{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:04:55Z","timestamp":1785769495173,"version":"3.56.0"},"reference-count":27,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["ajicjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Infection Control"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.ajic.2026.05.003","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T15:27:51Z","timestamp":1778167671000},"page":"972-975","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["N95 mask fit failure with extended use: A prospective cohort study"],"prefix":"10.1016","volume":"54","author":[{"given":"Elizabeth","family":"Foo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winston","family":"Cheung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Kol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asim","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalba","family":"Cross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Wagh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Gilfillan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Brannelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"LI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Mckinnon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Whereat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajic.2026.05.003_bib1","article-title":"The role of masks and respirators in preventing respiratory infections in healthcare and community settings","volume":"388","author":"MacIntyre","year":"2025","journal-title":"BMJ"},{"key":"10.1016\/j.ajic.2026.05.003_bib2","doi-asserted-by":"crossref","first-page":"S79","DOI":"10.1016\/j.ajic.2013.03.169","article-title":"REACH II: respirator evaluation in acute care hospitals","volume":"41","author":"Peterson","year":"2013","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.ajic.2026.05.003_bib3","first-page":"RR-1","article-title":"Guidelines for preventing the transmission of mycobacterium tuberculosis in heath-care facilities","volume":"43","year":"1994","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.ajic.2026.05.003_bib4","doi-asserted-by":"crossref","first-page":"D115","DOI":"10.1080\/15459624.2014.902954","article-title":"Considerations for re--ing extended use and limited reuse of filtering facepiece respirators in health care settings","volume":"11","author":"Fisher","year":"2014","journal-title":"J Occup Environ Hyg"},{"key":"10.1016\/j.ajic.2026.05.003_bib5","unstructured":"3M Information about our most popular models of 3M N95 Respirators, 2026. Last Accessed 28 May 2026. https:\/\/www.3m.com\/3M\/en_US\/worker-health-safety-us\/covid19\/my-n95."},{"key":"10.1016\/j.ajic.2026.05.003_bib6","unstructured":"Honeywell Re--ed Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators. 2024. https:\/\/sps-support.honeywell.com\/s\/article\/Re--ed-Guidance-for-Extended-Use-and-Limited-Reuse-of-N95-Filtering-Facepiece-RespiratorsRe--ed-Guidance-for-Extended-Use-and-Limited-Reuse-of-N95-Filtering-Facepiece-Respirators."},{"key":"10.1016\/j.ajic.2026.05.003_bib7","unstructured":"Trident P2 Valved Disposable Respirators; 2021. Last Accessed 4 September, 2025. https:\/\/tridentsafety.com.au\/respirators\/p2-valved-respirator."},{"key":"10.1016\/j.ajic.2026.05.003_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/j.aucc.2024.07.080","article-title":"N95 respirator seal integrity following extended-use by healthcare workers in the intensive care unit: a cohort study","volume":"38","author":"Reade","year":"2025","journal-title":"Aust Crit Care"},{"key":"10.1016\/j.ajic.2026.05.003_bib9","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.ajem.2021.02.003","article-title":"The efficacy of continuous use disposable N95 masks in clinical practice in the emergency department","volume":"44","author":"Rivard","year":"2021","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.ajic.2026.05.003_bib10","doi-asserted-by":"crossref","first-page":"547","DOI":"10.5811\/westjem.2021.1.49960","article-title":"Failure rates during reuse of disposable N95 masks in clinical practice in the Emergency Department","volume":"22","author":"Check","year":"2021","journal-title":"West J Emerg Med"},{"key":"10.1016\/j.ajic.2026.05.003_bib11","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1001\/jama.2020.9843","article-title":"Correlation between N95 extended use and reuse and fit failure in an Emergency Department","volume":"324","author":"Degesys","year":"2020","journal-title":"JAMA"},{"issue":"1","key":"10.1016\/j.ajic.2026.05.003_bib12","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.53631","article-title":"Incidence of fit test failure during N95 respirator reuse and extended use","volume":"7","author":"Wang","year":"2024","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ajic.2026.05.003_bib13","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1017\/ice.2021.76","article-title":"N95 filtering face piece respirators remain effective after extensive reuse during the coronavirus disease 2019 (COVID-19) pandemic","volume":"42","author":"Fabre","year":"2021","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.ajic.2026.05.003_bib14","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1080\/15459624.2020.1829633","article-title":"The impact of extreme reuse and extended wear conditions on protection provided by a surgical-style N95 filtering facepiece respirator","volume":"17","author":"Duncan","year":"2020","journal-title":"J Occup Environ Hyg"},{"key":"10.1016\/j.ajic.2026.05.003_bib15","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1017\/ice.2021.5","article-title":"Fit-failure rate associated with simulated reuse and extended use of N95 respirators assessed by a quantitative fit test","volume":"42","author":"Jung","year":"2021","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.ajic.2026.05.003_bib16","article-title":"Reusing N95 respirators at weekly intervals during the COVID-19 pandemic","volume":"13","author":"Nakamoto","year":"2021","journal-title":"Cureus"},{"key":"10.1016\/j.ajic.2026.05.003_bib17","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1093\/annweh\/wxz060","article-title":"The effect on fit of multiple consecutive donning and doffing of N95 filtering facepiece respirators","volume":"63","author":"Vuma","year":"2019","journal-title":"Ann Work Expo Health"},{"key":"10.1016\/j.ajic.2026.05.003_bib18","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.ajic.2011.05.003","article-title":"Impact of multiple consecutive donnings on filtering facepiece respirator fit","volume":"40","author":"Bergman","year":"2012","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.ajic.2026.05.003_bib19","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1080\/15459624.2016.1237030","article-title":"Comparison of qualitative and quantitative fit-testing results for three commonly used respirators in the healthcare sector","volume":"14","author":"Hon","year":"2017","journal-title":"J Occup Environ Hyg"},{"key":"10.1016\/j.ajic.2026.05.003_bib20","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1179\/oeh.2000.6.1.50","article-title":"Comparison of N95 disposable filtering facepiece fits using bitrex qualitative and TSI Portacount quantitative fit testing","volume":"6","author":"Clapham","year":"2000","journal-title":"Int J Occup Environ Health"},{"key":"10.1016\/j.ajic.2026.05.003_bib21","unstructured":"Occupational Safety and Health Administration2025. OSHA 29CFR1910.134 App A - Fit Testing Procedures (Mandatory). Last Accessed 4 September, 2025. . https:\/\/www.osha.gov\/laws-regs\/regulations\/standardnumber\/1910\/1910.134AppA."},{"key":"10.1016\/j.ajic.2026.05.003_bib22","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1080\/15459624.2013.843780","article-title":"Determining sample size and a passing criterion for respirator fit-test panels","volume":"11","author":"Landsittel","year":"2014","journal-title":"J Occup Environ Hyg"},{"key":"10.1016\/j.ajic.2026.05.003_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.ecoenv.2022.113908","article-title":"Can disposable masks be worn more than once?","volume":"242","author":"Chen","year":"2022","journal-title":"Ecotoxicol Environ Saf"},{"key":"10.1016\/j.ajic.2026.05.003_bib24","unstructured":"Centers for Disease Control and Prevention: Strategies for Optimizing the Supply of N95 Respirators, 2021 (Archived)."},{"key":"10.1016\/j.ajic.2026.05.003_bib25","first-page":"4","article-title":"Review of the effect of continuous use and limited reuse of N95 respirators on respirator fit","volume":"39","author":"Berger","year":"2022","journal-title":"J Int Soc Respir Prot"},{"key":"10.1016\/j.ajic.2026.05.003_bib26","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1080\/15459620903120086","article-title":"Performance of an N95 filtering facepiece particulate respirator and a surgical mask during human breathing: two pathways for particle penetration","volume":"6","author":"Grinshpun","year":"2009","journal-title":"J Occup Environ Hyg"},{"key":"10.1016\/j.ajic.2026.05.003_bib27","doi-asserted-by":"crossref","DOI":"10.1016\/j.aucc.2024.07.080","article-title":"N95 respirator seal integrity following extended-use by healthcare workers in the intensive care unit: a cohort study","volume":"38","author":"Reade","year":"2025","journal-title":"Aust Crit Care"}],"container-title":["American Journal of Infection Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S019665532600475X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S019665532600475X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:13:08Z","timestamp":1785766388000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S019665532600475X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":27,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S019665532600475X"],"URL":"https:\/\/doi.org\/10.1016\/j.ajic.2026.05.003","relation":{},"ISSN":["0196-6553"],"issn-type":[{"value":"0196-6553","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"N95 mask fit failure with extended use: A prospective cohort study","name":"articletitle","label":"Article Title"},{"value":"American Journal of Infection Control","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajic.2026.05.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}