Background. During the SARS-CoV-2 pandemic, there was shortage of the standard respiratory protective equipment (RPE). The aim of this study was to develop a procedure to test the performance of alternative RPEs used in the care of COVID-19 patients. Methods. A laboratory-based test was developed to compare RPEs by total inward leakage (TIL). We used a crossflow nebulizer to produce a jet spray of 1–100 µm water droplets with a fluorescent marker. The RPEs were placed on a dummy head and sprayed at distances of 30 and 60 cm. The outcome was determined as the recovery of the fluorescent marker on a membrane filter placed on the mouth of the dummy head. Results. At 30 cm, a type IIR surgical mask gave a 17.7% lower TIL compared with an FFP2 respirator. At 60 cm, this difference was similar, with a 21.7% lower TIL for the surgical mask compared to the respirator. When adding a face shield, the TIL at 30 cm was further reduced by 9.5% for the respirator and 16.6% in the case of the surgical mask. Conclusions. A safe, fast and very sensitive test method was developed to assess the effectiveness of RPE by comparison under controlled conditions.
【저자키워드】 COVID-19 pandemic, virus transmission, Aerosols, respiratory protective equipment, particle size distribution, 【초록키워드】 pandemic, equipment, droplet, surgical, outcome, Effectiveness, Face shield, membrane, Care, COVID-19 patients, Protective, marker, Safe, Respirator, fluorescent, RPE, develop, reduced, was determined, conditions, the SARS-CoV-2, 【제목키워드】 droplet, Mask, Testing, Model, performance, water, Comparative, spray,