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Qualitative fit test outcomes for N95 filtering facepiece respirators in health care workers
Institution:1. Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL;2. University of Florida, Gainesville, FL;3. Department of Orthopaedic Surgery and Sports Medicine, University of Florida College of Medicine, Gainesville, FL;1. Intermountain Acute Leukemia Program, LDS Hospital, Salt Lake City, UT;2. Department of Medicine, Division of Infectious Diseases and Clinical Epidemiology, Intermountain Healthcare, Salt Lake City, UT;3. Department of Medicine, Division of Infectious Diseases, University of Utah, Salt Lake City, UT;1. (Infection Control & Hospital Epidemiology). CICP-E; NSW ICP Infection Prevention and Control Healthcare Associated Infection Program, Clinical Excellence Commission, Sydney, New South Wales, Australia;2. Infection Prevention and Control Healthcare Associated Infection Program, Clinical Excellence Commission, Sydney, New South Wales, Australia;1. Infection Prevention and Control, Alberta Health Services, Calgary, Alberta Canada;2. Department Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada;3. Department of Medicine, University of Calgary, Calgary, Alberta, Canada;4. Alberta Precision Laboratories, Calgary, Alberta, Canada;1. Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, NC;2. Environmental Health Sciences Program, Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, NC;3. Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC;4. North Carolina Agromedicine Institute, Greenville, NC;1. Department of Critical Care, College of Medicine, King Saud University, Riyadh, Saudi Arabia;2. Microbiology Division, Department of Pathology and Laboratory Medicine, College of Medicine, King Saud University Riyadh, Riyadh, Saudi Arabia;3. Laboratories & Blood Banks, Riyadh Health Affairs, Ministry of Health, Riyadh, Saudi Arabia;4. Department of Family & Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
Abstract:BackgroundWe analyzed the qualitative fit test results of the filtering facepiece respirators (FFRs) used at our institution to determine their performance and utility.MethodsWe retrospectively analyzed 12,582 qualitative fit testing results for several FFR models among 8,809 health care workers (HCWs).ResultsThe overall failure rate for HCWs was 15.2%. Nearly one-third (2933/8809, 33.3%) had multiple FFRs fit tested. HCW sex was a statistically significant indicator of fit testing failure (χ2 = 29.9, df = 1, P < .001), with women having a 44% higher likelihood (OR, 1.4; 95% CI: 1.27–1.65) than men. There were statistically significant differences in the failure rate across FFRs (Fig 4, F5, 12475] = 8.4, P < .001). Fluidshield 46867S had a significantly higher failure rate (49%) than the 3M 1860 (P = .012), 3M 1860S (P < .001), 3M 8210 (P < .001), and Safelife (P < .001) FFRs.ConclusionsThere was a large degree of variation in fit testing results for the FFRs tested. Although we were unable to find an FFR that fit more than 95% of the HCWs successfully, we identified poorly functioning FFRs that can help our institution with decision-making and budgeting for acquisition and stocking appropriate FFRs.
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