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Im OP 2020; 10(06): 252-260
DOI: 10.1055/a-1238-1101
CNE Schwerpunkt
Schutz vor SARS-CoV-2 im OP
© Georg Thieme Verlag Stuttgart · New York

Welche Schutzmaske schützt vor COVID-19? Was ist evidenzbasiert?

Roland Schulze-Röbbecke
,
Marcus Reska
,
Sebastian Lemmen
Further Information

Publication History

Publication Date:
28 October 2020 (online)

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Die COVID-19-Pandemie hat in der Patientenversorgung wie in der Öffentlichkeit zu Diskussionen geführt, mit welchen Schutzmasken man sich vor einer Ansteckung schützen kann. Ähnliche Diskussionen hatte es schon 2009/10 im Rahmen der damals weltweiten Ausbreitung einer neuen Variante des Influenzavirus A (H1N1) gegeben („Schweinegrippe“). Auffällig sind damals wie heute Unklarheiten und Verwirrungen in Bezug auf die Übertragungswege von Atemwegsinfektionen und über die sich daraus ableitenden Schutzmaßnahmen.

 

  • Literatur

  • 1 World Health Organization (WHO). Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. Genève: World Health Organization; 2014. Im Internet: bit.ly/3gwuztz; Stand: 29.05.2020
    Search in Google Scholar
  • 2 Siegel JD, Rhinehart E, Jackson M. et al the Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Im Internet: bit.ly/2XaKNkq Stand: 29.05.2020
  • 3 Schulze-Röbbecke R. Nosokomialer Infektionen: Übertragungswege und Übertragungsprävention. Krankenhaushygiene up2date 2018; 13: 63-75
    Thieme ConnectSearch in Google Scholar
  • 4 Xie X, Li Y, Chwang ATY. et al How far droplets can move in indoor environments – revisiting the Wells evaporation-falling curve. Indoor Air 2007; 17: 211-25
    CrossrefPubMedSearch in Google Scholar
  • 5 Cole EC, Cook CE. Characterization of infectious aerosols in health care facilities: an aid to effective engineering controls and preventive strategies. Am J Infect Control 1998; 26: 453-64
    CrossrefPubMedSearch in Google Scholar
  • 6 Tang JW. The effect of environmental parameters on the survival of airborne infectious agents. J R Soc Interface 2009; 6 (Suppl. 06) 737-46
    CrossrefPubMedSearch in Google Scholar
  • 7 World Health Organization. Non-pharmaceutical public health measures for mitigating the risk and impact of epidemic and pandemic influenza. 2019 Licence: CC BYNC-SA 3.0 IGO
    PubMedSearch in Google Scholar
  • 8 Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut. Infektionsprävention im Rahmen der Pflege und Behandlung von Patienten mit übertragbaren Krankheiten. Bundesgesundheitsbl. 2015; 58: 1151-1170
    PubMedSearch in Google Scholar
  • 9 MacIntyre CR, Seale H, Dung TC. et al A cluster randomised trial of cloth masks compared with medical masks in health-care workers. BMJ Open 2015; 5: e006577
    CrossrefPubMedSearch in Google Scholar
  • 10 Robert Koch-Institut. Empfehlungen des RKI zu Hygienemaßnahmen im Rahmen der Behandlung und Pflege von Patienten mit einer Infektion durch SARS-CoV-2. Im Internet: bit.ly/2XFikT5; Stand: 29.05.2020
  • 11 Ausschuss für Biologische Arbeitsstoffe (ABAS). Technische Regeln für Biologische Arbeitsstoffe, TRBA 250 – Biologische Arbeitsstoffe im Gesundheitswesen und in der Wohlfahrtspflege. GMBl 2014, Nr. 10/11 vom 27.03.2014; 4. Änderung vom 02.05.2018, Nr. 15. GMBl; 2014. Im Internet: bit.ly/2ZOzJLu; Stand: 29.05.2020
  • 12 Occupational Safety and Health Administration. Hospital Respiratory Protection Program Toolkit Resources for Respirator Program Administrators (May 2015). Im Internet: bit.ly/3ch71We; Stand: 29.05.2020
  • 13 Ziegler R, Just HM, Castell S. et al Infektionsprävention bei Tuberkulose: Empfehlungen des DZK. Pneumologie 2012; 66: 269-82
    Thieme ConnectPubMedSearch in Google Scholar
  • 14 Schünemann H, Brożek J, Guyatt G. et al Handbook for grading the quality of evidence and the strength of recommendations using the GRADE approach (updated October 2013). Im Internet: bit.ly/2XIIHr4; Stand: 29.05.2020
  • 15 Tran K, Cimon K, Severn M. et al Aerosol-Generating Procedures and Risk of Transmission of Acute Respiratory Infections: A Systematic Review. Ottawa: Canadian Agency for Drugs and Technologies in Health; 2011. Im Internet: bit.ly/2XdBAIc; Stand: 29.05.2020
    Search in Google Scholar
  • 16 World Health Organization. Interim guidance: Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected (29.06.2020). Im Internet https://www.who.int/publications/i/item/WHO-2019-nCoV-IPC-2020.4 Stand: 22.09.2020
  • 17 Nam HS, Yeon MY, Park JW. et al Healthcare worker infected with Middle East respiratory syndrome during cardiopulmonary resuscitation in Korea, 2015. Epidemiology and health 2017; 39: e2017052
    CrossrefPubMedSearch in Google Scholar
  • 18 Public Health England. Guidance: COVID-19 personal protective equipment (PPE) (updated 17.04.2020). Im Internet: bit.ly/2ZMn8Zh; Stand: 21.04.2020
  • 19 Jefferson T, Del Mar CB, Dooley L. et al Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev 2011; 7: CD006207
    CrossrefPubMedSearch in Google Scholar
  • 20 Robert Koch-Institut. Nationaler Pandemieplan Teil II – Wissenschaftliche Grundlagen. Berlin: RKI; 2016. Im Internet: bit.ly/2MbLgg8; Stand: 29.05.2020
    Search in Google Scholar
  • 21 Smith JD, MacDougall CC, Johnstone J. et al Effectiveness of N95 Respirators Versus Surgical Masks in Protecting Health Care Workers From Acute Respiratory Infection: A Systematic Review and Meta-Analysis. CMAJ 2016; 188: 567-74
    CrossrefPubMedSearch in Google Scholar
  • 22 Offeddu V, Yung CF, Low MSF. et al Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis. Clin Infect Dis 2017; 65: 1934-42
    CrossrefPubMedSearch in Google Scholar
  • 23 Bartoszko JJ, Farooqi MAM, Alhazzani W. et al Medical masks vs N95 respirators for preventing COVID-19 in healthcare workers: A systematic review and meta-analysis of randomized trials. Influenza Other Respir Viruses 2020; Jul 14 (04) 365-373 doi: 10.1111/irv.12745
    CrossrefPubMedSearch in Google Scholar
  • 24 Radonovich Jr. LJ, Simberkoff MS, Bessesen MT. et al N95 respirators vs medical masks for preventing influenza among health care personnel: a randomized clinical trial. JAMA 2019; 322: 824-33
    CrossrefPubMedSearch in Google Scholar
  • 25 Thompson KA, Pappachan JV, Bennett AM. et al Influenza aerosols in UK hospitals during the H1N1 (2009) pandemic – the risk of aerosol generation during medical procedures. PLoS One 2013; 8: e56278
    CrossrefPubMedSearch in Google Scholar
  • 26 O’Neil CA, Jiayu L, Leavey A. et al Characterization of aerosols generated during patient care activities. Clinical Infectious Diseases 2017; 65: 1335-41
    CrossrefPubMedSearch in Google Scholar
  • 27 Marchand G, Duchaine C, Lavoie J. et al Bacteria emitted in ambient air during bronchoscopy-a risk to health care workers?. American Journal of Infection Control 2016; 44: 1634-8
    CrossrefPubMedSearch in Google Scholar
  • 28 Leung CCH, Joynt GM, Gomersall CD. et al Comparison of high-flow nasal cannula versus oxygen face mask for environmental bacterial contamination in critically ill pneumonia patients: a randomized controlled crossover trial. J Hosp Infect 2019; 101: 84-7
    CrossrefPubMedSearch in Google Scholar
  • 29 van Doremalen N, Bushmaker T, Morris DH. et al Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. New Engl J Med 2020; 382: 1564-7
    CrossrefPubMedSearch in Google Scholar
  • 30 Bae S, Kim MC, Kim JY. et al Effectiveness of surgical and cotton masks in blocking SARS-CoV-2: a controlled comparison in 4 patients. Ann Intern Med 2020: M20-1342
    PubMedSearch in Google Scholar
  • 31 Guo ZD, Wang ZY, Zhang SF. et al Aerosol and Surface Distribution of Severe Acute Respiratory Syndrome Coronavirus 2 in Hospital Wards, Wuhan, China, 2020 (im Druck). Emerg Infect Dis 2020; 26: 7
    Search in Google Scholar
  • 32 Ong SWX, Tan YK, Chia PY. et al Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient. JAMA 2020; 323 (16) 1610-2
    CrossrefPubMedSearch in Google Scholar
  • 33 Leung NHL, Chu DKW, Shiu EYC. et al Respiratory virus shedding in exhaled breath and efficacy of face masks. Nature Medicine 2020; 26: 676-80
    CrossrefPubMedSearch in Google Scholar
  • 34 Chia PY, Coleman KK, Tan YK. et al Detection of air and surface contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in hospital rooms of infected patients. medRxiv 2020 Im Internet: bit.ly/36EkpT8; Stand: 29.05.2020
    PubMedSearch in Google Scholar
  • 35 Santarpia JL, Rivera DN, Herrera V. et al Transmission potential of SARS-CoV-2 in viral shedding observed at the university of Nebraska Medical Center. medRxiv 2020 Im Internet: bit.ly/2ZKpYy9; Stand: 29.05.2020
    PubMedSearch in Google Scholar
  • 36 Morawska L, Cao J. Airborne transmission of SARS-CoV-2: the world should face the reality (im Druck). Environment International 2020; 139: 105730
    CrossrefPubMedSearch in Google Scholar
  • 37 Lewis D. Is the Coronavirus airborne?. Experts can’t agree Nature 2020; 580: 175
    PubMedSearch in Google Scholar
  • 38 Brainard JS, Jones N, Lake I. et al Facemasks and similar barriers to prevent respiratory illness such as COVID-19: a rapid systematic review. medRxiv 2020
    PubMedSearch in Google Scholar
  • 39 Deutsches Netzwerk Evidenz-basierte Medizin. COVID-19: Wo ist die Evidenz?. Im Internet https://www.ebm-netzwerk.de/de/veroeffentlichungen/nachrichten/covid-19-evidenz-2 Stand: 22.09.2020
  • 40 Mahase E. Covid-19: What is the evidence for cloth masks?. BMJ 2020; 369: m1422
    CrossrefPubMedSearch in Google Scholar