{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T10:30:03Z","timestamp":1770460203108,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A universal community testing programme (UCTP) was initiated by the government of the Hong Kong Special Administrative Region of the People's Republic of China, as part of a territory\u2010wide initiative to enhance the control of the coronavirus disease (COVID\u201019) pandemic, to facilitate the early identification of asymptomatic patients in the community\u2010transmission chain. The authors (who were also engaged in this programme) observed that, at the end of their 6\u2010hour shift, most of the HCPs sustained medical device\u2010related pressure injuries (MDRPI), frequently on their faces, over the bridge of their nose, the upper cheeks, above the ears, lower jaws, and chin that caused pain and erythema. In this study, our team examined whether two different types of dressing (light silicone foam dressing and soft silicone perforated tape dressing) applied on the anatomical locations (including the bridge of the nose, upper cheek, above the ears, and lower jaw) would enable the wearer to pass the quantitative respirator fit testing that was conducted using a PortaCount Pro+ Respirator Fit Tester 8038. We also investigated if any skin reactions occurred after the participants worn the respirator with our applied dressing materials for 240\u2009minutes in a safe laboratory setting. Lastly, we collected the qualitative feedback concerning how the participants felt about the performance of our dressing materials in preventing MDRPI associated with the prolonged use of tight\u2010fitting FFRs. A small convenience sample of HCPs (n\u00a0=\u00a024) who participated in the UCTP was recruited. We randomly selected 12 participants for one type of dressing, and the rest for the second type of dressing. Quantitative fit testing showed an adequate seal of the respirators with the use of both types of thin dressings that were available in the clinical settings. All of the participants except one tolerated the dressings for prolonged use without any report of adverse skin reactions. Our findings may move a step forward in assisting the process of developing feasible pre\u2010emptive skincare practice guidelines to reduce MDRPI during the prolonged use of nanofiber bacterial surgical respirators.<\/jats:p>","DOI":"10.1111\/iwj.13714","type":"journal-article","created":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T05:42:52Z","timestamp":1635918172000},"page":"1188-1196","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Use of thin silicone dressings for prolonged use of filtering facepiece respirators: Lessons from the universal community testing programme during the <scp>COVID<\/scp>\u201019"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6988-214X","authenticated-orcid":false,"given":"Ka\u2010Huen","family":"Yip","sequence":"first","affiliation":[{"name":"School of Health Sciences Caritas Institute of Higher Education  Tseung Kwan O, Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2353-5433","authenticated-orcid":false,"given":"Yuk\u2010Chiu","family":"Yip","sequence":"additional","affiliation":[{"name":"School of Health Sciences Caritas Institute of Higher Education  Tseung Kwan O, Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"National Pressure Ulcer Advisory Panel. National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury [new release]. 2016.http:\/\/www.npuap.org\/national\u2010pressure\u2010ulcer\u2010advisory\u2010panel\u2010npuap\u2010announces\u2010a\u2010change\u2010in\u2010terminology\u2010from\u2010pressure\u2010ulcer\u2010to\u2010pressure\u2010injury\u2010and\u2010updates\u2010the\u2010stages\u2010of\u2010pressure\u2010injury."},{"key":"e_1_2_10_3_1","first-page":"91","article-title":"Medical device\u2010related pressure ulcers","volume":"3","author":"Black JM","year":"2016","journal-title":"Wound Care Manage Res"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.Sup2a.S1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.5.245"},{"key":"e_1_2_10_6_1","unstructured":"GefenA AlvesP. Protect your facial skin to reduce your risk of infection: practical guidance to clinicians [white paper]. 2020.https:\/\/cdn.ymaws.com\/www.wocn.org\/resource\/dynamic\/forums\/20200401_101834_30410.pdf."},{"key":"e_1_2_10_7_1","unstructured":"Centers for Disease Control and Prevention. The National Institute for Occupational Safety and Health (NIOSH). 2021.https:\/\/www.cdc.gov\/niosh\/index.htm."},{"key":"e_1_2_10_8_1","unstructured":"NASK. Characteristics of NASK. 2021.http:\/\/nask.hk\/%e7%b4%8d%e7%b1%b3%e7%ba%96%e7%b6%ad%e6%99%ba%e8%83%bd%e6%ae%ba%e8%8f%8c%e5%8f%a3%e7%bd%a9\/."},{"key":"e_1_2_10_9_1","unstructured":"Coloplast Inc. Wound Care. 2021.https:\/\/www.coloplast.com.hk\/en\u2010HK\/products\/Wound\u2010Care\/#section=Non\u2010infected\u2010wounds_397854."},{"key":"e_1_2_10_10_1","unstructured":"Advancis Medical. Siltape. 2021.https:\/\/uk.advancismedical.com\/products\/other-products\/siltape."},{"key":"e_1_2_10_11_1","unstructured":"National Pressure Injury Advisory Panel. NPIAP position statements on preventing injury with N95 masks. 2020.https:\/\/cdn.ymaws.com\/npiap.com\/resource\/resmgr\/position_statements\/Mask_Position_Paper_FINAL_fo.pdf."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000677"},{"key":"e_1_2_10_13_1","unstructured":"American Society of Safety Engineers. Respiratory Fit Testing Methods. American Industrial Hygiene Association. 2010.https:\/\/hse.nioc.ir\/portal\/file\/?312746\/ansi\u2010aiha\u2010z88.10\u20102010\u2010respirator\u2010fit\u2010testing\u2010methods.pdf."},{"key":"e_1_2_10_14_1","unstructured":"Occupational Safety and Health Administration (OSHA). Occupational Safety and Health Standards 1910.134 Appendix A. Fit testing procedures (Mandatory). 1974 2004.https:\/\/www.ishn.com\/articles\/107816\u2010osha\u2010ppe\u20101910134\u2010appendix\u2010a\u2010fit\u2010testing\u2010procedures\u2010mandatory."},{"key":"e_1_2_10_15_1","unstructured":"TSI Inc. Portacount respirator fit tester 8038. 2021.https:\/\/tsi.com\/products\/respirator\u2010fit\u2010testers\/portacount\u2010respirator\u2010fit\u2010tester\u20108038\/."},{"key":"e_1_2_10_16_1","unstructured":"Centers for Disease Control and Prevention. The National Personal Protective Technology Laboratory (NPPTL): Respirator Trusted\u2010Source Information. 2018.https:\/\/www.cdc.gov\/niosh\/npptl\/topics\/respirators\/disp_part\/respsource3fittest.html."},{"key":"e_1_2_10_17_1","unstructured":"Health and Safety Executive. Guidance on Respiratory Protective Equipment (RPE) Fit Testing. 2019.https:\/\/www.hse.gov.uk\/pubns\/indg479.pdf."},{"key":"e_1_2_10_18_1","unstructured":"University of Toronto. Respiratory protection program. 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