{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:03:47Z","timestamp":1777899827865,"version":"3.51.4"},"reference-count":53,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T00:00:00Z","timestamp":1695772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000125","name":"National Institute for Occupational Safety and Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Disposable N95 respirator shortages during the COVID\u201019 and 2009 H1N1 influenza pandemics highlighted the need for reusable alternatives, such as elastomeric half\u2010mask respirators (EHMRs). Two US medical organizations deployed reusable EHMRs during the COVID\u201019 response. In addition to wipe\u2010based disinfection following patient care episodes expected per local policies at both organizations, postshift centralized cleaning and disinfection (C&amp;D) was expected at one site (A), permitting shared\u2010pool EHMR use, and optional at the other (Site B), where EHMRs were issued to individuals. Using a survey, we evaluated disinfection practices reported by EHMR users and predictors of disinfection behaviors and perceptions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Surveys assessed EHMR disinfection practices, occupational characteristics, EHMR use frequency, training, and individual\u2010issue versus shared\u2010pool EHMR use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1080 EHMR users completing the survey, 76% reported that they disinfect the EHMR after each patient encounter, which was the expected practice at both sites. Increasing EHMR use, recall of disinfection training, and work in intensive care or emergency settings significantly influenced higher reporting of this practice. 36% of respondents reported using centralized C&amp;D, although reporting was higher at the site (A) where this was expected (53%). Confidence in cleanliness of the EHMR following centralized C&amp;D was not influenced by individual versus shared\u2010pool EHMR issue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most EHMR users reported adherence with expected post\u2010care individual\u2010based disinfection of EHMRs but did not necessarily use standardized, centralized C&amp;D. Future efforts to limit reliance on behavior related to respirator disinfection may improve EHMR implementation in healthcare to avert dependence on single\u2010use, disposable N95 respirators.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23538","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T15:24:59Z","timestamp":1695828299000},"page":"1056-1068","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Elastomeric half\u2010mask respirator disinfection practices among healthcare personnel"],"prefix":"10.1002","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8350-9448","authenticated-orcid":false,"given":"Stella E.","family":"Hines","sequence":"first","affiliation":[{"name":"Department of Medicine University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Thurman","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen","family":"Zhuang","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hegang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Public Health University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"McDiarmid","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sricharan","family":"Chalikonda","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Angelilli","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hope","family":"Waltenbaugh","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Napoli","sequence":"additional","affiliation":[{"name":"Allegheny Health Network Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5128-470X","authenticated-orcid":false,"given":"Emily","family":"Haas","sequence":"additional","affiliation":[{"name":"National Personal Protective Technology Laboratory, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"McClain","sequence":"additional","affiliation":[{"name":"National Personal Protective Technology Laboratory, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Sietsema","sequence":"additional","affiliation":[{"name":"National Personal Protective Technology Laboratory, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohan","family":"Fernando","sequence":"additional","affiliation":[{"name":"National Personal Protective Technology Laboratory, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,27]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2020.142259"},{"key":"e_1_2_13_3_1","volume-title":"Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases","author":"Institute of Medicine (US) Committee on Personal Protective Equipment for Healthcare Personnel to Prevent Transmission of Pandemic Influenza and Other Viral Respiratory Infections","year":"2011"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/21650799211013796"},{"key":"e_1_2_13_5_1","volume-title":"Reusable Elastomeric Respirators in Health Care","author":"National Academies of Science Engineering and Medicine","year":"2019"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/2165079920938618"},{"issue":"1","key":"e_1_2_13_7_1","first-page":"1","article-title":"Halo respirator assessment of reprocessing and cleaning (ARC)","volume":"37","author":"Hines SE","year":"2020","journal-title":"J Int Soc Respir Prot"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/676863"},{"issue":"2","key":"e_1_2_13_9_1","first-page":"95","article-title":"Qualitative analysis of origins and evolution of an elastomeric respirator\u2010based hospital respiratory protection program","volume":"34","author":"Hines SE","year":"2017","journal-title":"J Intl Soc Respirat Protect"},{"key":"e_1_2_13_10_1","unstructured":"CiconteR DanylukQ.Assessment and Determination of Practical Considerations for Widescale Utlization of Elastomeric Half\u2010Facepiece Respirators during a Pandemic or Outbreak Situation. Work Safe BC;2013.http:\/\/216.176.54.70\/contact_us\/research\/funding_decisions\/assets\/pdf\/2011\/RS2011-IG13.pdf"},{"issue":"18","key":"e_1_2_13_11_1","first-page":"1849","article-title":"Training and fit testing of health care personnel for reusable elastomeric half\u2010mask respirators compared with disposable N95 respirators","volume":"323","author":"Pompeii LA","year":"2020","journal-title":"JAMA"},{"key":"e_1_2_13_12_1","unstructured":"HinesS ThurmanP McdiarmidMA.Implementation Guide to Support Use of Elastomeric Half Mask Respirators in Healthcare. University of Maryland Baltimore;2021. Accessed April 2 2021.http:\/\/hdl.handle.net\/10713\/14748"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2020.05.022"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/hs.2020.0036"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-020-00809-3"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2015.02.009"},{"key":"e_1_2_13_17_1","unstructured":"HeimbuchBK HarnishDA.Research to Mitigate a Shortage of Respiratory Protection Devices During Public Health Emergencies(Report for the Period: Table of Contents). Applied Research Associates Inc.;2019."},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/15459624.2022.2041649"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/2165079919883293"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6570.2006.00056.x"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2011-000082"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.6627"},{"key":"e_1_2_13_23_1","unstructured":"U.S. Department of Labor.Hospital Respiratory Protection Program Toolkit: Resources for Respirator Program Administrators. OSHA; 2015. Accessed June 24 2020.www.osha.gov"},{"key":"e_1_2_13_24_1","unstructured":"Occupational Safety and Health Administration.Respiratory Protection. 1910.134 | Occupational Safety and Health Administration. Accessed September 11 2020.https:\/\/www.osha.gov\/pls\/oshaweb\/owadisp.show_document?p_id=12716&p_table=standards"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2007.10.007"},{"key":"e_1_2_13_26_1","unstructured":"National Center for Immunization and Respiratory Diseases (U.S.).Division of Viral Diseases. Elastomeric Respirators: Strategies During Conventional and Surge Demand Situations: Conventional Contingency and Crisis Strategies; 2020. Accessed August 21 2023.https:\/\/stacks.cdc.gov\/view\/cdc\/95188"},{"key":"e_1_2_13_27_1","unstructured":"United States Environmental Protection Agency (EPA).List N Tool: COVID\u201019 Disinfectants | US EPA; 2020. Accessed October 9 2020.https:\/\/cfpub.epa.gov\/giwiz\/disinfectants\/index.cfm"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2018.11.021"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2014.10.008"},{"key":"e_1_2_13_32_1","volume-title":"AHRQ Hospital Survey on Patient Safety Culture: User's Guide","author":"Sorra J","year":"2016"},{"key":"e_1_2_13_33_1","first-page":"229","volume-title":"J Multidiscip Healthc","author":"Hossain MA","year":"2021"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2016.02.006"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.05.001"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1086\/650451"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciz527"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000002611"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1089\/hs.2019.0039"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/15459624.2014.925115"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/15459624.2014.930560"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.15.BJO-2020-0027.R1"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.4236\/health.2016.85048"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/608927"},{"key":"e_1_2_13_45_1","unstructured":"Centers for Disease Control and Prevention.Strategies for Optimizing the Supply of N95 Respirators: COVID\u201019. CDC; 2020. Accessed September 11 2020.https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/respirators-strategy\/index.html"},{"key":"e_1_2_13_46_1","unstructured":"Centers for Disease Control and Prevention.Summary for Healthcare Facilities: Strategies for Optimizing the Supply of PPE During Shortages; 2020. Accessed June 11 2023.https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/ppe-strategy\/strategies-optimize-ppe-shortages.html"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-020-00864-w"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1093\/annweh\/wxac054"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2022.02.027"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/21650799231164783"},{"key":"e_1_2_13_51_1","unstructured":"AIHA University Webinar: Implementing and Sustaining an EHMR\u2026 | AIHA. Accessed August 21 2023.https:\/\/www.aiha.org\/events\/aiha-university-webinar-implementing-and-sustaining-an-ehmr-program"},{"key":"e_1_2_13_52_1","unstructured":"The Role of Reusable Respiratory Protection Among Ambulance Companies.Lessons Learned During an EHMR Demonstration Project \u2010 JEMS: EMS Emergency Medical Services \u2010 Training Paramedic EMT News. Accessed August 21 2023.https:\/\/www.jems.com\/equipment-gear\/the-role-of-reusable-respiratory-protection\/"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1080\/15459624.2017.1285496"},{"issue":"3","key":"e_1_2_13_54_1","article-title":"The effect of psychosocial safety climate on engagement and psychological distress: a multilevel study on the healthcare sector","volume":"8","author":"Platania S","year":"2022","journal-title":"Safety 2022"}],"container-title":["American Journal of Industrial Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.23538","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T10:16:19Z","timestamp":1699265779000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajim.23538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,27]]},"references-count":53,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/ajim.23538"],"URL":"https:\/\/doi.org\/10.1002\/ajim.23538","archive":["Portico"],"relation":{},"ISSN":["0271-3586","1097-0274"],"issn-type":[{"value":"0271-3586","type":"print"},{"value":"1097-0274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,27]]},"assertion":[{"value":"2023-06-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}