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. 2019 Jul 1;2019(7):CD011621. doi: 10.1002/14651858.CD011621.pub3

Summary of findings 2. PPE‐types: One type of PPE versus another – Three types of PPE attire.

Three types of PPE attire compared by number of contaminated spots
Patient or population: Healthcare worker volunteers
 Settings: Simulation study
 Intervention: More protective attire, not permeable not breathable (A)
 Comparison: Less protective attire: permeable but breathable (B); fairly permeable, not breathable (D)
Outcomes Illustrative comparative risks* (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Less protective type of PPE (B or D) Most protective type of PPE attire (A)
Number of contaminated spots ‐ Neck
fluorescent marker
Follow‐up: post intervention
The mean number of contaminated spots in control group B was
 0.12 spots The mean number of contaminated spots in the intervention group was
 0.7 higher
 (0.26 lower to 1.66 higher) 50
 (1 study) ⊕⊝⊝⊝
 very low1,2,3  
Number of contaminated spots ‐ Foot
fluorescent marker
Follow‐up: post intervention
The mean number of contaminated spots in the control group B was
 2.86 spots The mean number of contaminated spots in the intervention group was
 0.96 lower
 (2.35 lower to 0.43 higher) 50
 (1 study) ⊕⊝⊝⊝
 very low1,2,3  
Number of contaminated spots ‐ Palm
fluorescent marker
Follow‐up: post intervention
The mean number of contaminated spots in the control group B was
 17.83 The mean number of contaminated spots in the intervention group was
 7.72 lower
 (15.65 lower to 0.21 higher) 50
 (1 study) ⊕⊝⊝⊝
 very low1,2,3  
Number of contaminated spots ‐ Foot
fluorescent marker
Follow‐up: post intervention
The mean number of contaminated spots in the control group D was
 4.96 The mean number of contaminated spots in the intervention group was
 4.1 lower
 (6.94 to 1.26 lower) 50
 (1 study) ⊕⊝⊝⊝
 very low1,2,3  
Number of contaminated spots ‐ Palm
fluorescent marker
Follow‐up: post intervention
The mean number of contaminated spots in the control group D was
 20.49 The mean number of contaminated spots in the intervention group was
 12.76 lower
 (21.62 to 3.9 lower) 50
 (1 study) ⊕⊝⊝⊝
 very low1,2,3  
Infection with EVD See comment See comment 0
(0 studies)
See comment No studies evaluated the effect of the interventions on infection rates.
Compliance with guidance See comment See comment 0
(0 studies)
See comment No studies evaluated the effect of the interventions on compliance with guidance.
*The basis for the assumed risk is the control group risk. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group.
 CI: Confidence interval;
GRADE Working Group grades of evidence
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

1 Simulation study, downgraded one level for indirectness
 2 One study with 100 participants, 25 participants per arm, downgraded one level for imprecision

3 Unclear risk of bias in the study, downgraded one level