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논문 기본 정보

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학술저널
저자정보
Yang Hyun Jun (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Yoon Hee (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Kang Soo Yeon (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Lee Guntak (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Park Jong Eun (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Kim Taerim (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Lee Se Uk (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Hwang Sung Yeon (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Cha Won Chul (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Shin Tae Gun (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine) Jo Ik Joon (Department of Emergency Medicine Samsung Medical Center Sungkyunkwan University School of Medicine)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.28
발행연도
2021.1
수록면
1 - 10 (10page)

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Background: Ear-loop-type Korean Filter 94 masks (KF94 masks, equivalent to the N95 and FFP2) are broadly used in health care settings in Korea for the coronavirus disease 2019 pandemic. Methods: A prospective randomized open-label study was designed to identify differences in the fitting performance between mask wearing methods in three different types of KF94 mask with ear loops between January to March 2021. General-fitting involved wearing an earloop-type KF94 mask, and tight-fitting involved wearing a mask aided by a clip connecting the ear loops. Each of the 30 participants wore three types of masks according to a randomly assigned order in both methods and performed a total of six quantitative fit tests (QNFTs) according to the occupational safety and health administration protocol. Results: All fit factors (FFs) measured by the QNFT were significantly higher for tight-fitting method with the clip in all KF94 masks (P < 0.001). However, the total FFs were very low, with a median (interquartile range) of 6 (3–23) and 29 (9–116) for general-fitting and tight-fitting, respectively. When wearing tightly, the horizontal 3-fold type mask with adjustable ear-loop length had the highest FF, with a median of 125, and the QNFT pass rate (FF ≥ 100) increased significantly from 4 (13%) to 18 (60%). Conclusion: Even with sufficient filter efficiency, ear-loop-type-KF94 masks do not provide adequate protection. However, in relatively low-risk environments, wearing a face-seal adjustable KF94 mask and tight wearing with a clip can improve respiratory protection for healthcare workers.

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