A pilot study of minimum operational flow for loose-fitting powered air-purifying respirators used in healthcare cleaning services

The objective of this pilot study was to determine the minimum operational flow for loose-fitting powered air-purifying respirators (PAPR) used in healthcare cleaning services. An innovative respiratory flow recording device was worn by nine healthcare workers to obtain the minute volume (MV, L/min)...

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Published inJournal of Occupational and Environmental Hygiene Vol. 16; no. 7; pp. 440 - 445
Main Authors Zhu, Jintuo, He, Xinjian, Bergman, Michael S., Guffey, Steven, Nimbarte, Ashish D., Zhuang, Ziqing
Format Journal Article
LanguageEnglish
Published England Informa UK Limited 03.07.2019
Taylor & Francis LLC
Taylor & Francis
Subjects
Adult
Air flow
Body mass
Body mass index
Body size
Cleaning
Disinfection
Empirical analysis
Female
Health care
Health Personnel
Humans
Inhalation
Inhalation Exposure
Inhalation Exposure - prevention & control
Male
Medical innovations
Medical personnel
Middle Aged
Occupational Exposure
Occupational Exposure - prevention & control
Patients' Rooms
Pilot Projects
Protective equipment
Public Health, Environmental and Occupational Health
Pulmonary Ventilation
Recording
Respiration
Respirators
Respiratory Protective Devices
Respiratory Protective Devices - standards
West Virginia
Workers
West Virginia
peak inhalation flow
minute volume
Healthcare workers
powered air-purifying respirators
minimum operational flow
respiratory flow
Online AccessGet full text
ISSN1545-9624
1545-9632
1545-9632
DOI10.1080/15459624.2019.1605241

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Abstract The objective of this pilot study was to determine the minimum operational flow for loose-fitting powered air-purifying respirators (PAPR) used in healthcare cleaning services. An innovative respiratory flow recording device was worn by nine healthcare workers to obtain the minute volume (MV, L/min), mean inhalation flow (MIF, L/min), and peak inhalation flow (PIF, L/min) while performing "isolation unit work" (cleaning and disinfecting) of a patient room within 30 min. The MV and PIF were compared with the theoretical values obtained from an empirical formula. The correlations of MV, MIF, and PIF with subjects' age, weight, height, body surface area (A ), and body mass index (BMI) were analyzed. The average MV, MIF, and PIF were 33, 74, and 107 L/min, with maximal airflow rates of 41, 97, and 145 L/min, respectively, which are all below the current 170 L/min minimum operational flow for NIOSH certified loose-fitting PAPRs.
AbstractList The objective of this pilot study was to determine the minimum operational flow for loose-fitting powered air-purifying respirators (PAPR) used in healthcare cleaning services. An innovative respiratory flow recording device was worn by nine healthcare workers to obtain the minute volume (MV, L/min), mean inhalation flow (MIF, L/min), and peak inhalation flow (PIF, L/min) while performing "isolation unit work" (cleaning and disinfecting) of a patient room within 30 min. The MV and PIF were compared with the theoretical values obtained from an empirical formula. The correlations of MV, MIF, and PIF with subjects' age, weight, height, body surface area (ADu), and body mass index (BMI) were analyzed. The average MV, MIF, and PIF were 33, 74, and 107 L/min, with maximal airflow rates of 41, 97, and 145 L/min, respectively, which are all below the current 170 L/min minimum operational flow for NIOSH certified loose-fitting PAPRs.The objective of this pilot study was to determine the minimum operational flow for loose-fitting powered air-purifying respirators (PAPR) used in healthcare cleaning services. An innovative respiratory flow recording device was worn by nine healthcare workers to obtain the minute volume (MV, L/min), mean inhalation flow (MIF, L/min), and peak inhalation flow (PIF, L/min) while performing "isolation unit work" (cleaning and disinfecting) of a patient room within 30 min. The MV and PIF were compared with the theoretical values obtained from an empirical formula. The correlations of MV, MIF, and PIF with subjects' age, weight, height, body surface area (ADu), and body mass index (BMI) were analyzed. The average MV, MIF, and PIF were 33, 74, and 107 L/min, with maximal airflow rates of 41, 97, and 145 L/min, respectively, which are all below the current 170 L/min minimum operational flow for NIOSH certified loose-fitting PAPRs.
The objective of this pilot study was to determine the minimum operational flow for loose-fitting powered air-purifying respirators (PAPR) used in healthcare cleaning services. An innovative respiratory flow recording device was worn by nine healthcare workers to obtain the minute volume (MV, L/min), mean inhalation flow (MIF, L/min), and peak inhalation flow (PIF, L/min) while performing "isolation unit work" (cleaning and disinfecting) of a patient room within 30 min. The MV and PIF were compared with the theoretical values obtained from an empirical formula. The correlations of MV, MIF, and PIF with subjects' age, weight, height, body surface area (A ), and body mass index (BMI) were analyzed. The average MV, MIF, and PIF were 33, 74, and 107 L/min, with maximal airflow rates of 41, 97, and 145 L/min, respectively, which are all below the current 170 L/min minimum operational flow for NIOSH certified loose-fitting PAPRs.
The objective of this pilot study was to determine the minimum operational flow for loose-fitting powered air-purifying respirators (PAPR) used in healthcare cleaning services. An innovative respiratory flow recording device was worn by nine healthcare workers to obtain the minute volume (MV, L/min), mean inhalation flow (MIF, L/min), and peak inhalation flow (PIF, L/min) while performing "isolation unit work" (cleaning and disinfecting) of a patient room within 30 min. The MV and PIF were compared with the theoretical values obtained from an empirical formula. The correlations of MV, MIF, and PIF with subjects' age, weight, height, body surface area (ADu), and body mass index (BMI) were analyzed. The average MV, MIF, and PIF were 33, 74, and 107 L/min, with maximal airflow rates of 41, 97, and 145 L/min, respectively, which are all below the current 170 L/min minimum operational flow for NIOSH certified loose-fitting PAPRs.
The objective of this pilot study was to determine the minimum operational flow for loose-fitting powered air-purifying respirators (PAPR) used in healthcare cleaning services. An innovative respiratory flow recording device was worn by nine healthcare workers to obtain the minute volume (MV, L/min), mean inhalation flow (MIF, L/min), and peak inhalation flow (PIF, L/min) while performing “isolation unit work” (cleaning and disinfecting) of a patient room within 30 min. The MV and PIF were compared with the theoretical values obtained from an empirical formula. The correlations of MV, MIF, and PIF with subjects’ age, weight, height, body surface area (A Du ), and body mass index (BMI) were analyzed. The average MV, MIF, and PIF were 33, 74, and 107 L/min, with maximal airflow rates of 41, 97, and 145 L/min, respectively, which are all below the current 170 L/min minimum operational flow for NIOSH certified loose-fitting PAPRs.
Author Xinjian He
Steven Guffey
Ziqing Zhuang
Jintuo Zhu
Ashish D. Nimbarte
Michael S. Bergman
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Cites_doi 10.1080/15459624.2015.1098780
10.1093/annhyg/meq096
10.1080/00028896909343072
10.1111/j.1440-1843.2005.00634.x
10.1177/2165079916657108
10.1093/cid/civ141
10.1016/j.ajic.2007.04.284
10.1016/0196-6553(93)90027-2
10.1016/S0196-6553(05)80143-9
10.3201/eid1002.030838
10.1097/01.jom.0000116808.46760.06
10.1111/j.1600-0404.2005.00560.x
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Issue 7
Keywords peak inhalation flow
minute volume
Healthcare workers
powered air-purifying respirators
minimum operational flow
respiratory flow
Language English
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References International Organization for Standardization (ISO) (CIT0020) 2015
Keys A. (CIT0022) 1972; 25
CIT0021
Institute of Medicine (IOM (CIT0002) 2010
He X. (CIT0010) 2013; 58
CIT0012
CIT0011
Bloomfield J. (CIT0018) 1933; 15
Zhu J. (CIT0023) 2018; 35
Institute of Medicine (IOM) (CIT0003) 2015
CIT0013
Mackey K.R. (CIT0016) 2005; 22
CIT0005
CIT0004
Occupational Safety and Health Administration (OSHA (CIT0014) 2006; 71
CIT0015
CIT0007
CIT0006
CIT0017
CIT0009
CIT0008
CIT0019
References_xml – volume: 71
  start-page: 50121
  issue: 164
  year: 2006
  ident: CIT0014
  publication-title: Department of Labor, OSHA, National Archives and Records Administration. Federal Register
– ident: CIT0017
  doi: 10.1080/15459624.2015.1098780
– ident: CIT0011
  doi: 10.1093/annhyg/meq096
– ident: CIT0019
  doi: 10.1080/00028896909343072
– ident: CIT0013
  doi: 10.1111/j.1440-1843.2005.00634.x
– volume: 22
  issue: 1
  year: 2005
  ident: CIT0016
  publication-title: J. Int. Soc. Resp. Prot
– ident: CIT0006
  doi: 10.1177/2165079916657108
– ident: CIT0021
– ident: CIT0005
  doi: 10.1093/cid/civ141
– ident: CIT0015
  doi: 10.1016/j.ajic.2007.04.284
– volume: 35
  start-page: 98
  issue: 2
  year: 2018
  ident: CIT0023
  publication-title: J. Int. Soc. Resp. Prot
– ident: CIT0008
  doi: 10.1016/0196-6553(93)90027-2
– volume-title: Respiratory Protective Devices—Human Factors. Part 1: Metabolic Rates and Respiratory Flow Rates (ISO/TS 16976-1:2015)
  year: 2015
  ident: CIT0020
– ident: CIT0007
  doi: 10.1016/S0196-6553(05)80143-9
– ident: CIT0012
  doi: 10.3201/eid1002.030838
– volume-title: Preventing Transmission of Pandemic Influenza and Other viral Respiratory Diseases: Personal Protective Equipment for Health Care Personnel. Update
  year: 2010
  ident: CIT0002
– volume: 58
  start-page: 182
  issue: 2
  year: 2013
  ident: CIT0010
  publication-title: Ann. Occup. Hyg.
– volume: 15
  start-page: 184
  year: 1933
  ident: CIT0018
  publication-title: J. Occup. Environ. Hyg
– volume-title: The Use and Effectiveness of Powered Air Purifying Respirators in Health Care
  year: 2015
  ident: CIT0003
– ident: CIT0004
  doi: 10.1097/01.jom.0000116808.46760.06
– ident: CIT0009
  doi: 10.1111/j.1600-0404.2005.00560.x
– volume: 25
  start-page: 329
  issue: 6
  year: 1972
  ident: CIT0022
  publication-title: J. Clin. Epidemiol
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StartPage 440
SubjectTerms Adult
Air flow
Body mass
Body mass index
Body size
Cleaning
Disinfection
Empirical analysis
Female
Health care
Health Personnel
Humans
Inhalation
Inhalation Exposure
Inhalation Exposure - prevention & control
Male
Medical innovations
Medical personnel
Middle Aged
Occupational Exposure
Occupational Exposure - prevention & control
Patients' Rooms
Pilot Projects
Protective equipment
Public Health, Environmental and Occupational Health
Pulmonary Ventilation
Recording
Respiration
Respirators
Respiratory Protective Devices
Respiratory Protective Devices - standards
West Virginia
Workers
Title A pilot study of minimum operational flow for loose-fitting powered air-purifying respirators used in healthcare cleaning services
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