Microbial Detection from Used Face Masks and Hygiene Practices

  • Zobiakhlui Chhakchhuak Department of Microbiology, ABVIMS and Dr Ram Manohar Lohia Hospital, New Delhi, India.
  • Mala Chhabra Department of Microbiology, ABVIMS and Dr Ram Manohar Lohia Hospital, New Delhi, India.
  • Sanjeet Panesar Department of Community Medicine, ABVIMS and Dr Ram Manohar Lohia Hospital, New Delhi, India
  • Nandini Duggal ABVIMS and Dr Ram Manohar Lohia Hospital, New Delhi, India
Keywords: face-mask, hygiene, microbial, pandemic

Abstract

Background: The use of face masks for preventing the transmission of respiratory illnesses has proven to be quite effective in view of recent events. However, guidelines on proper use of face masks and hygiene practices tend to be overlooked raising the concern of potential secondary infections. Hence, the purpose of this study was to investigate the number of microbial isolates and hygiene practices in regard to mask usage.
Methods: An observational study was conducted in the Microbiology Department at ABVIMS & Dr RML Hospital, New Delhi in which 47 used face masks were collected from individuals with varying occupations for 4 months. A pre-designed, pre-tested questionnaire was used. Bacterial and fungal culturing were done as per microbiological standards. Molecular PCR was performed for SARS-CoV-2 virus detection. Chisquare test was used to test associations between qualitative variables.
Results: Cloth masks (23, 48.94%), surgical masks (13, 27.66%) and N95 masks (11, 23.40%) were collected. On observation, proper wearing of masks was higher among healthcare workers as compared to other
study groups of drivers, hawkers and maids (p value: 0.025). The proportion of masks showing culture positivity showed a drastic rise in relation to the duration of usage of masks. Ninety-three bacteria were isolated with coagulase-negative Staphylococcus (CoNS) (37, 39.78%) constituting the majority. Aspergillus species (18, 48.64%) was the predominant fungal isolate.
Conclusion: According to this study, microbial isolates increase with an increased duration of wear. Good practices regarding the use of face masks and hygiene need to be promoted.

How to cite this article:
Chhakchhuak Z, Chhabra M, Panesar S, Duggal N. Microbial Detection from Used Face Masks and Hygiene Practices. J Commun Dis. 2023;55(4):111-118.

DOI: https://doi.org/10.24321/0019.5138.202363

References

World Health Organization [Internet]. Advice on the use of masks in the context of COVID-19: interim guidance, 5 June 2020; 2020 [cited 2023 Jun 19]. Available from: https://apps.who.int/iris/handle/10665/332293

[Google Scholar]

Ministry of Health and Family Welfare, Government of India [Internet]. Additional guidelines on rational use

of personal protective equipment (setting approach for health functionaries working in non-COVID areas);

[cited 2023 Jun 22]. Available from: https://www. mohfw.gov.in/pdf/Additional guidelines on rational use

of Personal Protective Equipment setting approach for Health functionaries working in non COVID areas.pdf

Kisielinski K, Giboni P, Prescher A, Klosterhalfen B, Graessel D, Funken S, Kempski O, Hirsch O. Is a

mask that covers the mouth and nose free from undesirable side effects in everyday use and free of

potential hazards? Int J Environ Res Public Health. 2021;18(8):4344. [PubMed] [Google Scholar]

Chiller K, Selkin BA, Murakawa GJ. Skin microflora and bacterial infections of the skin. J Investig Dermatol Symp

Proc. 2001;6(3):170-4. [PubMed] [Google Scholar]

Parlet CP, Brown MM, Horswill AR. Commensal Staphylococci influence Staphylococcus aureus

skin colonization and disease. Trends Microbiol. 2019;27(6):497-507. [PubMed] [Google Scholar]

Delanghe L, Cauwenberghs E, Spacova I, Boeck ID, Beeck WV, Pepermans K, Claes I, Vandenheuvel D,

Verhoeven V, Lebeer S. Cotton and surgical face masks in community settings: bacterial contamination and face

mask hygiene. Front Med (Lausanne). 2021;8:732047. [PubMed] [Google Scholar]

ICMR-National Institute of Virology [Internet]. Standard operating procedure for detection of 2019 novel

coronavirus (2019-nCoV) in suspected human cases by rRT-PCR : confirmation assay; 2020 [cited 2023 Jul

. Available from: https://www.icmr.gov.in/pdf/covid/ labs/2_SOP_for_Confirmatory_Assay_for_2019_nCoV.

pdf 8. Selvaranajn K, Navaratnam S, Rajeev P, Ravintherakumaran N. Environmental challenges induced by extensive use of face masks during COVID-19: a review and potential solutions. Environ Chall. 2021;3:100039. [Google Scholar]

Chughtai AA, Seale H, Macintyre CR. Effectiveness of cloth masks for protection against severe acute

respiratory syndrome coronavirus 2. Emerg Infect Dis. 2020;26(10):e200948. [PubMed] [Google Scholar]

Yousefimashouf M, Yousefimashouf R, Alikhani MS, Hashemi H, Karami P, Rahimi Z, Hosseini SM. Evaluation

of the bacterial contamination of face masks worn by personnel in a center of COVID 19 hospitalized patients: a cross-sectional study. New Microbes New Infect. 2023;52:101090. [PubMed] [Google Scholar]

Maleki A, Shamshirgaran M, Aramjoo H, HajiHosseini M, Moghadam HM, Bidaki MZ. An evaluation of frequencies and types of bacterial pathogens in personnel gowns, before and after washing with sodium hypochlorite 5%, in Vali-e-Asr Hospital, Birjand, Iran. J Surg Trauma. 2019;7(3):98-102. [Google Scholar]

Park AM, Khadka S, Sato F, Omura S, Fujita M, Hashiwaki K, Tsunoda I. Bacterial and fungal isolation

from face masks under the COVID-19 pandemic. Sci Rep. 2022;12(1):11361. [PubMed] [Google Scholar]

Lee EJ, Park H, Je MA, Jung S, Myoung G, Jo SB, Hwang HM, Si R, Jin H, Lee KE, Kim J. Microbial contamination

according to the numbers of mask worn in the community. Biomed Sci Lett. 2022;28(4):317-21. [Google Scholar]

Adalbert JR, Varshney K, Tobin R, Pajaro R. Clinical outcomes in patients co-infected with COVID-19

and Staphylococcus aureus: a scoping review. BMC Infect Dis. 2021;21(1):985. [PubMed] [Google Scholar]

Nightingale M, Mody M, Rickard AH, Cassone M. Bacterial contamination on used face masks among

nursing home healthcare personnel. Antimicrob Steward Healthc Epidemiol. 2023;3(1):e54. [PubMed]

[Google Scholar]

Chughtai AA, Stelzer-Braid S, Rawlinson W, Pontivivo G, Wang Q, Pan Y, Zhang D, Zhang Y, Li L, MacIntyre

CR. Contamination by respiratory viruses on outer surface of medical masks used by hospital healthcare

workers. BMC Infect Dis. 2019;19(1):491. [PubMed] [Google Scholar]

Zhiqing L, Yongyun C, Wenxiang C, Mengning Y, Yuanqing M, Zhenan Z, Haishan W, Jie Z, Kerong D, Huiwu L, Fengxiang L, Zanjing Z. Surgical masks as source of bacterial contamination during operative procedures. J Orthop Translat. 2018;14:57-62. [PubMed] [Google Scholar]

Published
2024-03-13