Effect of Underwear Materials on the Thermal Insulation of Barrier Protective Clothing

Medical personnel wearing barrier clothing protecting against infectious agents are at risk of heat stress resulting from limited heat exchange with the environment. The aim of the study was to assess the impact of changing underwear on the thermal parameters of protective clothing sets and on the expected safe working time. The study used a Newton thermal manikin to determine the thermal insulation and water vapor resistance of clothing sets consisting of three types of underwear (standard medical underwear and short and long thermal underwear) worn under two types of barrier suits. The obtained data were used to conduct physiological simulations in the Predicted Heat Strain (PHS) program, estimating the time it takes for core body temperature to rise to 38 °C in conditions of 22 °C and 35 °C. The results showed that replacing medical underwear with thermal underwear at 22 °C extended safe working time by 24%. In hot conditions (35 °C), the positive impact was smaller, extending working time by a maximum of 4%. Changing the inner layer is an effective method of improving comfort and safety in barrier clothing, especially in thermoneutral conditions.