miaoli 35053, Taiwan

Received 1 June 2015; Revised 1 February 2016; Accepted 15 February 2016

Academic Editor: Saverio Affatato

Copyright © 2016 Shu-An Lee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. D.-H. Han, K. Willeke, and C. E. Colton, “Quantitative fit testing techniques and regulations for tight-fitting respirators: current methods measuring aerosol or air leakage, and new developments,” American Industrial Hygiene Association Journal, vol. 58, no. 3, pp. 219–228, 1997. View at Publisher · View at Google Scholar · View at Scopus
  2. W. Popendorf, J. A. Merchant, S. Leonard, L. F. Burmeister, and S. A. Olenchock, “Respirator protection and acceptability among agricultural workers,” Applied Occupational and Environmental Hygiene, vol. 10, no. 7, pp. 595–605, 1995. View at Publisher · View at Google Scholar · View at Scopus
  3. Centers for Disease Control and Prevention (CDC), Guidance on Personal Protective Equipment (PPE) To Be Used By Healthcare Workers during Management of Patients with Confirmed Ebola or Persons under Investigation (PUIs) for Ebola who are Clinically Unstable or Have Bleeding, Vomiting, or Diarrhea in U.S. Hospitals, Including Procedures for Donning and Doffing PPE, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, Ga, USA, 2015, http://www.cdc.gov/vhf/ebola/healthcare-us/ppe/guidance.html.
  4. National Institute for Occupational Safety and Hygiene (NIOSH), NIOSH Guide to the Selection and Use of Particulate Respirators Certified Under 42 CFR 84, DHHS (NIOSH) Publication no. 96-101, National Institute for Occupational Safety and Hygiene (NIOSH), Cincinnati, Ohio, USA, 1996.
  5. J. E. Coia, L. Ritchie, A. Adisesh et al., “Guidance on the use of respiratory and facial protection equipment,” Journal of Hospital Infection, vol. 85, no. 3, pp. 170–182, 2013. View at Publisher · View at Google Scholar · View at Scopus
  6. S.-A. Lee, S. A. Grinshpun, and T. Reponen, “Respiratory performance offered by N95 respirators and surgical masks: human subject evaluation with NaCl aerosol representing bacterial and viral particle size range,” Annals of Occupational Hygiene, vol. 52, no. 3, pp. 177–185, 2008. View at Publisher · View at Google Scholar · View at Scopus
  7. M. Loeb, N. Dafoe, J. Mahony et al., “Surgical mask vs N95 respirator for preventing influenza among health care workers: a randomized trial,” The Journal of the American Medical Association, vol. 302, no. 17, pp. 1865–1871, 2009. View at Publisher · View at Google Scholar · View at Scopus
  8. Medicines and Healthcare Products Regulatory Agency, Medical Devices Directive, Medicines and Healthcare Products Regulatory Agency, London, UK, 2010.
  9. UK Government, “Personal protective equipment regulations 2002,” Statutory Instrument 1144, HMSO, London, UK, 2002. View at Google Scholar
  10. S.-A. Lee, A. Adhikari, S. A. Grinshpun et al., “Respiratory protection provided by N95 filtering facepiece respirators against airborne dust and microorganisms in agricultural farms,” Journal of Occupational and Environmental Hygiene, vol. 2, no. 11, pp. 577–585, 2005. View at Publisher · View at Google Scholar · View at Scopus
  11. A. Bałazy, M. Toivola, T. Reponen, A. Podgórski, A. Zimmer, and S. A. Grinshpun, “Manikin-based performance evaluation of N95 filtering-facepiece respirators challenged with nanoparticles,” Annals of Occupational Hygiene, vol. 50, no. 3, pp. 259–269, 2006. View at Publisher · View at Google Scholar · View at Scopus
  12. S. A. Grinshpun, H. Haruta, R. M. Eninger, T. Reponen, R. T. McKay, and S.-A. Lee, “Performance of an N95 filtering facepiece particulate respirator and a surgical mask during human breathing: Two pathways for particle penetration,” Journal of Occupational and Environmental Hygiene, vol. 6, no. 10, pp. 593–603, 2009. View at Publisher · View at Google Scholar · View at Scopus
  13. S.-A. Lee, S. A. Grinshpun, A. Adhikari et al., “Laboratory and field evaluation of a new personal sampling system for assessing the protection provided by the N95 filtering facepiece respirators against particles,” Annals of Occupational Hygiene, vol. 49, no. 3, pp. 245–257, 2005. View at Publisher · View at Google Scholar · View at Scopus
  14. T. Reponen, S.-A. Lee, S. A. Grinshpun, E. Johnson, and R. McKay, “Effect of fit testing on the protection offered by N95 filtering facepiece respirators against fine particles in a laboratory setting,” Annals of Occupational Hygiene, vol. 55, no. 3, pp. 264–271, 2011. View at Publisher · View at Google Scholar · View at Scopus
  15. K. Lee, A. Slavcev, and M. Nicas, “Respiratory protection against Mycobacterium tuberculosis: quantitative fit test outcomes for five type N95 filtering-facepiece respirators,” Journal of Occupational and Environmental Hygiene, vol. 1, no. 1, pp. 22–28, 2004. View at Publisher · View at Google Scholar · View at Scopus
  16. A. Penconek, P. Drayk, and A. Moskal, “Penetration of diesel exhaust particles through commercially available dust half masks,” Annals of Occupational Hygiene, vol. 57, no. 3, pp. 360–373, 2013. View at Publisher · View at Google Scholar · View at Scopus
  17. National Institute for Occupational Safety and Health (NIOSH), Standard Development: Program Concept for Total Inward Leakage (TIL) Performance Requirements and Test Methods, US Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, Ga, USA, 2004, http://www.cdc.gov/niosh/npptl/standardsdev/til/.
  18. S. Rengasamy, B. C. Eimer, and J. Szalajda, “A quantitative assessment of the total inward leakage of nacl aerosol representing submicron-size bioaerosol through N95 filtering facepiece respirators and surgical masks,” Journal of Occupational and Environmental Hygiene, vol. 11, no. 6, pp. 388–396, 2014. View at Publisher · View at Google Scholar · View at Scopus
  19. Z. Q. Zhuang, C. C. Coffey, and R. B. Ann, “The effect of subject characteristics and respirator features on respirator fit,” Journal of Occupational and Environmental Hygiene, vol. 2, no. 12, pp. 641–649, 2005. View at Publisher · View at Google Scholar · View at Scopus
  20. S. A. Lee, T. Reponen, W. Li, M. Trunov, K. Willeke, and S. A. Grinshpun, “Development of a new method for measuring the protection provided by respirators against dust and microorganisms,” Aerosol and Air Quality Research, vol. 4, no. 1, pp. 56–73, 2004. View at Google Scholar
  21. Department of Labor-Occupational Safety and Health Administration (OSHA), 29 CFR Parts 1910.134 Appendix A Fit Testing Procedures (Mandatory), Department of Labor, Occupational Safety and Health Administration (OSHA), Washington, DC, USA, 1998.
  22. S. Rengasamy, B. C. Eimer, and R. E. Shaffer, “Evaluation of the performance of the N95-companion: effects of filter penetration and comparison with other aerosol instruments,” Journal of Occupational and Environmental Hygiene, vol. 9, no. 7, pp. 417–426, 2012. View at Publisher · View at Google Scholar · View at Scopus
  23. Department of Labor-Occupational Safety and Health Administration (OSHA), 29 CFR Parts 1910, 1915, and 1926 Assigned Protection Factors; Final Rule—71:50121-50192. Federal Register 71:164, Department of Labor-Occupational Safety and Health Administration (OSHA), Washington, DC, USA, 2006.
  24. S. A. Lee, H. Y. Li, C. F. Tsai, C. W. Chen, and C. L. Wu, “The effect of filter and faceseal leakage on the protection performance of disposable masks,” Journal of Labor, Occupational Safety and Health, vol. 23, pp. 179–190, 2015. View at Google Scholar
  25. C. C. Chen and K. Willeke, “Characteristics of face seal leakage in filtering facepieces,” American Industrial Hygiene Association Journal, vol. 53, no. 9, pp. 533–539, 1992. View at Publisher · View at Google Scholar · View at Scopus
  26. C. C. Coffey, R. B. Lawrence, D. L. Campbell, Z. Zhuang, C. A. Calvert, and P. A. Jensen, “Fitting characteristics of eighteen N95 filtering-facepiece respirators,” Journal of Occupational and Environmental Hygiene, vol. 1, no. 4, pp. 262–271, 2004. View at Publisher · View at Google Scholar · View at Scopus
  27. M. G. Duling, R. B. Lawrence, J. E. Slaven, and C. C. Coffey, “Simulated workplace protection factors for half-facepiece respiratory protective devices,” Journal of Occupational and Environmental Hygiene, vol. 4, no. 6, pp. 420–431, 2007. View at Publisher · View at Google Scholar · View at Scopus
  28. Z. Zhuang, C. C. Coffey, P. A. Jensen, D. L. Campbell, R. B. Lawrence, and W. R. Myers, “Correlation between quantitative fit factors and workplace protection factors measured in actual workplace environments at a steel foundry,” American Industrial Hygiene Association Journal, vol. 64, no. 6, pp. 730–738, 2003. View at Publisher · View at Google Scholar · View at Scopus