Quantitative Assessment of Aerosol Leakage in Protective Clothing During Nursing Tasks: The Impact of Body Morphology and Pumping Effects

Personal protective equipment (PPE) is critical for defending against airborne biological hazards; however, current standard testing protocols often rely on “black-box” aggregate metrics or qualitative visual inspections that fail to pinpoint localized vulnerabilities. This study proposes a novel, spatially resolved quantitative methodology combining a whole-body fluorescent aerosol exposure chamber with an entropy-based image processing algorithm. By establishing a robust linear calibration mode, we accurately mapped and quantified localized aerosol ingress through protective clothing interfaces. Dynamic human-in-simulant tests were conducted using three suit models on two subjects with distinct body morphologies over 2- and 5-min exposure durations. Quantitative results revealed two distinct morphological failure mechanisms. A well-fitted suit resulted in steady “ Steady Accumulation,” where the total body leakage mass increased consistently (e.g., from 3.29 to 4.19 μg/cm2) while maintaining stable standard deviation, indicating preserved structural integrity. Conversely, an oversized fit induced “Structural Instability” and an erratic “Bellows Effect.” This mismatch was characterized by a dramatic inflation in aerosol leakage standard deviation during extended dynamic movements, rather than a simple increase in the mean leakage. Ultimately, this study empirically proves that protective clothing efficacy is highly morphology-dependent. The proposed quantitative methodology provides a rigorous scientific tool for diagnosing localized interface failures, thereby facilitating targeted improvements in PPE design and occupational safety.