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. 2020 Apr 15;2020(4):CD011621. doi: 10.1002/14651858.CD011621.pub4

1. Exposure and outcome in simulation studies.

Study ID Exposure Outcome
  Agent Name Solution Amount Additions Exposure method Detection Photographs Measure
Andonian 2019 Fluorescent fluid/microbeads Powder (Glitter Bug)/fluorescent 2‐μm polystyrene latex bead (PLSs) Grape‐seed oil and water (1:6 oil‐to‐water ratio)/in aerosol 75 mg/mL Pesticide hand sprayer: 5 sweeping passes of sprayer from head to feet on the front and back of the HCW/4 min of continuous aerosol generation while the HCW turned 90° every 60 s UV‐light/PLS detection was performed by counting via epifluorescent microscopy No Number of body sites with fluorescent marker/with PLS
Bell 2015 Fluorescent Glogerm, Tide, Bright Dyes Orange Dye Water 100 mL Oatmeal, chocolate powder, crushed cereal 100 mL splashed on the front torso of their garment UV LED black light, Chauvet Yes Contaminated yes/no
Buianov 2004 Microbes ? 10^8 CFU/m3 ? ? ? ? ? ?
Casanova 2012 Virus MS2 10^5 PFU/5 muL 25 muL ? Shoulder, respirator, eye protection, hand 5 drops of 5 muL Swabs of face and hands; extraction gloves, scrubs n/a Any contamination yes/no; mean Log10 PFU recovered
Casanova 2016 Virus MS2, Phi6 10^8 MS2, 10^7 Phi6/5 muL 25 muL ? Hand, shoulder, face‐shield, boot Swabs of face and hands; extraction gloves, scrubs n/a Any contamination yes/no
Chughtai 2018 Fluorescent Fluorescent spray: Glitter Bug ? 0.5 mL ? Rubbed over hands; sprayed on front and sides from 1 m distance UV light No People with contaminated patches
Gleser 2018 Fluorescent Schulke ? 5 mL No Distributed equally on the gloves UV box No Hand contamination (yes/no)
Guo 2014 Fluorescent Glogerm Oil and water ? No Sprayed 3.8 g of the lotion onto the upper body of the subject at a distance of 60 cm from the participant UV scan No Number of stains
Hajar 2019 Fluorescent Fluorescent solution (Super Blue Invisible Ink, Black Light World) ? 0.5 mL ? Rubbed over gloved hands appr 15 s Black light no Sites per person/people with contamination
Hall 2018 Fluorescent VIOLET‐tool Water, glycerol 800 mL (blue UV) Flour, salt Manikin vomited, produced diarrhoea, sweat and cough UV‐A strip lights Yes Yes/no and location (n = 12)
Kpadeh Rogers 2019 Bacteria Bacterial suspension of MSSA/GloGerm Mist liquid ? 50 muL each ? Rubbed the bacteria/fluorescent marker on their hands Plated on tryptic soy agar for quantitative culturing. Plates were incubated overnight. No Number of CFUs of K pneumoniae and MSSA were calculated
Mana 2018 Fluorescent ? ? 0.5 mL No Rubbed over gloved hands; then contaminated front of the gown Ultra light UV1 No Any contamination yes/no
Virus Phi X174 10^8 PFU/0.5 mL 0.5 mL ? Rubbed over de‐gloved hands for 10 sec Swabs of hands and wrist; swabs of neck and chest n/a Any contamination yes/no; mean Log10 PFU recovered
Osei‐Bonsu 2019 Fluorescent/ bacteria Glo Germ fluorescent powder/Staphylococcus epidermidis ? 1 mL of S epidermidis in a 0.5 McFarland suspension (1.5 10 8 CFU/mL) ? Wedge foam paint brush to coat participants with Glo Germfluorescent powder on both arms, hands, and the abdomen/dripping droplets over the PPE with a 1000 uL pipette Black light/areas of apparent powder transfer were documented and cultured using cotton swabs, inoculated onto blood agar plates, and incubated for 48 h. No Number of people with contamination
Suen 2018 Fluorescent Fluorescent solution (UV GERM Hygiene Spray, Glow TecLtd ? 12 times 1.99 g ? Solution was sprayed onto the face shield, 2 upper limb/gloves and anterior surfaces of the gown UV lamp (CheckPoint, 220– 240 V/50 Hz; Glow Tec Ltd., London, England) under dim light No Overall average of contaminated body sites
Strauch 2016 Fluorescent Glogerm Oil 25 mL No 1. brushed on masks
2. 1 mL on the hands UV‐A light Yes Contaminated yes/no; intensity of UV light reflection
Tomas 2016 Fluorescent ? ? 0.5 mL No Rubbed over gloved hands Ultra light UV1 No Contaminated hands/wrist yes/no
Virus MS2 10^10 PFU /0.5 mL 0.5 mL ? Gloved hands were inoculated Swabs of hands and wrist n/a Contaminated hands/wrist yes/no; mean log10 PFU recovered
Wong 2004 Fluorescent ? Water 100 mL No Sprayed the exposed part with an atomiser (participants were blindfolded during this process) UV scan Yes Number of stains
Zamora 2006 Fluorescent Detection paste ? 100 mL No Paste on forearms and palms of the hands UV lamp No Areas measured
CFU: colony forming units; HCW: healthcare worker; K pneumonia: Klebsiella pneumoniae;LED: light‐emitting diode; MS2: harmless virus; MSSA: methicillin‐sensitive Staphylococcus aureus;mL: millilitre; muL: microlitre; n/a: not applicable; PFU: plaque forming units; Phi6: harmless virus; PLS: polystyrene latex bead; UV: ultraviolet