Development of a rapid, multi-organisational, multi-modal assessment of a newly available disposable respirator

Infect Dis Health. 2024 Aug;29(3):124-129. doi: 10.1016/j.idh.2024.03.002. Epub 2024 Apr 11.

Abstract

Background: A rapid large-scale evaluation of a newly available duckbill style P2/N95 respirator, the Care Essentials (CE) MSK-003, was required to determine its suitability for deployment into the Victorian healthcare service. The aims of this study were to assess the feasibility of establishing a rapid, multi-organisational and multi-modal evaluation of the respirator, and to investigate whether this respirator would meet the needs of healthcare workers.

Methods: The evaluation was a collaboration among three healthcare organisations - two tertiary hospitals in metropolitan Melbourne and a rural-based hospital. Participants were healthcare workers undertaking their routine fit tests. They were required to complete quantitative fit testing and a usability assessment survey on the CE MSK-003 respirator. The a priori performance criteria were set as fit test pass rate of >70%, plus satisfactory subjective overall comfort and performance assessments, defined as a rating of adequate, good, or very good in >90% of the cohort.

Results: A total of 1070 participants completed the multi-modal assessment within a month. Seventy-eight percent of participants passed their quantitative fit test. Over 90% of survey respondents reported that the CE MSK-003 was adequate, good or very good in terms of its overall comfort and performance assessments.

Conclusion: We demonstrated that a multi-modal evaluation of a new respirator can be rapidly conducted with a high level of participation in a controlled, consistent manner across multiple organisations. The evaluation results of the CE MSK-003 respirator exceeded our predetermined (a priori) minimal criteria, making it suitable for broad distribution to healthcare organisations.

Keywords: Duckbill P2/N95 respirators; Filtering facepiece respirator; Quantitative fit test; Respirator user assessments; Respiratory protection.

MeSH terms

  • Adult
  • COVID-19 / prevention & control
  • Disposable Equipment
  • Female
  • Health Personnel* / psychology
  • Humans
  • Male
  • Middle Aged
  • N95 Respirators
  • Occupational Exposure / prevention & control
  • Respiratory Protective Devices
  • Surveys and Questionnaires
  • Victoria