Pretreated household materials carry similar filtration protection against pathogens when compared with surgical masks

Am J Infect Control. 2020 Aug;48(8):883-889. doi: 10.1016/j.ajic.2020.05.024. Epub 2020 May 25.

Abstract

Objective: The past 4 months, the emergence and spread of novel 2019 SARS-Cov-2 (COVID-19) has led to a global pandemic which is rapidly depleting supplies of personal protective equipment worldwide. There are currently over 1.6 million confirmed cases of COVID-19 worldwide which has resulted in more the 100,000 deaths. As these numbers grow daily, hospitals are being forced to reuse surgical masks in hopes of conserving their dwindling supply. Since COVID-19 will most likely have effects that last for many months, our nationwide shortage of masks poses a long term issue that must be addressed immediately.

Methods: Based on a previous study by Quan et al., a salt-based soaking strategy has been reported to enhance the filtration ability of surgical masks. We propose a similar soaking process which uses materials widely available in anyone's household. We tested this method of pretreating a variety of materials with a salt-based solution by a droplet test using fluorescently stained nanoparticles similar in size to the COVID-19 virus.

Results: In this study, we found that paper towels and surgical masks pretreated with the salt-based solution showed a noticeable increase in filtration of nanoparticles similar in size to the COVID-19 virus. We also show that the TWEEN20 used by Quan et al. is not a critical component for the solution, and using salt alone in solution still provides a dramatically increased level of protection.

Conclusions: We believe this method will allow for healthcare workers to create a disposable added layer of protection to their surgical masks, N95s, or homemade masks by using household available products. Adoption of this method may play an essential role in ensuring the safety of healthcare workers during the COVID-19 pandemic and any pandemics that may arise in the future.

Keywords: COVID-19; Homemade mask; Medical disposable face mask; OMV; Reused masks.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Betacoronavirus / pathogenicity
  • COVID-19
  • Coronavirus Infections / prevention & control*
  • Filtration / methods*
  • Health Personnel
  • Humans
  • Infectious Disease Transmission, Patient-to-Professional / prevention & control*
  • Masks / virology*
  • Pandemics / prevention & control*
  • Personal Protective Equipment / microbiology*
  • Pneumonia, Viral / prevention & control*
  • SARS-CoV-2
  • Sodium Chloride / chemistry

Substances

  • Sodium Chloride