Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens

Introduction: Oropharyngeal swabs for diagnosis of COVID-19 often induce violent coughing, which can disperse infectious droplets onto providers. Incorrectly doffing personal protective equipment (PPE) increases the risk of transmission. A cheap, single-use variation of the face shield invented by a...

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Main Authors: Phui-Sze Angie Au-Yong, Xuanxuan Chen, Wen Hao Low, Keen Chong Chau, Stephanie Fook-Chong, Shariq Ali Khan
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2022-09-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.11622/smedj.2021118
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author Phui-Sze Angie Au-Yong
Xuanxuan Chen
Wen Hao Low
Keen Chong Chau
Stephanie Fook-Chong
Shariq Ali Khan
author_facet Phui-Sze Angie Au-Yong
Xuanxuan Chen
Wen Hao Low
Keen Chong Chau
Stephanie Fook-Chong
Shariq Ali Khan
author_sort Phui-Sze Angie Au-Yong
collection DOAJ
description Introduction: Oropharyngeal swabs for diagnosis of COVID-19 often induce violent coughing, which can disperse infectious droplets onto providers. Incorrectly doffing personal protective equipment (PPE) increases the risk of transmission. A cheap, single-use variation of the face shield invented by a Singaporean team, SG Shield, aims to reduce this risk. This manikin study aimed to study the efficacy of the SG Shield in combination with standard PPE. Methods: A person attired in full PPE whose face and chest was lined with grid paper stood in front of an airway manikin in an enclosed room. A small latex balloon containing ultraviolet fluorescent dye was placed in the oral cavity of the manikin and inflated until explosion to simulate a cough. Three study groups were tested: (a) control (no shield), (b) face shield and (c) SG Shield. The primary outcome was droplet dispersion, determined quantitatively by calculating the proportion of grid paper wall squares stained with fluorescent dye. The secondary outcome was the severity of provider contamination. Results: The SG Shield significantly reduced droplet dispersion to 0% compared to the controls (99.0%, P = 0.001). The face shield also significantly reduced droplet contamination but to a lesser extent (80.0%) compared to the control group (P = 0.001). Although the qualitative severity of droplet contamination was significantly lower in both groups compared to the controls, the face shield group had more contamination of the provider’s head and neck. Conclusion: The manikin study showed that the SG Shield significantly reduces droplet dispersion to the swab provider’s face and chest.
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institution Kabale University
issn 0037-5675
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language English
publishDate 2022-09-01
publisher Wolters Kluwer – Medknow Publications
record_format Article
series Singapore Medical Journal
spelling doaj-art-eb25e70f363f44b681b12402d7c223382025-02-10T05:29:17ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352022-09-0163950951310.11622/smedj.2021118Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimensPhui-Sze Angie Au-YongXuanxuan ChenWen Hao LowKeen Chong ChauStephanie Fook-ChongShariq Ali KhanIntroduction: Oropharyngeal swabs for diagnosis of COVID-19 often induce violent coughing, which can disperse infectious droplets onto providers. Incorrectly doffing personal protective equipment (PPE) increases the risk of transmission. A cheap, single-use variation of the face shield invented by a Singaporean team, SG Shield, aims to reduce this risk. This manikin study aimed to study the efficacy of the SG Shield in combination with standard PPE. Methods: A person attired in full PPE whose face and chest was lined with grid paper stood in front of an airway manikin in an enclosed room. A small latex balloon containing ultraviolet fluorescent dye was placed in the oral cavity of the manikin and inflated until explosion to simulate a cough. Three study groups were tested: (a) control (no shield), (b) face shield and (c) SG Shield. The primary outcome was droplet dispersion, determined quantitatively by calculating the proportion of grid paper wall squares stained with fluorescent dye. The secondary outcome was the severity of provider contamination. Results: The SG Shield significantly reduced droplet dispersion to 0% compared to the controls (99.0%, P = 0.001). The face shield also significantly reduced droplet contamination but to a lesser extent (80.0%) compared to the control group (P = 0.001). Although the qualitative severity of droplet contamination was significantly lower in both groups compared to the controls, the face shield group had more contamination of the provider’s head and neck. Conclusion: The manikin study showed that the SG Shield significantly reduces droplet dispersion to the swab provider’s face and chest.https://journals.lww.com/10.11622/smedj.2021118covid-19dropletface shieldoropharyngeal swabsg shield
spellingShingle Phui-Sze Angie Au-Yong
Xuanxuan Chen
Wen Hao Low
Keen Chong Chau
Stephanie Fook-Chong
Shariq Ali Khan
Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens
Singapore Medical Journal
covid-19
droplet
face shield
oropharyngeal swab
sg shield
title Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens
title_full Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens
title_fullStr Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens
title_full_unstemmed Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens
title_short Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens
title_sort efficacy of sg shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens
topic covid-19
droplet
face shield
oropharyngeal swab
sg shield
url https://journals.lww.com/10.11622/smedj.2021118
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