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. 2020 Nov 20;2020(11):CD006207. doi: 10.1002/14651858.CD006207.pub5

MacIntyre 2016.

Study characteristics
Methods Cluster‐RCT to examine medical mask use as source control for people with respiratory illness in 6 major hospitals in 2 districts of Beijing, China. Index cases with ILI were randomly allocated to medical mask (n = 123) and control arms (n = 122). Since 43 index cases in the control arm also used a mask during the study period, an as‐treated post hoc analysis was performed by comparing outcomes amongst household members of index cases who used a mask (mask group) with household members of index cases who did not use a mask (no mask group).
Participants 245 index cases with ILI (medical mask = 123, control group = 122) and 597 household contacts (medical mask = 302, control group = 295)
Interventions Medical mask versus no mask (control). See Table 4 for details.
Outcomes Clinical respiratory illness, ILI, and laboratory‐confirmed viral respiratory infection
  1. Clinical respiratory illness, defined as 2 or more respiratory symptoms (cough, nasal congestion, runny nose, sore throat, or sneezes) or 1 respiratory symptom and a systemic symptom (chill, lethargy, loss of appetite, abdominal pain, muscle or joint aches).

  2. ILI, defined as fever ≥ 38 °C plus 1 respiratory symptom.

  3. Laboratory‐confirmed viral respiratory infection, defined as detection of adenoviruses, human metapneumovirus, coronaviruses 229E/NL63 and OC43/HKU1, parainfluenza viruses 1, 2, and 3, influenza viruses A and B, respiratory syncytial virus A and B, or rhinovirus A/B by nucleic acid testing using a commercial multiplex PCR.


No safety outcomes reported.
Notes Government funded
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random allocation sequence using Microsoft Excel
Allocation concealment (selection bias) High risk Doctors enrolled the participants randomly to intervention and control arms.
Blinding of participants and personnel (performance bias)
All outcomes High risk Unblinded study
Blinding of outcome assessment (detection bias)
All outcomes High risk Clinical endpoints assessed unblinded.
Incomplete outcome data (attrition bias)
All outcomes Low risk No loss to follow‐up
Selective reporting (reporting bias) Low risk Specified outcomes reported.