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Respiratory precautions for protection from bioaerosols or infectious agents

2014

There are a number of infectious diseases that are transmitted from person to person via the respiratory route, including influenza, tuberculosis (TB), and severe acute respiratory syndrome (SARS) coronavirus, and these infectious agents are associated with considerable morbidity and mortality. Healthcare workers (HCWs) are vulnerable to exposure to these agents given the nature of their jobs, and as a result, risk both becoming infected, and spreading the infectious agents to other patients. To avoid transmission of these infectious diseases to (HCWs), exposure-appropriate respiratory precautions are sometimes necessary to protect both HCWs and the patients they care for. However, the selection of respiratory equipment depends on the pathogen, aerosol generation rate, and ventilation rate. Two types of devices that are commonly used to prevent transmission of airborne infectious agents are medical masks and respirators. For this report, medical masks (also known as surgical masks or surgical face masks) are defined as unfitted devices worn by the healthcare worker (HCW) "to reduce transfer of potentially infectious bodily fluids between individuals". As the Canadian Biosafety Standards and Guidelines note: "Using the wrong respirator or misusing one can be as dangerous as not using one at all". Given the variety of devices, respirators, and potential infectious exposures, the purpose of this report is to identify studies and clinical practice guidelines examining the clinical effectiveness of exposure-appropriate respiratory protection for HCWs at risk of exposure to airborne infectious agents.
health epidemiology influenza infectious diseases medicine particulate matter sars tuberculosis vaccines illness health care epidemic transmission cross infection communicable disease clinical trial infection clinical medicine masks diseases and disorders clinical practice guidelines health sciences virus disease health professional plague (disease) diseases and conditions retrovirus seasonal influenza respirator infectious tb breathing apparatus airborne infection respiratory protective devices
Pages
30
Published in
Ottawa, Ontario

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