A cluster randomised trial of cloth masks compared with medical masks in healthcare workers / (Record no. 225)

MARC details
000 -LEADER
fixed length control field 02903nam a22003497a 4500
001 - CONTROL NUMBER
control field C000008
003 - CONTROL NUMBER IDENTIFIER
control field DOH
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20200806155447.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200325b ph ||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Transcribing agency DOH
245 02 - TITLE STATEMENT
Title A cluster randomised trial of cloth masks compared with medical masks in healthcare workers /
Statement of responsibility, etc. C Raina Macintyre [and eight others]
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Name of publisher, distributor, etc. BMJ Open,
Date of publication, distribution, etc. 2015.
300 ## - PHYSICAL DESCRIPTION
Extent 10 pages
336 ## - CONTENT TYPE
Content type term [journal article]
504 ## - BIBLIOGRAPHY, ETC. NOTE
Bibliography, etc. note Includes bibliographic references.
520 #3 - SUMMARY, ETC.
Summary, etc. ABSTRACT Objective: The aim of this study was to compare the efficacy of cloth masks to medical masks in hospital healthcare workers (HCWs). The null hypothesis is that there is no difference between medical masks and cloth masks. Setting: 14 secondary-level/tertiary-level hospitals in Hanoi, Vietnam. Participants: 1607 hospital HCWs aged ≥18years working full-time in selected high-risk wards. Intervention: Hospital wards were randomised to: medical masks, cloth masks or a control group (usual practice, which included mask wearing). Participants used the mask on every shift for 4 consecutive weeks. Main outcome measure: Clinical respiratory illness (CRI), influenza-like illness (ILI) and laboratoryconfirmed respiratory virus infection. Results: The rates of all infection outcomes were highest in the cloth mask arm, with the rate of ILI statistically significantly higher in the cloth mask arm (relative risk (RR)=13.00, 95% CI 1.69 to 100.07) compared with the medical mask arm. Cloth masks also had significantly higher rates of ILI compared with the control arm. An analysis by mask use showed ILI (RR=6.64, 95% CI 1.45 to 28.65) and laboratoryconfirmed virus (RR=1.72, 95% CI 1.01 to 2.94) were significantly higher in the cloth masks group compared with the medical masks group. Penetration of cloth masks by particles was almost 97% and medical masks 44%. Conclusions: This study is the first RCT of cloth masks, and the results caution against the use of cloth masks. This is an important finding to inform occupational health and safety. Moisture retention, reuse of cloth masks and poor filtration may result in increased risk of infection. Further research is needed to inform the widespread use of cloth masks globally. However, as a precautionary measure, cloth masks should not be recommended for HCWs, particularly in high-risk situations, and guidelines need to be updated.
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Masks
653 ## - INDEX TERM--UNCONTROLLED
Uncontrolled term Cloth Masks
653 ## - INDEX TERM--UNCONTROLLED
Uncontrolled term Medical Masks
653 ## - INDEX TERM--UNCONTROLLED
Uncontrolled term Surgical Masks
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Macintyre, C Raina
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Seale, Holly
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Tham, Chi Dung
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Nguyen, Tran Hien
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Phan, Thi Nga
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Chugtai, Abrar Ahmad
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Rahman, Bayzidur
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Dwyer, Dominic E.
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Wang, Quanyi
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://bmjopen.bmj.com/content/bmjopen/5/4/e006577.full.pdf">https://bmjopen.bmj.com/content/bmjopen/5/4/e006577.full.pdf</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type COVID 19 Resource
Source of classification or shelving scheme National Library of Medicine

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