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http://dx.doi.org/10.15269/JKSOEH.2014.24.4.528

Comparison of Fit Factor for Healthcare Workers Before and After Training with the N95 Mask  

Kim, Hyunwook (Dept. of Prev. Med, College of Medicine, The Catholic University of Korea)
Baek, Jung Eun (Dept. of Prev. Med, College of Medicine, The Catholic University of Korea)
Seo, Hye Kyung (Dept. of Prev. Med, College of Medicine, The Catholic University of Korea)
Lee, Jong-Eun (College of Nursing, The Catholic University of Korea)
Myong, Jun-Pyo (Dept. of Occup. and Environ. Med., College of Medicine, The Catholic University of Korea)
Lee, Seung-Joo (3M Personal Safety Division, APAC Laboratory, 3M Korea)
Lee, Jin-Ho (3M Personal Safety Division, APAC Laboratory, 3M Korea)
Publication Information
Journal of Korean Society of Occupational and Environmental Hygiene / v.24, no.4, 2014 , pp. 528-535 More about this Journal
Abstract
Objectives: This study compares the differences of fit factors before and after training on the N95 mask. The results will be utilized to suggest the need of providing effective training on respirator use. Methods: A total of 49 study subjects were tested, comprised of nurses from a general hospital and undergraduate nursing students from a medical school. Anthropometric measurements of face length and face width were compared with the NIOSH(National Institute for Occupational Safety and Health) panel. Fit factors(FF) were measured with TSI Portacount Pro+8038 before and after on-site training regarding the proper use of respirators. The FF pass/fail criterion was set at 100. Results: Two subjects(4.1 %) passed the fit test before training on use of the N95. However, 36(73.5%) of the 49 passed the test after training. Overall the FF(GM(GSD)) was 13.4(3.2) before training, but improved to 106.6(2.1) after training, which was statistically significant. These findings suggest the efficacy of educational intervention, and the performance of the direct on-site training proved to be better than that of the traditional educational methods. Conclusions: This study showed the effect of on-site training of the N95 respirator among health care workers(HCW). Therefore, providing effective training on the use of N95 for HCWs before their work assignments will greatly reduce exposure to harmful agents. It is recommended that fit testing be mandated to check for adequate protection being provided by the given respirators.
Keywords
healthcare workers; N95 mask; fit test; training;
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  • Reference
1 Ahn YS. Infectious diseases among healthcare workers. J Korean Med Assoc 2010;53(6):454-466   DOI
2 BeckerI P, Morawetz J. Impacts of health and safety education: Comparison of worker activities before and after training. Am J Ind Med 2004;46(1):63-70   DOI
3 Bryant CJ, Henry CP, Umberger GH, Kwak E, Ruch WE et al. Evaluative research and methods development for the assessment of training effectiveness in occupational respiratory protection. Scand J Work Environ Health 1992;18(2):66-68
4 Burgel BJ, Novak DA, Gruden M, Taormina D. Occupational health nurses achievement of competence and comfort in respiratory protection and preferred learning methods. J American Assoc Occup Health Nurses 2014;62(2):56-68
5 Centers for disease control and prevention(CDC). Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities. Morb Mortal Wkly 2005;54(17):1-141
6 Centers for disease control and prevention(CDC). Laboratory performance evaluation of N95 filtering facepiece respirators. Morb Mortal Wkly Report 1998;47(48): 1045-1049
7 Choi MJ, Yoon JH. Study on influential factors on training transfer by job characteristics of restaurant business. Journal of Foodservice Management Society of Korea 2013;16(1): 119-136
8 Colton CE, Brikne LR and Brosseau LM. Respiratory protection : A manual, guideline, 2nd ed. VA: American Industr Hyg Assoc:1991
9 Derrick JL, Chan YF, Gomersall CD, Lui SF. Predictive value of the user seal check in determining half-face respirator fit. J Hosp Infect 2005;59(2):152-155   DOI
10 Ekerman D, Lundeen C. Interactive training versus reading to teach respiratory protection. J Occup Health Psychology 2002;7(4):313-323   DOI
11 Health and Safety Communication and Training. NPPTL [serial online]2003[cited 2003 July] Available from: URL:http://www.cdc.gov/niosh/ npptl/respusers.html
12 Jung SY. How to prevent transmission of infectious agents in healthcare settings. Hanyang Medical Reviews 2011;31(3):190-199   DOI
13 Kang JO. Occupational infections of health care personnel in korea. Hanyang Medical Reviews 2011;31(3): 200-210   DOI
14 Korean Occupational Safety and Health Agency(KOSHA) Guide to use of respirators, KOSHA CODE(G-12-2013); 2013.
15 Lam SC, Lee JKL, Yau SY, CYC, Charm et al. Sensitivity and specificity of the user-seal-check in determining the fit of N95 respirators. J Hosp Infec 2011;77(3): 252-256   DOI
16 Lee C, Choi YJ, Park HS. A study on facilitating factors and barrier factors influencing on training transfer: by success case method, training transfer, success case method. HRD 2013;15(3):55-84
17 McMaster University. N95 respirator education & fit testing. Faculty of Health Science Safety Office. [serial online]2014[cited 2014] Available from:URL:http://ths.mcmaster.ca/safetyoffice/respirator_traning.html
18 Ministry of Employment and Labor(MoEL). Enforcement regulation of the occupational safety and health act article 33. 2012
19 Ministry of Food and Drug Safety(MFDS). Guideline on standards for dust & yellow dust mask. 2009.
20 Ministry of Health & Welfare. Prevention of nosocomial infection control guideline. 2005
21 Occupational Safety & Health Administration(OSHA). Fit testing Procedures, Standard Number. 1910.134 App A. 2[serial online]2004[cited 2004] Available from: URL:http://www.osha.gov/pls/oshaweb/owadisp.show-document?p-table=standards&p-id=9780 Occupational Safety & Health Administration(OSHA).
22 OSHA training courses materials and resources. [serial online]2014[cited 2014] Available from:URL:http://www.osha.gov/dte/
23 Park SM, Min JS, Jun SS, Jeong IS. The Effect of pressure ulcer education among nurses. Global Health Nurs 2013;3(2):45-53
24 Singapore Goverment. Use of masks and availability of masks. EMERGENCY 101 update on the haze.[serial online]2014[cited 2014] Available from:URL: http://www.e101.gov.sg/haze/mask.htm
25 The Korea Occupational Safety and Health Agency(KOSHA). Technical guidance on the use and management of individual protection. 2013
26 The Occupational Safety and Health Research Institute(OSHRI). A study on development health administration manual of health care workers. 2002
27 The Occupational Safety and Health Research Institute(OSHRI). Safety & health education in the workplace a study on the status & Enhancing Quality. 2007
28 Use of masks and availability of masks. Available from:URL:https://www.moh.gov.sg/content/moh_web/home/press Room/Current_Issues/2014/haze/faq--use-of-masks-and-availability-of-masks.html
29 World Health Organization(WHO). Global tuberculosis control 2011. Retrieved June 10, 2013
30 Zhuang Z, Bradtmiller B, and Shaffer R, E. New Respirator Fit Test Panels Representing the Current U.S. Civilian Work Force. J Occup Environ Hyg 2008;4(9):647-659
31 Zhuang Z, Groce D, Ahlers HW, Iskander W, Landsittel D et al. Correlation between respirator fit and respirator fit test panel cells by respirator size. J Occup Environ Hyg 2008;5(10):617-28   DOI