Abstract

Respiratory protection is key in infection prevention of airborne diseases, as highlighted by the COVID-19 pandemic for instance. Conventional technologies have several drawbacks (i.e., cross-infection risk, filtration efficiency improvements limited by difficulty in breathing, and no safe reusability), which have yet to be addressed in a single device. Here, we report the development of a filter overcoming the major technical challenges of respiratory protective devices. Large-pore membranes, offering high breathability but low bacteria capture, were functionalized to have a uniform salt layer on the fibers. The salt-functionalized membranes achieved high filtration efficiency as opposed to the bare membrane, with differences of up to 48%, while maintaining high breathability (> 60% increase compared to commercial surgical masks even for the thickest salt filters tested). The salt-functionalized filters quickly killed Gram-positive and Gram-negative bacteria aerosols in vitro, with CFU reductions observed as early as within 5 min, and in vivo by causing structural damage due to salt recrystallization. The salt coatings retained the pathogen inactivation capability at harsh environmental conditions (37 °C and a relative humidity of 70%, 80% and 90%). Combination of these properties in one filter will lead to the production of an effective device, comprehensibly mitigating infection transmission globally.

Highlights

  • Respiratory protection is key in infection prevention of airborne diseases, as highlighted by the COVID-19 pandemic for instance

  • As the World Health Organization (WHO) and scientific community highlight the urgency in stopping infectious diseases and preparing for the disease ­outbreaks[3], and new pandemic strains such as COVID-19 emerge, development of effective, readily available infection control measures is recognized as a primary challenge in health care

  • We report a diverse respiratory protection system that is manufactured without extensive engineering efforts, and achieves quick universal pathogen inactivation, high filtration efficiency, high breathability, and safe recyclability, all in one platform

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Summary

Introduction

Respiratory protection is key in infection prevention of airborne diseases, as highlighted by the COVID-19 pandemic for instance. We report the development of a filter overcoming the major technical challenges of respiratory protective devices. The salt coatings retained the pathogen inactivation capability at harsh environmental conditions (37 °C and a relative humidity of 70%, 80% and 90%) Combination of these properties in one filter will lead to the production of an effective device, comprehensibly mitigating infection transmission globally. Surgical masks have seen a continued use for this purpose in the general public during more recent outbreaks, in spite of the improper a­ pplication[12,13,14,15] This is due to their high availability, affordability and comfort. Respirators and masks play a critical role in the protection against bioaerosols, they are limited by four major technical issues of the filters: (i) cross-infection, (ii) filtration efficiency, (iii) breathability, and (iv) r­ ecyclability[16].

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