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Front lines of the COVID-19 pandemic: what is the effectiveness of using personal protective equipment in health service environments?: a systematic review

2021-10-21Journal article Restricted access
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dc.contributor.authorAraujo, Cristiano
dc.contributor.authorGuariza‑Filho, Odilon
dc.contributor.authorGonçalves, Flavio
dc.contributor.authorBasso, Isabela
dc.contributor.authorSchroder, Angela
dc.contributor.authorCavalcante‑Leão, Bianca
dc.contributor.authorRavazzi, Glória
dc.contributor.authorZeigelboim, Bianca
dc.contributor.authorNeto, José
dc.contributor.authorSampaio Santos, Rosane
dc.date.accessioned2022-04-12T10:37:54Z
dc.date.available2022-04-12T10:37:54Z
dc.date.issued2021-10-21
dc.description.abstractPurpose: This systematic review aimed to evaluate the effectiveness of the use of personal protective equipment (PPE) in closed environments, similar to waiting or exam rooms of healthcare facilities, in the face of exposure to a bioaerosol. Methods: Combinations of words were selected for six electronic databases and for the gray literature. To consider the eligibility of the studies to be included/excluded, the acronym “PECOS” was used: humans and/or experimental models that simulate aerosol (Population); aerosol exposure and the use of masks/respirators (exposition/intervention); controlled or not controlled (comparison); effectiveness of PPE and the receiver exposure (outcomes); and randomized clinical studies or not, observational or laboratory simulation studies (Studies design). Results: A total of 4820 references were retrieved by the search strategy. Thirty-five articles were selected for complete reading, of which 13 articles were included for qualitative synthesis. A surgical mask or N95 respirator reduced the risk of transmission, even over short distances. The use of masks, even those with less filtering power, when used by all individuals in the same environment is more effective in reducing risk than the use of respirators with high filtering power for only some of the individuals present. Conclusion: The use of mask in closed environments is effective in reducing the risk of transmission and contagion of a contaminated bioaerosol, with greater effectiveness when these devices are used by the source and receiver, regardless of the equipment’s filtering power.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doihttps://doi.org/10.1007/s00420-021-01775-ypt_PT
dc.identifier.issn1432-1246
dc.identifier.urihttp://hdl.handle.net/10400.26/40203
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.subjectAerosolspt_PT
dc.subjectPersonal protective equipmentpt_PT
dc.subjectEnvironmentspt_PT
dc.subjectHealthpt_PT
dc.titleFront lines of the COVID-19 pandemic: what is the effectiveness of using personal protective equipment in health service environments?: a systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage24pt_PT
oaire.citation.issue2022pt_PT
oaire.citation.startPage7pt_PT
oaire.citation.titleInternational Archives of Occupational and Environmental Healthpt_PT
oaire.citation.volume95pt_PT
person.familyNameSampaio Santos
person.givenNameRosane
person.identifier.orcid0000-0001-6400-5706
person.identifier.ridA-1597-2017
person.identifier.scopus-author-id36097057500
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationd56a060e-6046-4eb2-960d-f62fbe1beb09
relation.isAuthorOfPublication.latestForDiscoveryd56a060e-6046-4eb2-960d-f62fbe1beb09

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