Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis
Identifieur interne : 002E69 ( Ncbi/Merge ); précédent : 002E68; suivant : 002E70Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis
Auteurs : Vittoria Offeddu ; Chee Fu Yung [Singapour] ; Mabel Sheau Fong Low ; Clarence C. Tam [Royaume-Uni]Source :
- Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America [ 1058-4838 ] ; 2017.
Descripteurs français
- KwdFr :
- Essais contrôlés randomisés comme sujet, Exposition professionnelle (), Grippe humaine (), Humains, Infections de l'appareil respiratoire (), Infections de l'appareil respiratoire (microbiologie), Infections de l'appareil respiratoire (virologie), Lutte contre l'infection (), Maladies virales (), Masques, Personnel de santé (), Respirateurs artificiels, Respirateurs purificateurs d'air (), Syndrome respiratoire aigu sévère (), Étude d'observation comme sujet.
- MESH :
- microbiologie : Infections de l'appareil respiratoire.
- virologie : Infections de l'appareil respiratoire.
- Essais contrôlés randomisés comme sujet, Exposition professionnelle, Grippe humaine, Humains, Infections de l'appareil respiratoire, Lutte contre l'infection, Maladies virales, Masques, Personnel de santé, Respirateurs artificiels, Respirateurs purificateurs d'air, Syndrome respiratoire aigu sévère, Étude d'observation comme sujet.
English descriptors
- KwdEn :
- Health Personnel (statistics & numerical data), Humans, Infection Control (statistics & numerical data), Influenza, Human (prevention & control), Masks, Observational Studies as Topic, Occupational Exposure (prevention & control), Occupational Exposure (statistics & numerical data), Randomized Controlled Trials as Topic, Respiratory Protective Devices (statistics & numerical data), Respiratory Tract Infections (microbiology), Respiratory Tract Infections (prevention & control), Respiratory Tract Infections (virology), Severe Acute Respiratory Syndrome (prevention & control), Ventilators, Mechanical, Virus Diseases (prevention & control).
- MESH :
- microbiology : Respiratory Tract Infections.
- prevention & control : Influenza, Human, Occupational Exposure, Respiratory Tract Infections, Severe Acute Respiratory Syndrome, Virus Diseases.
- statistics & numerical data : Health Personnel, Infection Control, Occupational Exposure, Respiratory Protective Devices.
- virology : Respiratory Tract Infections.
- Humans, Masks, Observational Studies as Topic, Randomized Controlled Trials as Topic, Ventilators, Mechanical.
Abstract
In this systematic review and meta-analysis, we found evidence for a protective effect of facemasks and respirators against clinical respiratory infection among healthcare workers, and limited evidence for superiority of respirators. However, the existing evidence is sparse and findings inconsistent.
Url:
DOI: 10.1093/cid/cix681
PubMed: 29140516
PubMed Central: 7108111
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PMC:7108111Le document en format XML
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Tam</name><affiliation><nlm:aff id="AF0001"><institution>Saw Swee Hock School of Public Health, National University of Singapore</institution></nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0003"><institution>London School of Hygiene & Tropical Medicine</institution>,<addr-line>London</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</title><idno type="ISSN">1058-4838</idno><idno type="eISSN">1537-6591</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Health Personnel (statistics & numerical data)</term><term>Humans</term><term>Infection Control (statistics & numerical data)</term><term>Influenza, Human (prevention & control)</term><term>Masks</term><term>Observational Studies as Topic</term><term>Occupational Exposure (prevention & control)</term><term>Occupational Exposure (statistics & numerical data)</term><term>Randomized Controlled Trials as Topic</term><term>Respiratory Protective Devices (statistics & numerical data)</term><term>Respiratory Tract Infections (microbiology)</term><term>Respiratory Tract Infections (prevention & control)</term><term>Respiratory Tract Infections (virology)</term><term>Severe Acute Respiratory Syndrome (prevention & control)</term><term>Ventilators, Mechanical</term><term>Virus Diseases (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term><term>Exposition professionnelle ()</term><term>Grippe humaine ()</term><term>Humains</term><term>Infections de l'appareil respiratoire ()</term><term>Infections de l'appareil respiratoire (microbiologie)</term><term>Infections de l'appareil respiratoire (virologie)</term><term>Lutte contre l'infection ()</term><term>Maladies virales ()</term><term>Masques</term><term>Personnel de santé ()</term><term>Respirateurs artificiels</term><term>Respirateurs purificateurs d'air ()</term><term>Syndrome respiratoire aigu sévère ()</term><term>Étude d'observation comme sujet</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Infections de l'appareil respiratoire</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Occupational Exposure</term><term>Respiratory Tract Infections</term><term>Severe Acute Respiratory Syndrome</term><term>Virus Diseases</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Personnel</term><term>Infection Control</term><term>Occupational Exposure</term><term>Respiratory Protective Devices</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections de l'appareil respiratoire</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Masks</term><term>Observational Studies as Topic</term><term>Randomized Controlled Trials as Topic</term><term>Ventilators, Mechanical</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term><term>Exposition professionnelle</term><term>Grippe humaine</term><term>Humains</term><term>Infections de l'appareil respiratoire</term><term>Lutte contre l'infection</term><term>Maladies virales</term><term>Masques</term><term>Personnel de santé</term><term>Respirateurs artificiels</term><term>Respirateurs purificateurs d'air</term><term>Syndrome respiratoire aigu sévère</term><term>Étude d'observation comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In this systematic review and meta-analysis, we found evidence for a protective effect of facemasks and respirators against clinical respiratory infection among healthcare workers, and limited evidence for superiority of respirators. 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uniqKey="Wong V">VW Wong</name></author><author><name sortKey="Cowling, Bj" uniqKey="Cowling B">BJ Cowling</name></author><author><name sortKey="Aiello, Ae" uniqKey="Aiello A">AE Aiello</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Radonovich, Lj" uniqKey="Radonovich L">LJ Radonovich</name></author><author><name sortKey="Bessesen, Mt" uniqKey="Bessesen M">MT Bessesen</name></author><author><name sortKey="Cummings, Da" uniqKey="Cummings D">DA Cummings</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double pmid="29140516"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis</title><author><name sortKey="Offeddu, Vittoria" sort="Offeddu, Vittoria" uniqKey="Offeddu V" first="Vittoria" last="Offeddu">Vittoria Offeddu</name><affiliation><nlm:aff id="AF0001"><institution>Saw Swee Hock School of Public Health, National University of Singapore</institution></nlm:aff></affiliation></author><author><name sortKey="Yung, Chee Fu" sort="Yung, Chee Fu" uniqKey="Yung C" first="Chee Fu" last="Yung">Chee Fu Yung</name><affiliation wicri:level="1"><nlm:aff id="AF0002"><institution>Infectious Disease Service, Department of Paediatrics, KK Women’s and Children’s Hospital</institution>,<country>Singapore</country></nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Low, Mabel Sheau Fong" sort="Low, Mabel Sheau Fong" uniqKey="Low M" first="Mabel Sheau Fong" last="Low">Mabel Sheau Fong Low</name><affiliation><nlm:aff id="AF0001"><institution>Saw Swee Hock School of Public Health, National University of Singapore</institution></nlm:aff></affiliation></author><author><name sortKey="Tam, Clarence C" sort="Tam, Clarence C" uniqKey="Tam C" first="Clarence C" last="Tam">Clarence C. Tam</name><affiliation><nlm:aff id="AF0001"><institution>Saw Swee Hock School of Public Health, National University of Singapore</institution></nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0003"><institution>London School of Hygiene & Tropical Medicine</institution>,<addr-line>London</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">29140516</idno><idno type="pmc">7108111</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108111</idno><idno type="RBID">PMC:7108111</idno><idno type="doi">10.1093/cid/cix681</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">001718</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001718</idno><idno type="wicri:Area/Pmc/Curation">001718</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001718</idno><idno type="wicri:Area/Pmc/Checkpoint">000632</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000632</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis</title><author><name sortKey="Offeddu, Vittoria" sort="Offeddu, Vittoria" uniqKey="Offeddu V" first="Vittoria" last="Offeddu">Vittoria Offeddu</name><affiliation><nlm:aff id="AF0001"><institution>Saw Swee Hock School of Public Health, National University of Singapore</institution></nlm:aff></affiliation></author><author><name sortKey="Yung, Chee Fu" sort="Yung, Chee Fu" uniqKey="Yung C" first="Chee Fu" last="Yung">Chee Fu Yung</name><affiliation wicri:level="1"><nlm:aff id="AF0002"><institution>Infectious Disease Service, Department of Paediatrics, KK Women’s and Children’s Hospital</institution>,<country>Singapore</country></nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Low, Mabel Sheau Fong" sort="Low, Mabel Sheau Fong" uniqKey="Low M" first="Mabel Sheau Fong" last="Low">Mabel Sheau Fong Low</name><affiliation><nlm:aff id="AF0001"><institution>Saw Swee Hock School of Public Health, National University of Singapore</institution></nlm:aff></affiliation></author><author><name sortKey="Tam, Clarence C" sort="Tam, Clarence C" uniqKey="Tam C" first="Clarence C" last="Tam">Clarence C. Tam</name><affiliation><nlm:aff id="AF0001"><institution>Saw Swee Hock School of Public Health, National University of Singapore</institution></nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0003"><institution>London School of Hygiene & Tropical Medicine</institution>,<addr-line>London</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</title><idno type="ISSN">1058-4838</idno><idno type="eISSN">1537-6591</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In this systematic review and meta-analysis, we found evidence for a protective effect of facemasks and respirators against clinical respiratory infection among healthcare workers, and limited evidence for superiority of respirators. 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National University of Singapore.</nlm:affiliation><country>Singapour</country><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Yung, Chee Fu" sort="Yung, Chee Fu" uniqKey="Yung C" first="Chee Fu" last="Yung">Chee Fu Yung</name><affiliation wicri:level="1"><nlm:affiliation>Infectious Disease Service, Department of Paediatrics, KK Women's and Children's Hospital, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Infectious Disease Service, Department of Paediatrics, KK Women's and Children's Hospital</wicri:regionArea><wicri:noRegion>KK Women's and Children's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Low, Mabel Sheau Fong" sort="Low, Mabel Sheau Fong" uniqKey="Low M" first="Mabel Sheau Fong" last="Low">Mabel Sheau Fong Low</name><affiliation wicri:level="4"><nlm:affiliation>Saw Swee Hock School of Public Health, National University of Singapore.</nlm:affiliation><country>Singapour</country><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Tam, Clarence C" sort="Tam, Clarence C" uniqKey="Tam C" first="Clarence C" last="Tam">Clarence C. Tam</name><affiliation wicri:level="4"><nlm:affiliation>Saw Swee Hock School of Public Health, National University of Singapore.</nlm:affiliation><country>Singapour</country><orgName type="university">Université nationale de Singapour</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:29140516</idno><idno type="pmid">29140516</idno><idno type="doi">10.1093/cid/cix681</idno><idno type="wicri:Area/PubMed/Corpus">000A62</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000A62</idno><idno type="wicri:Area/PubMed/Curation">000A62</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000A62</idno><idno type="wicri:Area/PubMed/Checkpoint">000B31</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000B31</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis.</title><author><name sortKey="Offeddu, Vittoria" sort="Offeddu, Vittoria" uniqKey="Offeddu V" first="Vittoria" last="Offeddu">Vittoria Offeddu</name><affiliation wicri:level="4"><nlm:affiliation>Saw Swee Hock School of Public Health, National University of Singapore.</nlm:affiliation><country>Singapour</country><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Yung, Chee Fu" sort="Yung, Chee Fu" uniqKey="Yung C" first="Chee Fu" last="Yung">Chee Fu Yung</name><affiliation wicri:level="1"><nlm:affiliation>Infectious Disease Service, Department of Paediatrics, KK Women's and Children's Hospital, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Infectious Disease Service, Department of Paediatrics, KK Women's and Children's Hospital</wicri:regionArea><wicri:noRegion>KK Women's and Children's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Low, Mabel Sheau Fong" sort="Low, Mabel Sheau Fong" uniqKey="Low M" first="Mabel Sheau Fong" last="Low">Mabel Sheau Fong Low</name><affiliation wicri:level="4"><nlm:affiliation>Saw Swee Hock School of Public Health, National University of Singapore.</nlm:affiliation><country>Singapour</country><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Tam, Clarence C" sort="Tam, Clarence C" uniqKey="Tam C" first="Clarence C" last="Tam">Clarence C. Tam</name><affiliation wicri:level="4"><nlm:affiliation>Saw Swee Hock School of Public Health, National University of Singapore.</nlm:affiliation><country>Singapour</country><orgName type="university">Université nationale de Singapour</orgName></affiliation></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="eISSN">1537-6591</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Health Personnel (statistics & numerical data)</term><term>Humans</term><term>Infection Control (statistics & numerical data)</term><term>Influenza, Human (prevention & control)</term><term>Masks</term><term>Observational Studies as Topic</term><term>Occupational Exposure (prevention & control)</term><term>Occupational Exposure (statistics & numerical data)</term><term>Randomized Controlled Trials as Topic</term><term>Respiratory Protective Devices (statistics & numerical data)</term><term>Respiratory Tract Infections (microbiology)</term><term>Respiratory Tract Infections (prevention & control)</term><term>Respiratory Tract Infections (virology)</term><term>Severe Acute Respiratory Syndrome (prevention & control)</term><term>Ventilators, Mechanical</term><term>Virus Diseases (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term><term>Exposition professionnelle ()</term><term>Grippe humaine ()</term><term>Humains</term><term>Infections de l'appareil respiratoire ()</term><term>Infections de l'appareil respiratoire (microbiologie)</term><term>Infections de l'appareil respiratoire (virologie)</term><term>Lutte contre l'infection ()</term><term>Maladies virales ()</term><term>Masques</term><term>Personnel de santé ()</term><term>Respirateurs artificiels</term><term>Respirateurs purificateurs d'air ()</term><term>Syndrome respiratoire aigu sévère ()</term><term>Étude d'observation comme sujet</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Infections de l'appareil respiratoire</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Occupational Exposure</term><term>Respiratory Tract Infections</term><term>Severe Acute Respiratory Syndrome</term><term>Virus Diseases</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Personnel</term><term>Infection Control</term><term>Occupational Exposure</term><term>Respiratory Protective Devices</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections de l'appareil respiratoire</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Masks</term><term>Observational Studies as Topic</term><term>Randomized Controlled Trials as Topic</term><term>Ventilators, Mechanical</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term><term>Exposition professionnelle</term><term>Grippe humaine</term><term>Humains</term><term>Infections de l'appareil respiratoire</term><term>Lutte contre l'infection</term><term>Maladies virales</term><term>Masques</term><term>Personnel de santé</term><term>Respirateurs artificiels</term><term>Respirateurs purificateurs d'air</term><term>Syndrome respiratoire aigu sévère</term><term>Étude d'observation comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This systematic review and meta-analysis quantified the protective effect of facemasks and respirators against respiratory infections among healthcare workers. Relevant articles were retrieved from Pubmed, EMBASE, and Web of Science. Meta-analyses were conducted to calculate pooled estimates. Meta-analysis of randomized controlled trials (RCTs) indicated a protective effect of masks and respirators against clinical respiratory illness (CRI) (risk ratio [RR] = 0.59; 95% confidence interval [CI]:0.46-0.77) and influenza-like illness (ILI) (RR = 0.34; 95% CI:0.14-0.82). Compared to masks, N95 respirators conferred superior protection against CRI (RR = 0.47; 95% CI: 0.36-0.62) and laboratory-confirmed bacterial (RR = 0.46; 95% CI: 0.34-0.62), but not viral infections or ILI. Meta-analysis of observational studies provided evidence of a protective effect of masks (OR = 0.13; 95% CI: 0.03-0.62) and respirators (OR = 0.12; 95% CI: 0.06-0.26) against severe acute respiratory syndrome (SARS). This systematic review and meta-analysis supports the use of respiratory protection. However, the existing evidence is sparse and findings are inconsistent within and across studies. Multicentre RCTs with standardized protocols conducted outside epidemic periods would help to clarify the circumstances under which the use of masks or respirators is most warranted.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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