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Quantitative Fit Evaluation of N95 Filtering Facepiece Respirators and Coronavirus Inactivation Following Heat Treatment

机译:热处理后N95过滤面部呼吸器和冠状病毒灭活的定量拟合评估

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Reuse of filtering facepiece respirators (FFRs, commonly referred to as N95s) normally meant for single use has become common in healthcare facilities due to shortages caused by the COVID-19 pandemic. Here, we report that murine hepatitis coronavirus initially seeded on FFR filter material is inactivated (6 order of magnitude reduction as measured by median tissue culture infective dose, TCID_(50)) after dry heating at 75°C for 30 min. We also find that the quantitative fit of FFRs after heat treatment at this temperature, under dry conditions or at 90% relative humidity, is not affected by single or 10 heating cycles. Previous studies have reported that the filtration efficiency of FFRs is not negatively impacted by these heating conditions. These results suggest that thermal inactivation of coronaviruses is a potentially rapid and widely deployable method to reuse N95 FFRs in emergency situations where reusing FFRs is a necessity and broad-spectrum sterilization is unavailable. However, we also observe that a radiative heat source (e.g. an exposed heating element) results in rapid qualitative degradation of the FFR. Finally, we discuss differences in the results reported here and other recent studies investigating heat as a means to recycle FFRs. These differences suggest that while our repeated decontamination cycles do not affect FFR fit, overall wear time and the number of donning/doffing cycles are important factors that likely degrade FFR fit and must be investigated further.
机译:重复使用通常用于单次使用的滤清器呼吸器(通常称为N95S),由于COVID-19造成的大流行造成的短缺,用于单一使用的呼吸器已在医疗机构中很普遍。在这里,我们报告说,在75°C干燥加热30分钟后,通过中位组织培养感染剂量(50)测量的鼠肝炎冠状病毒最初播种在FFR过滤物材料上(6个数量级减少,TCID_(50))。我们还发现,在干燥条件下或在90%相对湿度下进行热处理后FFR的定量拟合不受单个或10个加热周期的影响。先前的研究报告说,FFR的过滤效率不会受到这些加热条件的负面影响。这些结果表明,冠状病毒的热灭活是一种潜在的快速且可部署的方法,可以在紧急情况下重复使用N95 FFR,在这种情况下,重复使用FFR是必要的,并且不可用宽光谱灭菌。但是,我们还观察到辐射热源(例如,暴露的加热元件)导致FFR的质量快速降解。最后,我们讨论了此处报道的结果以及其他研究热量作为回收FFR的手段的差异。这些差异表明,尽管我们反复的净化周期不影响FFR的拟合度,但整体磨损时间和don/doffing周期的数量是可能降低FFR拟合的重要因素,必须进一步研究。

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