2020, Número 3
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salud publica mex 2020; 62 (3)
Revisión rápida del uso de cubrebocas quirúrgicos en ámbito comunitario e infecciones respiratorias agudas
Stern D, López-Olmedo N, Pérez-Ferrer C, González-Morales R, Canto-Osorio F, Barrientos-Gutiérrez T
Idioma: Español
Referencias bibliográficas: 28
Paginas: 319-330
Archivo PDF: 235.44 Kb.
RESUMEN
Objetivo. Evaluar la efectividad del uso de cubrebocas quirúrgico
en ámbitos comunitarios para reducir la probabilidad
de contagio por SARS-CoV-2 u otra infección respiratoria
aguda viral, en comparación con no usar cubrebocas.
Material
y métodos. Se utilizó la metodología de revisiones
rápidas de Cochrane. La estrategia de búsqueda abarcó una
base de datos académica y pre-prints hasta el 1 de abril de
2020. Los títulos y resúmenes fueron revisados por un investigador.
La revisión de textos completos fue dividida entre tres
investigadores. Los resultados fueron sintetizados de forma
narrativa.
Resultados. Se identificaron 713 manuscritos, de
los cuales 21 cumplieron los criterios de inclusión. De seis
revisiones sistemáticas, cuatro no encontraron reducciones
en la probabilidad de contagio y seis estudios experimentales
en hogares no encontraron diferencias en la probabilidad de
contagio asociado con el uso de cubrebocas. Únicamente un
estudio de modelaje estimó una reducción de 20% en la incidencia
de enfermedad respiratoria, asumiendo que 10 a 50%
de la población hace uso correcto de cubrebocas quirúrgicos.
Conclusiones. La evidencia científica no es concluyente
para recomendar o desalentar el uso de cubrebocas a nivel
poblacional. Considerando los potenciales efectos negativos,
las recomendaciones gubernamentales deberían esperar a
los resultados de los experimentos naturales en países que
han recomendado la utilización poblacional de cubrebocas.
REFERENCIAS (EN ESTE ARTÍCULO)
World Health Organization. Advice on the use of masks in the context of COVID-19: interim guidance. 6 de abril de 2020. Report No.: WHO/2019-nCov/IPC_Masks/2020.3. Disponible en: https://www.who. int/publications-detail/advice-on-the-use-of-masks-in-the-communityduring- home-care-and-in-healthcare-settings-in-the-context-of-the-novelcoronavirus-( 2019-ncov)-outbreak
Qian G, Yang N, Ma AHY, Wang L, Li G, Chen X, et al. A COVID-19 Transmission within a family cluster by presymptomatic infectors in China. Clin Infect Dis. 2020. https://doi.org/10.1093/cid/ciaa316
Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020;395(10223):514-23. https://doi.org/10.1016/S0140-6736(20)30154-9
Leung NH, Chu DK, Shiu EY, Chan K-H, McDevitt JJ, Hau BJ, et al. Respiratory virus shedding in exhaled breath and efficacy of face masks. Nat Med. 2020. https://doi.org/10.1038/s41591-020-0843-2
Garritty C, Stevens A, Gartlehner G, King V, Kamel C. Cochrane Rapid Reviews Methods Group to play a leading role in guiding the production of informed high-quality, timely research evidence syntheses. Syst Rev. 2016;5(1):184. https://doi.org/10.1186/s13643-016-0360-z
Xiao J, Shiu EYC, Gao H, Wong JY, Fong MW, Ryu S, et al. Nonpharmaceutical measures for pandemic influenza in nonhealthcare settings personal protective and environmental measures. Emerg Infect Dis. 2020;26(5). https://doi.org/10.3201/eid2605.190994
Saunders-Hastings P, Crispo JAG, Sikora L, Krewski D. Effectiveness of personal protective measures in reducing pandemic influenza transmission: A systematic review and meta-analysis. Epidemics. 2017;20:1-20. https://doi.org/10.1016/j.epidem.2017.04.003
Bin-Reza F, Lopez Chavarrias V, Nicoll A, Chamberland ME. The use of masks and respirators to prevent transmission of influenza: a systematic review of the scientific evidence. Influenza Other Respir Viruses. 2012;6(4):257-67. https://doi.org/10.1111/j.1750-2659.2011.00307.x
Aledort JE, Lurie N, Wasserman J, Bozzette SA. Non-pharmaceutical public health interventions for pandemic influenza: an evaluation of the evidence base. BMC public health. 2007;7:208. https://doi. org/10.1186/1471-2458-7-208
Cowling BJ, Zhou Y, Ip DK, Leung GM, Aiello AE. Face masks to prevent transmission of influenza virus: a systematic review. Epidemiol Infect. 2010;138(4):449-56. https://doi.org/10.1017/S0950268809991658
Jefferson T, Del Mar CB, Dooley L, Ferroni E, Al-Ansary LA, Bawazeer GA, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Data-base Syst Rev. 2011;2011(7):Cd006207. https://doi.org/10.1002/14651858.CD006207.pub4
Wu J, Xu F, Zhou W, Feikin DR, Lin CY, He X, et al. Risk factors for SARS among persons without known contact with SARS patients, Beijing, China. Emerg Infect Dis. 2004;10(2):210-6. https://doi.org/10.3201/ eid1002.030730
Lau JT, Tsui H, Lau M, Yang X. SARS transmission, risk factors, and prevention in Hong Kong. Emerg Infect Dis. 2004;10(4):587-92. https://doi. org/10.3201/eid1004.030628
Simmerman JM, Suntarattiwong P, Levy J, Jarman RG, Kaewchana S, Gibbons RV, et al. Findings from a household randomized controlled trial of hand washing and face masks to reduce influenza transmission in Bangkok, Thailand. Influenza Other Respir Vi-ruses. 2011;5(4):256-67. https:// doi.org/10.1111/j.1750-2659.2011.00205.x
MacIntyre CR, Zhang Y, Chughtai AA, Seale H, Zhang D, Chu Y, et al. Cluster random-ised controlled trial to examine medical mask use as source control for people with respiratory illness. BMJ open. 2016;6(12):e012330. https://doi.org/10.1136/bmjopen-2016-012330
MacIntyre CR, Cauchemez S, Dwyer DE, Seale H, Cheung P, Browne G, et al. Face mask use and control of respiratory virus transmission in households. Emerg Infect Dis. 2009;15(2):233-41. https://doi.org/10.3201/ eid1502.081166
Cowling BJ, Chan KH, Fang VJ, Cheng CK, Fung RO, Wai W, et al. Facemasks and hand hygiene to prevent influenza transmission in households: a cluster randomized trial. Ann Intern Med. 2009;151(7):437-46. https:// doi.org/10.7326/0003-4819-151-7-200910060-00142
Larson EL, Ferng YH, Wong-McLoughlin J, Wang S, Haber M, Morse SS. Impact of non-pharmaceutical interventions on URIs and influenza in crowded, urban households. Public health reports (Washington, DC: 1974). 2010;125(2):178-91. https://doi.org/10.1177/003335491012500206
Canini L, Andréoletti L, Ferrari P, D’Angelo R, Blanchon T, Lemaitre M, et al. Surgical mask to prevent influenza transmission in households: a cluster randomized trial. PloS one. 2010;5(11):e13998. https://doi. org/10.1371/journal.pone.0013998
Aiello AE, Murray GF, Perez V, Coulborn RM, Davis BM, Uddin M, et al. Mask use, hand hygiene, and seasonal influenza-like illness among young adults: a randomized intervention trial. J Infect Dis. 2010;201(4):491-8. https://doi.org/10.1086/650396
Uchida M, Kaneko M, Hidaka Y, Yamamoto H, Honda T, Takeuchi S, et al. Effectiveness of vaccination and wearing masks on seasonal influenza in Matsumoto City, Japan, in the 2014/2015 season: An observational study among all elementary schoolchildren. Prev Med Rep. 2017;5:86-91. https:// doi.org/10.1016/j.pmedr.2016.12.002
Yan J, Guha S, Hariharan P, Myers M. Modeling the effectiveness of respiratory protective devices in reducing influenza outbreak. Risk Anal. 2019;39(3):647-61. https://doi.org/10.1111/risa.13181
Brienen NC, Timen A, Wallinga J, van Steenbergen JE, Teunis PF. The effect of mask use on the spread of influenza during a pandemic. Risk Anal. 2010;30(8):1210-8. https://doi.org/10.1111/j.1539-6924.2010.01428.x
Tracht SM, Del Valle SY, Hyman JM. Mathematical modeling of the effectiveness of facemasks in reducing the spread of novel influenza A (H1N1). PloS one. 2010;5(2):e9018. https://doi.org/10.1371/journal.pone.0009018
Shakya KM, Noyes A, Kallin R, Peltier RE. Evaluating the efficacy of cloth facemasks in reducing particulate matter exposure. J Expo Sci Environ Epidemiol. 2017;27(3):352-7. https://doi.org/10.1038/jes.2016.42
MacIntyre CR, Seale H, Dung TC, Hien NT, Nga PT, Chughtai AA, et al. A cluster randomised trial of cloth masks compared with medical masks in healthcare workers. BMJ open. 2015;5(4):e006577. https://doi. org/10.1136/bmjopen-2014-006577
Stern D. Recomendaciones de cubrebocas hechos en casa por la CDC, revisión rápida de literatura, uso de cubrebocas e incidencia de enfermedades respiratorias agudas, México, 2020. https://doi.org/10.6084/ m9.figshare.12103866
Barasheed O, Alfelali M, Mushta S, Bokhary H, Alshehri J, Attar AA, et al. Uptake and effectiveness of facemask against respiratory infections at mass gatherings: a systematic review. Int J Infect Dis. 2016;47:105-11. https://doi.org/10.1016/j.ijid.2016.03.023