Austin Health

Title
Striving to be the fittest: quantitative P2/N95 respirator fit test results among hospital staff during the COVID-19 pandemic.
Publication Date
2023
Author(s)
Zhang, Melanie Meilun
Hackett, Liam
Smith, Jesse
Pritchard, Zoe
Casey, Matthew
Low, Caitlin
Buntine, Paul
Type of document
Journal Article
OrcId
#PLACEHOLDER_PARENT_METADATA_VALUE#
0000-0002-5453-0926
0000-0003-1871-6544
0009-0004-7209-9385
#PLACEHOLDER_PARENT_METADATA_VALUE#
0000-0003-4397-1053
0000-0003-4329-3117
DOI
10.1017/ash.2023.503
Abstract
To provide fit rates for specific P2/N95 respirators and compare these results by age, sex, clean-shaven status, and fit tester experience. Exploratory audit involving secondary analysis of existing quantitative fit testing data. In response to the COVID-19 pandemic, healthcare services across Australia implemented respiratory protection protocols. This study details healthcare workers' (HCWs) fit testing results from a large Victorian public health service. Fit-tested employees of a large tertiary public health network. Fit rates for ten individual P2/N95 respirators were calculated, and the effect of age, sex, clean-shaven status, and fit tester experience was examined via logistic regression. 4593 employees were included, with 97.98% successfully fitting at least one respirator. Males were found to have significantly increased odds of achieving fit success compared to females (OR 11.61 95%CI 1.60-84.10). Fit rates dropped by 4% with each 1-year age increase (OR 0.96 95%CI 0.94-0.98). Clean-shaven individuals were also more likely to achieve a fit compared to non-clean-shaved individuals (OR 79.23 95%CI 10.21-614.62). More experienced fit testers also yielded significantly higher fit rates (OR 3.95, 95%CI 2.34-6.67). 98% of staff achieved a successful fitting of at least one respirator, with three-panel flat fold models (Industree Trident, 3M Aura 9320A+, and 3M Aura 1870+) performing the most consistently. An individual's ability to achieve a successful fit was associated with; male sex, younger age, clean-shaven status, and fit tester experience.
Link
Citation
Antimicrobial Stewardship & Healthcare Epidemiology : ASHE 2023; 3(1)
Jornal Title
Antimicrobial Stewardship & Healthcare Epidemiology : ASHE
ISSN
2732-494X

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