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

Summary of findings 8. Procedures: Mask tabs versus No mask tabs.

Mask tabs compared to No mask tabs for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff
Patient or population: Preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff
 Setting:Intervention: Mask tabs
 Comparison: No mask tabs
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) № of participants
 (studies) Certainty of the evidence
 (GRADE) Comments
Risk with No mask tabs Risk with Mask tabs
Contamination of mask from hands Study population RR 0.33
 (0.14 to 0.80) 20
 (1 RCT) ⊕⊝⊝⊝
 VERY LOW 1 2 3 Analyses presented in this table are unadjusted for the paired nature of the cross‐over design but similar to the results that the authors presented while taking the cross‐over into account
1,000 per 1,000 330 per 1,000
 (140 to 800)
Contamination of head from hands Study population RR 0.96
 (0.83 to 1.12) 120
 (1 RCT) ⊕⊝⊝⊝
 VERY LOW 1 2 3 Analyses presented in this table are unadjusted for the paired nature of the cross‐over design but similar to the results that the authors presented while taking the cross‐over into account
867 per 1,000 832 per 1,000
 (719 to 971)
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: Confidence interval; RR: Risk ratio; OR: Odds ratio;
GRADE Working Group grades of evidenceHigh certainty: We are very confident that the true effect lies close to that of the estimate of the effect
 Moderate certainty: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
 Low certainty: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
 Very low certainty: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

1 The randomisation procedure was unclear and the cross‐over procedure was unclear so we downgraded with one level because of study limitations.

2 This is a simulation study so we downgraded with one level because of indirectness.

3 One study only with 20 participants and so we downgraded with one level because of imprecision.