System design and test method for measuring respirator filter efficiency using mycobacterium aerosols

Abstract Recently, the protection of health care workers from tuberculosis-containing aerosols has been the subject of considerable debate. An experimental apparatus and test protocol were developed to measure the collection efficiency of surgical mask and respirator filter media using a microbial aerosol challenge. Mycobacterium chelonae (M. chelonae) , used as a surrogate for Mycobacterium tuberculosis , was generated from liquid suspension using a Collison nebulizer. Upstream and downstream concentrations of viable aerosol particles were measured using Andersen cascade impactors, while total particle concentrations were measured with an aerodynamic particle sizer (APS). A monodisperse polystyrene latex (PSL) sphere aerosol (0.804 μm) was used in separate experiments to measure filter efficiency; concentrations were determined with the APS. The mycobacterial aerosol ranged in size from 0.65 to 2.2 μm when measured with the cascade impactor. A similar size range was found with the APS, yielding a count median diameter of about 0.8 μm. Samples of the mycobacterial aerosol were collected on glass slides, stained M. chelonae , as determined by environmental scanning electron microscope, were found to be rod shaped with an average length of 2 μm and average width of 0.3 μm. To evaluate the apparatus over a range of filter efficiencies (10–100%), different layers of fiberglass filter paper were tested for penetration using a 0.12 μm dioctyl phthalate (DOP) aerosol measured with a light scattering photometer, in addition to the mycobacterial and PSL aerosols. For the range of efficiencies tested it was shown that filter collection of DOP was linearly related to that of both mycobacterial and PSL sphere aerosols ( r 2 = 0.99), demonstrating that an inert aerosol may be used to predict the collection of biological aerosols by such filter media.