Prediction of N95 Respirator Fit from Fogging of Eyeglasses: A Pilot Study

Health effects of filtering facepiece respirators: Research and clinical implications of comfort, thermal, skin, psychologic, and workplace effects

Filtering facepiece respirators (FFR's) such as N95s have become widely used in appropriate settings for personal respiratory protection and are increasingly used beyond workplace settings. Concerns about possible adverse effects have appeared in many publications, particularly since the COVID-19 pandemic led to much more widespread use. This paper synthesizes known effects based upon review of publications in PubMed since 1995, addressing effects other than pulmonary and cardiovascular (reviewed elsewhere). Findings: (1) Subjective discomfort is very frequently reported; this includes general discomfort or organ-system-specific complaints such as respiratory, headache, dermatologic, and heat. Research methods are widely divergent, and we propose a taxonomy to classify such studies by methodology, study population (subjects, experimental vs. observational methodology, comparator, specificity, and timeframe) to facilitate synthesis. (2) Objective measures of increased heat and humidity within the mask are well documented. (3) Frequency and characteristics of dermatologic effects have been insufficiently evaluated. (4) Physical mask designs are varied, making generalizations challenging. (5) More studies of impact on work performance and communication are needed. (6) Studies of effect of FFR design and accompanying training materials on ease and consistency of use are needed.

A systematic review of passing fit testing of the masks and respirators used during the COVID-19 pandemic: Part 1-quantitative fit test procedures

BACKGROUND

During respiratory infection pandemics, masks and respirators are highly sought after, especially for frontline healthcare workers and patients carrying respiratory viruses. The objective of this study was to systematically review fit test pass rates and identify factors influencing the fitting characteristics.

METHODS

Potentially relevant studies were identified using PubMed, Scopus, Web of Science, and Science Direct during the COVID-19 pandemic from February 5, 2020, to March 21, 2023. The search strategy using the following keywords was conducted: Quantitative Fit Test, Condensation Nuclei Counter, Controlled Negative Pressure, PortaCount, Sibata, Accufit, Fit, Seal, Mask, Respirator, Respiratory Protective Device, Respiratory Protective Equipment, Protective Device, Personal Protective Equipment, COVID-19, Coronavirus, and SARS-CoV-2. The quality of the included studies was also assessed using the Newcastle-Ottawa scale.

RESULTS

A total of 137 articles met the eligibility criteria. Fifty articles had a quality score of less than 7 (good quality). A total of 21 studies had a fit test pass rate of less than 50%. 26 studies on disposable respirators and 11 studies on reusable respirators had an FF of less than 50 and less than 200, respectively. The most influential factors include respirator brand/model, style, gender, ethnicity, facial dimensions, facial hair, age, reuse, extensive movement, seal check, comfort and usability assessment, and training.

CONCLUSION

37.36% of the disposable respirator studies and 43% of the reusable respirator studies did not report fit test results. 67.86% of the disposable respirator studies had a fit test pass rate greater than 50%, and 35.84% of these studies had an FF greater than 100. Also, 85.71% of the reusable respirator studies had a fit test pass rate greater than 50%, and 52.77% of these studies had an FF greater than 1000. Overall, the fit test pass rate was relatively acceptable. Newly developed or modified respirators must undergo reliable testing to ensure the protection of HCWs. Subject and respirator characteristics should be considered when implementing fit testing protocols. An optimal fit test panel should be developed prior to respirator design, certification, procurement decisions, and selection procedures.

Efficient Anti-Fog and Anti-Reflection Functions of the Bio-Inspired, Hierarchically-Architectured Surfaces of Multiscale Columnar Structures

Today, in the fields of optical precision instruments, medical devices, and automotive engineering, the demand for anti-reflection and anti-fog surfaces is growing rapidly. However, the anti-fog function often compromises the efficiency of the anti-reflection function. Therefore, optical precision instruments are always restricted by the inability to combine high anti-reflection efficiency and excellent anti-fog performance into one material. In addition, the synergistic mechanism of harmonizing anti-fogging and anti-reflection is currently unclear, which has a negative impact on the development and optimization of multifunctional surfaces. Herein, bio-inspired anti-fogging and anti-reflection surfaces (BFRSs) possessing multiscale hierarchical columnar structures (MHCS) were obtained using a brief and effective preparation technique, combining the biotemplating method and sol-gel method. Specifically, condensed fog droplets distributed on the BFRS can be absolutely removed within 6 s. In addition, the BFRSs endow the glass substrate with a relatively higher reflectance (17%) than flat glass surfaces (41%). Furthermore, we demonstrated the synergistic mechanism of the anti-fogging and anti-reflection functions of BFRSs. On the one hand, the high transparency benefits from the multiple refraction and scattering of light in the MHCS array. On the other hand, the excellent anti-fogging performance is attributed to the imbalance of the capillary force of the MHCS acting on the liquid film. The explanation for these two mechanisms provides more possibilities for the subsequent preparation of multifunctional surfaces. At the same time, the bionic research concept provides new solutions for the researcher to conquer the combination of high transmission and anti-fog properties for precision optical surfaces.

Clearing the Fog on the Use of N95 Mask

How to cite this article: Todi S. Clearing the Fog on the Use of N95 Mask. Indian J Crit Care Med 2021;25(9):961-962.