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ABSTRACT Objective: to identify scientific evidence on the effectiveness of using cloth masks as safe protectors against COVID-19 Method: an integrative review of articles available in full obtained at PubMed, CINAHL, and Web of Science Controlled, non-controlled descriptors and keywords such as "mask", "home-made"and "cloth"or "cotton"and "infection control"or "infection prevention"were used Results: thirty-eight articles were selected;of these, seven studies made up the sample Evidence shows that cloth masks do not have the same protective characteristics as surgical masks, indicating an increased risk of infection due to humidity, diffusion of fluids, virus retention, and improper preparation Considering the shortage of surgical masks during the pandemic, cloth masks could be proposed as a last resort Conclusion: cloth masks should be used together with preventive measures, such as home insulation, good respiratory conduct, and regular hand hygiene RESUMEN Objetivo: identificar evidencia científica sobre la efectividad del uso de mascarillas de tela como un protector seguro contra COVID-19 Método: revisión integradora de artículos disponibles en su totalidad, obtenidos de las bases de datos PubMed, CINAHL y Web of Science Se utilizaron descriptores controlados y no controlados y palabras clave "mask", "home-made"y "cloth"o "cotton"y "infection control"o "infection prevention" Resultados: se seleccionaron 38 artículos De estos, siete estudios constituyeron la muestra La evidencia ha demostrado que las máscaras de tejido no tienen las mismas características protectoras que las máscaras quirúrgicas, lo que indica un mayor riesgo de infección debido a la humedad, la difusión de fluidos, la retención de virus y la preparación inadecuada Dada la escasez de máscaras quirúrgicas durante la pandemia, podrían proponerse como el último estándar para la población Conclusión: para la población, las mascarillas de tela deben usarse junto con otras medidas preventivas, como el aislamiento del hogar, la buena etiqueta respiratoria y la higiene regular de las manos RESUMO Objetivo: identificar evidências científicas sobre a eficácia do uso de máscaras de tecido enquanto protetor seguro contra a COVID-19 Método: revisão integrativa de artigos disponíveis na íntegra, obtidos nas bases PubMed, CINAHL e Web of Science Foram utilizados descritores controlados, não controlados e palavras-chave "mask", "home-made"e "cloth"ou "cotton"e "infection control"ou "infection prevention" Resultados: foram selecionados 38 artigos Desses, sete estudos compuseram a amostra As evidências mostraram que máscaras de tecido não apresentam as mesmas características de proteção quanto às máscaras cirúrgicas, indicando risco de infecção aumentado devido à umidade, difusão de líquidos, retenção do vírus e confecção inadequada Diante da escassez de máscaras cirúrgicas durante a pandemia, elas poderiam ser propostas como último recurso para a população Conclusão: para a população, as máscaras de tecido devem ser usadas em conjunto com outras medidas preventivas, como isolamento domiciliar, boa etiqueta respiratória e higiene regular das mãos
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OBJECTIVE: to identify scientific evidence on the effectiveness of using cloth masks as safe protectors against COVID-19. METHOD: an integrative review of articles available in full obtained at PubMed, CINAHL, and Web of Science. Controlled, non-controlled descriptors and keywords such as \'mask\', \'home-made\' and \'cloth\' or \'cotton\' and \'infection control\' or \'infection prevention\' were used. RESULTS: thirty-eight articles were selected; of these, seven studies made up the sample. Evidence shows that cloth masks do not have the same protective characteristics as surgical masks, indicating an increased risk of infection due to humidity, diffusion of fluids, virus retention, and improper preparation. Considering the shortage of surgical masks during the pandemic, cloth masks could be proposed as a last resort. CONCLUSION: cloth masks should be used together with preventive measures, such as home insulation, good respiratory conduct, and regular hand hygiene.
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