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Comparative effecti...
Comparative effectiveness of N95, surgical or medical, and non-medical facemasks in protection against respiratory virus infection: A systematic review and network meta-analysis
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- Kim, Min Seo (author)
- Sungkyunkwan Univ, South Korea
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- Seong, Dawon (author)
- Yonsei Univ, South Korea
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- Li, Han (author)
- Univ Florida, FL USA
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- Chung, Seo Kyoung (author)
- Ewha Womans Univ, South Korea
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- Park, Youngjoo (author)
- Yonsei Univ, South Korea
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- Lee, Minho (author)
- Yonsei Univ, South Korea
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- Lee, Seung Won (author)
- Sejong Univ, South Korea; Sungkyunkwan Univ, South Korea
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- Yon, Dong Keon (author)
- Kyung Hee Univ, South Korea
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- Kim, Jae Han (author)
- Yonsei Univ, South Korea
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- Lee, Keum Hwa (author)
- Yonsei Univ, South Korea; Yonsei Univ, South Korea
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- Solmi, Marco (author)
- Univ Ottawa, Canada; Ottawa Hosp, Canada; Univ Ottawa, Canada; Univ Ottawa, Canada
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- Dragioti, Elena, Ph.D. (author)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Koyanagi, Ai (author)
- Univ Barcelona, Spain; ICREA, Spain; Inst Salud Carlos III, Spain
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- Jacob, Louis (author)
- Univ Barcelona, Spain; Univ Versailles St Quentin En Yvelines, France
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- Kronbichler, Andreas (author)
- Univ Cambridge, England
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- Tizaoui, Kalthoum (author)
- Tunis El Manar Univ, Tunisia
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- Cargnin, Sarah (author)
- Univ Piemonte Orientale, Italy
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- Terrazzino, Salvatore (author)
- Univ Piemonte Orientale, Italy
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- Hong, Sung Hwi (author)
- Yonsei Univ Hlth Syst, South Korea
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- Abou Ghayda, Ramy (author)
- Case Western Reserve Univ, OH USA
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- Radua, Joaquim (author)
- Karolinska Institutet
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- Oh, Hans (author)
- Univ Southern Calif, CA USA
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- Kostev, Karel (author)
- Univ Clin Marburg, Germany
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- Ogino, Shuji (author)
- Dana Farber Harvard Canc Ctr, MA USA; Harvard TH Chan Sch Publ Hlth, MA USA; Harvard Med Sch, MA 02115 USA; Broad Inst MIT & Harvard, MA 02142 USA
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- Lee, I-Min (author)
- Harvard TH Chan Sch Publ Hlth, MA USA; Brigham & Womens Hosp, MA 02115 USA; Harvard Med Sch, MA 02115 USA
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- Giovannucci, Edward (author)
- Harvard TH Chan Sch Publ Hlth, MA USA; Harvard TH Chan Sch Publ Hlth, MA USA
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- Barnett, Yvonne (author)
- Anglia Ruskin Univ, England
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- Butler, Laurie (author)
- Anglia Ruskin Univ, England
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- McDermott, Daragh (author)
- Nottingham Trent Univ, England
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- Ilie, Petre-Cristian (author)
- Queen Elizabeth Hosp Fdn Trust, England
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- Shin, Jae Il (author)
- Yonsei Univ, South Korea; Yonsei Univ, South Korea
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- Smith, Lee (author)
- Anglia Ruskin Univ, England
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(creator_code:org_t)
- 2022-02-26
- 2022
- English.
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In: Reviews in Medical Virology. - : WILEY. - 1052-9276 .- 1099-1654. ; 32:5
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- The aim of this systematic review and network meta-analysis is to evaluate the comparative effectiveness of N95, surgical/medical and non-medical facemasks as personal protective equipment against respiratory virus infection. The study incorporated 35 published and unpublished randomized controlled trials and observational studies investigating specific mask effectiveness against influenza virus, SARS-CoV, MERS-CoV and SARS-CoV-2. We searched PubMed, Google Scholar and medRxiv databases for studies published up to 5 February 2021 (PROSPERO registration: CRD42020214729). The primary outcome of interest was the rate of respiratory viral infection. The quality of evidence was estimated using the GRADE approach. High compliance to mask-wearing conferred a significantly better protection (odds ratio [OR], 0.43; 95% confidence interval [CI], 0.23-0.82) than low compliance. N95 or equivalent masks were the most effective in providing protection against coronavirus infections (OR, 0.30; CI, 0.20-0.44) consistently across subgroup analyses of causative viruses and clinical settings. Evidence supporting the use of medical or surgical masks against influenza or coronavirus infections (SARS, MERS and COVID-19) was weak. Our study confirmed that the use of facemasks provides protection against respiratory viral infections in general; however, the effectiveness may vary according to the type of facemask used. Our findings encourage the use of N95 respirators or their equivalents (e.g., P2) for best personal protection in healthcare settings until more evidence on surgical and medical masks is accrued. This study highlights a substantial lack of evidence on the comparative effectiveness of mask types in community settings.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Mikrobiologi inom det medicinska området (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Microbiology in the medical area (hsv//eng)
Keyword
- coronavirus; COVID-19; facemask; influenza virus; network meta-analysis
Publication and Content Type
- ref (subject category)
- for (subject category)
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- By the author/editor
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Kim, Min Seo
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Seong, Dawon
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Li, Han
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Chung, Seo Kyoun ...
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Park, Youngjoo
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Lee, Minho
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Lee, Seung Won
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Yon, Dong Keon
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Kim, Jae Han
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Lee, Keum Hwa
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Solmi, Marco
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Dragioti, Elena, ...
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Koyanagi, Ai
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Jacob, Louis
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Kronbichler, And ...
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Tizaoui, Kalthou ...
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Cargnin, Sarah
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Terrazzino, Salv ...
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Hong, Sung Hwi
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Abou Ghayda, Ram ...
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Radua, Joaquim
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Oh, Hans
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Kostev, Karel
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Ogino, Shuji
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Lee, I-Min
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Giovannucci, Edw ...
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Barnett, Yvonne
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Butler, Laurie
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McDermott, Darag ...
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Ilie, Petre-Cris ...
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Shin, Jae Il
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Smith, Lee
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Microbiology in ...
- Articles in the publication
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Reviews in Medic ...
- By the university
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Linköping University
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Karolinska Institutet