Some people think that longer use and reuse of respirators could help save limited stocks of disposable N95 respirators, but some people are worried about these practices. Not all devices have been approved by the FDA to be used again. Some makers' product user manual says for single use only, while others say it can be used again if the facility's infection control policy allows it. Most of the risks come from touching the surface of the contaminated respirator. As a result of long-term use, one study found that nurses touched their face, eyes, or N95 mask 25 times on average each shift. Contact transmission can happen directly with another person or indirectly by touching and contaminating surfaces that are then touched by other people.
Respiratory pathogens on the surface of the respirator could be passed to the wearer's hands by touching them, which could then affect the mucous membranes face when they touch it again (this is called self-inoculation). Studies have shown that some respiratory pathogens can stay active on respirator surfaces for a long time. However, more than 99.8% of these microbes stayed stuck on the respirator after touching it or simulating a cough or sneeze. Vancomycin-resistant enterococci (VRE),
methicillin-resistant Staphylococcus aureus (MRSA), norovirus (NV), clostridium difficile (CDIF) among many others as well can also pass on to respirators from patients who carry these common healthcare pathogens. These pathogens survive for long periods in the environment. The person who wore the mask could get these organisms on their hands, which would then be passed on to others through direct or indirect contact transmission.
When respirators are used more than once, the risks of contact transmission can change depending on the medical procedure being done and how well engineering and administrative controls are in place. These controls affect how contaminated a respirator is by droplet sprays or the deposition of aerosolized particles. For example, medical procedures that create aerosols, like bronchoscopies, sputum induction, or endotracheal intubation, are likely to make the surface of the respirator more contaminated. To lower the levels of contamination, source control of patients (for example, asking them to wear facemasks), use of a face shield over the disposable N95 respirator, or engineering controls like local exhaust ventilation are likely to be effective.
The main risk of prolonged use and reuse of respirators is contact transmission, which happens when you touch a contaminated respirator. Other concerns have also been looked at, such as the respirator's decreasing ability to protect the wearer due to rough handling or excessive reuse. Extended use can make people feel worse if they have to wear the mask for longer than normal. This should be acceptable, though, and shouldn't pose a health risk to people who are properly cleared to wear respirators.