COVID-19 Pandemi Sürecinde Sağlık Çalışanlarında Maske Kullanımının EtkilerininDeğerlendirilmesi

Bu çalışmanın amacı COVID-19 pandemisi sürecinde farklı maske tiplerinin ve bunların kullanım güçlüklerinin incelenmesidir. Çalışma etik kurul onayı sonrası düzenlendi. İzmir Ekonomi ÜniversitesiMedical Park Hastanesi’nde çalışan, sekreter, hemşire ve doktorlardan oluşan, yaş ortalaması 29,5 olan 78kadın, 34 erkek toplam 112 gönüllü çalışmaya dâhil edildi. Gönüllüler cerrahi tıbbi maske ve FFP2 maskekullananlar olarak iki gruba ayrıldı. 1. gruba cerrahi tıbbi maske kullanan 81 gönüllü, 2. gruba FFP2 maskekullanan 31 gönüllü dahil edildi. Gönüllülerin, maske kullanımı esnasında 60. dakika ve 180. dakikada nefesdarlığı, görme sıkıntısı, kulak ağrısı, baş ağrısı, yüzde rahatsızlık hissi, anksiyete şikâyetlerinin gelişipgelişmediği sorgulandı. Ayrıca 60. ve 180. dakikalarda pulse oksimetre cihazı ile gönüllülerin oksijensatürasyonları ve kalp atım sayılarındaki değişiklik ölçüldü ve başlangıç değerleriyle kıyaslandı. Şikâyetlerin;alerji, sigara kullanımı ve gözlük kullanımı ile değişkenlik gösterip göstermediği değerlendirildi. Verilerinanalizinde SPSS 17 paket program kullanıldı. Mevcut verilerin dağılımı Kruskal Wallis ve Shapiro Wilk testleriile incelendi. Verilerin normal dağılım paterninde olduğu saptandı ve ortalama±standart sapma olarak, gruplararasında başlangıç, 60 ve 180. dakika satürasyon ve nabız değerleri açısından fark olup olmadığı Student-t testiile karşılaştırıldı. p

Evaluation of the Effects of Wearing Masks among Healthcare Professionals During COVID-19 pandemic

The aim of this study is to evaluate different types of masks and difficulties that are observed whilewearing masks during the COVID-19 pandemic. The study was performed following local ethical committeeapproval. A total of 112 volunteers, 78 females and 34 males, working at Izmir University of EconomicsMedical Park Hospital, consisting of secretaries, nurses and doctors, were included in the study. Volunteerswere divided into two groups as those using surgical medical masks and FFP2 masks. 81 volunteers usingsurgical medical masks were included in the first group and 31 volunteers using FFP2 mask were included inthe second group. Development of dyspnea, vision disturbance, ear pain, headache, discomfort on face andanxiety complaints during the 60th and 180th minutes during mask usage was questioned. In addition, changesof oxygen saturation and changes of heart beat rate were measured with the pulse oximeter at 60th and 180thminutes and compared with the baseline values. Variation of the complaints were evaluated regarding allergy,smoking and use of glasses. For statistical analysis, the statistical package SPSS version 17 was used. Thedistribution of the data was analyzed with Kruskal Wallis and Shapiro Wilk tests. The data was found to benormally distributed. The difference between the groups in terms of oxygen saturation and heart beat rates in 60th and 180th minutes was compared with baseline values using Student-t test. A p value of

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Al Badri FM. Surgical mask contact dermatitis and epidemiology of contact dermatitis in healthcare workers. Current Allergy & Clinical Immunology. 2017;30(3):183-188
Bakioğlu, B., Çevik, M. (2020). COVID-19 pandemisi sürecinde fen bilimleri öğretmenlerinin uzaktan eğitime ilişkin görüşleri. Turkish Studies, 15(4), 109-129. https://dx.doi.org/10.7827/TurkishStudies.43502
Bartoszko JJ, Farooqi MAM, Alhazzani W, Loeb M. (2020). Medical masks vs N95 respirators for preventing COVID-19 in healthcare workers: A systematic review and meta-analysis of randomized trials [published online ahead of print, 2020 Apr 4]. Influenza Other Respir Viruses, 10.1111/irv.12745. https://dx.doi.org/10.1111/irv.12745
Belkin NL. (2009). The surgical mask: are new tests relevant for OR practice?. AORN J, 89(5):883- 891. https://dx.doi.org/10.1016/j.aorn.2008.09.016
Bein B, Bachmann M, Huggett S, Wegermann P. (2020). SARS-CoV-2/COVID-19: Empfehlungen zu Diagnostik und Therapie [SARS CoV-2/COVID-19: Evidence-Based Recommendation on Diagnosis and Therapy]. Anasthesiol Intensivmed Notfallmed Schmerzther, 55(4):257- 265. https://dx.doi.org/10.1055/a-1146-8674
CDC. (2020). Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html (Update 19.JUNE.2020)
Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, Xing F, Liu J, Yip CC, Poon RW, Tsoi HW, Lo SK, Chan KH, Poon VK, Chan WM, Ip JD, Cai JP, Cheng VC, Chen H, Hui CK, Yuen KY. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet, 395:514 –523. https://dx.doi.org/10.1016/S0140-6736(20)30154-9
Chan JF, Zhang AJ, Yuan S, et al. (2020). Simulation of the clinical and pathological manifestations of Coronavirus Disease 2019 (COVID-19) in golden Syrian hamster model: implications for disease pathogenesis and transmissibility [published online ahead of print, 2020 Mar 26]. Clin Infect Dis, ciaa325. https://dx.doi.org/10.1093/cid/ciaa325
Chan KH, Yuen KY. (2020). COVID-19 epidemic: disentangling the re-emerging controversy about medical facemasks from an epidemiological perspective [published online ahead of print, 2020 Mar 31]. Int J Epidemiol. 2020;dyaa044. https://dx.doi.org/10.1093/ije/dyaa044
Chen N, Zhou M, Dong X, et al. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet, 395(10223):507-513. https://dx.doi.org/10.1016/S0140-6736(20)30211-7
Cheng VC, Lau SK, Woo PC, Yuen KY.( 2007). Severe acute respiratory syndrome coronavirus as an agent of emerging and reemerging infection. Clin Microbiol Rev, 20:660-94.
Cheng VC, To KK, Tse H, Hung IF, Yuen KY. ( 2012). Two years after pandemic influenza A/2009/H1N1: what have we learned? Clin Microbiol Rev, 25:223-63.
Cheng VC, Wong SC, Chuang VW, et al. (2020). The role of community-wide wearing of face mask for control of coronavirus disease 2019 (COVID-19) epidemic due to SARS-CoV-2 [published online ahead of print, 2020 Apr 23]. J Infect, S0163-4453(20)30235-8. https://dx.doi.org/10.1016/j.jinf.2020.04.024
Corman VM, Landt O, Kaiser M, Molenkamp R, Meijer A, Chu DK, Bleicker T, Brünink S, Schneider J, Schmidt ML, Mulders DG, Haagmans BL, van der Veer B, van en Brink S, Wijsman L, Goderski G, Romette JL, Ellis J, Zambon M, Peiris M, Goossens H, Reusken C, Koopmans MP, Drosten C. (2020). Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR. Euro Surveill, 25(3):pii2000045. https://dx.doi.org/10.2807/1560 - 7917.ES.2020.25.3.2000045
Cowling BJ, Chan KH, Fang VJ, Cheng CK, Fung RO, Wai W, et al. (2009). Facemasks and hand hygiene to prevent influenza transmission in households: a cluster randomized trial. Ann Intern Med, 151:437-46.
ECDC. (2020). Infection prevention and control for COVID-19 in healthcare settings. Technical report 13.May.2020. https://www.ecdc.europa.eu/en/publications-data/infection-preventionand-control-covid-19-healthcare-settings
Feng S, Shen C, Xia N, Song W, Fan M, Cowling BJ. (2020). Rational use of face masks in the COVID-19 pandemic. Lancet Respir Med, 8(5):434-436. https://dx.doi.org/10.1016/S2213- 2600(20)30134-X
Field MH, Rashbrook JP, Rodrigues JN. (2020). Hydrocolloid dressing strip over bridge of nose to relieve pain and pressure from Filtered Face Piece (FFP) masks during the coronavirus (COVID-19) pandemic. Ann R Coll Surg Engl, 102(5):394-396. https://dx.doi.org/10.1308/rcsann.2020.0095
Guan WJ, Ni ZY, Hu Y, Laing WH, Ou CQ, He JX, et al. (2020). Clinical characteristics of 2019 novel coronavirus infection in China. medRxiv, Feb 9. https://dx.doi.org/10.1101/ 2020.02.06.20020974
Hui DS, Chow BK, Chu L, et al. (2012). Exhaled air dispersion during coughing with and without wearing a surgical or N95 mask. PLoS One, 7(12):e50845. https://dx.doi.org/10.1371/journal.pone.0050845
Hirschmann MT, Hart A, Henckel J, Sadoghi P, Seil R, Mouton C. (2020). COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon [published correction appears in Knee Surg Sports Traumatol Arthrosc. 2020 Jun 12;:]. Knee Surg Sports Traumatol Arthrosc, 28(6):1690-1698. https://dx.doi.org/10.1007/s00167-020- 06022-4
Lau JT, Kim JH, Tsui HY, Griffiths S. (2008). Perceptions related to bird-to-human avian İnfluenza, influenza vaccination, and use of face mask. Infection, 36(5):434-443. https://dx.doi.org/10.1007/s15010-008-7277-y
Lee SA, Grinshpun SA, Reponen T. (2008). Respiratory performance offered by N95 respirators and surgical masks: human subject evaluation with NaCl aerosol representing bacterial and viral particle size range. Ann Occup Hyg, 52(3):177-185. https://dx.doi.org/10.1093/annhyg/men005
Lepelletier D, Grandbastien B, Romano-Bertrand S, et al.(2020). What face mask for what use in the context of COVID-19 pandemic? The French guidelines [published online ahead of print, 2020 Apr 26]. J Hosp Infec, S0195-6701(20)30211-5. https://dx.doi.org/10.1016/j.jhin.2020.04.036
Leung CC, Lam TH, Cheng KK. (2020). Mass masking in the COVID-19 epidemic: people need guidance. Lancet, 21;395(10228):945.
MacIntyre CR, Cauchemez S, Dwyer DE, Seale H, Cheung P, Browne G, et al. (2009). Face mask use and control of respiratory virus transmission in households. Emerg Infect Dis, 15:233- 41.
MacIntyre CR, Wang Q, Seale H, et al. (2013). A randomized clinical trial of three options for N95 respirators and medical masks in health workers. Am J Respir Crit Care Med, 187(9):960- 966. https://dx.doi.org/10.1164/rccm.201207-1164OC
Ma QX, Shan H, Zhang HL, Li GM, Yang RM, Chen JM. (2020). Potential utilities of mask-wearing and instant hand hygiene for fighting SARS-CoV-2 [published online ahead of print, 2020 Mar 31]. J Med Virol, 10.1002/jmv.25805. https://dx.doi.org/10.1002/jmv.25805
Morishima M, Kishida K. (2018). Understanding attitudes toward hygiene mask use in Japanese daily life by using a repeated cross-sectional survey. Work, 61(2):303-311. https://dx.doi.org/10.3233/WOR-182801
Navarro-Triviño FJ, Merida-Fernández C, Ródenas-Herranz T, Ruiz-Villaverde R. (2020). Allergic contact dermatitis caused by elastic bands from FFP2 mask [published online ahead of print, 2020 May 13]. Contact Dermatitis,10.1111/cod.13600. https://dx.doi.org/10.1111/cod.13600
Sun P, Lu X, Xu C, Sun W, Pan B. (2020). Understanding of COVID‐19 based on current evidence. J Med Virol, 92:jmv.25722. https://dx.doi.org/10.1002/jmv.25722
WHO.(2020). Modes of transmission of virüs causing COVID-19:implications for IPC precaution recommendations. Scientific brief 29 March 2020. available at https://www.who.int/newsroom/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implicationsfor-ipc-precaution-recommendations
Zan, N., Zan, B. U. (2020). Koronavirüs ile acil durumda eğitim: Türkiye’nin farklı bölgelerinden uzaktan eğitim sistemine dahil olan Edebiyat Fakültesi öğrencilerine genel bakış. Turkish Studies, 15(4), 1367-1394. https://dx.doi.org/10.7827/TurkishStudies.44365
Zhai Z. (2020). Facial mask: A necessity to beat COVID-19. Build Environ, 175: 106827. https://dx.doi.org/10.1016/j.buildenv.2020.106827
Zhou P, Yang XL, Wang XG, et al. (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature,579(7798):270-273. https://dx.doi.org/10.1038/s41586-020- 2012-7
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao GF, Tan W, China Novel Coronavirus Investigating and Research Team. (2020). A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med, 382:727–733. https://dx.doi.org/10.1056/NEJMoa2001017
Zuo Y, Hua W, Luo Y, Li L. (2020). Skin reactions of N95 masks and medial masks among health care personnel: a self-report questionnaire survey in China. Contact Dermatitis. [published online ahead of print, 2020 Apr 16]. https://dx.doi.org/10.1111/cod.13555