Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Quantitative Fit Testing on Filtering Facepiece Respirators in Use by Peruvian Healthcare Workers Caring for Tuberculosis Patients During the COVID-19 Pandemic: PROFIT Study 2020

Version 1 : Received: 13 June 2023 / Approved: 14 June 2023 / Online: 14 June 2023 (14:18:37 CEST)

A peer-reviewed article of this Preprint also exists.

Inolopú, J.; Mayma, K.; Curisinche-Rojas, M.; Aylas, R.; Flores, J.A.; Rosales-Rimache, J. Quantitative Fit Testing on Filtering Facepiece Respirators in Use by Peruvian Healthcare Workers Caring for Tuberculosis Patients during the COVID-19 Pandemic: PROFIT Study 2020. Int. J. Environ. Res. Public Health 2023, 20, 6618. Inolopú, J.; Mayma, K.; Curisinche-Rojas, M.; Aylas, R.; Flores, J.A.; Rosales-Rimache, J. Quantitative Fit Testing on Filtering Facepiece Respirators in Use by Peruvian Healthcare Workers Caring for Tuberculosis Patients during the COVID-19 Pandemic: PROFIT Study 2020. Int. J. Environ. Res. Public Health 2023, 20, 6618.

Abstract

Background: The COVID-19 pandemic has promoted a shortage of filtering facepiece respirators (FFRs) and the emergence of new FFRs brands. We aimed to determine the fit provided by in-use FFRs in Peruvian healthcare workers (HCWs) during the COVID-19 pandemic. Methods: We enrolled 279 HCWs from 37 primary healthcare centers with highest burden of care for TB in Peru, of which 263 were assessed using quantitative fit tests (QNFT). Results were expressed as real-time fit factor (rt-FF) and overall fit factor (overall-FF), which was categorized as ≥100 (optimal result), 50-99, and <50. Results: We identified 3M 1860 FFRs (33.1%), Xiantao Zhong Yi ZYB-11 FFRs (24.7%) and Makrite 9500 FFRs (20.5%), mainly. Eighty-seven HCWs (33.1%) had an optimal overall-FF, 27 (10.3%) between 50-99, and 149 (56.7%) less than 50. Of the 87 HCWs with optimal over-all-FF, 73 (83.9%) were 3M 1860 FFR. Of the 27 participants with overall-FF between 50-99, 7 (25.9%) were Makrite 9500, while of the 149 with overall-FF less than 50, 58 (38.9%), and 47 (31.5%) were Xiantao Zhong Yi ZYB-11 and Makrite 9500, respectively. Conclusion: The Xiantao Zhong Yi and Makrite FFRs do not adapt adequately to the face of Peruvian HCWs, most having fit factors less than 50.

Keywords

respirator; fit testing; tuberculosis; respiratory protection

Subject

Public Health and Healthcare, Public, Environmental and Occupational Health

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