Reducing risk of airborne transmitted infection in hospitals by use of hospital curtains

被引:40
作者
Ching, W. -H. [1 ]
Leung, M. K. H. [1 ]
Leung, D. Y. C. [1 ]
Li, Y. [1 ]
Yuen, P. L. [2 ]
机构
[1] Univ Hong Kong, Dept Mech Engn, Hong Kong, Hong Kong, Peoples R China
[2] Hosp Author, Hong Kong, Hong Kong, Peoples R China
关键词
hospital curtains; airborne transmission; infection control; CFD-statistical hybrid model;
D O I
10.1177/1420326X08091957
中图分类号
TU [建筑科学];
学科分类号
0813 ;
摘要
An in-patient suffering from an airborne infectious disease should be properly isolated in a negative-pressure isolation room to prevent hospital-acquired infection. However, before the infectious status is identified by clinical diagnosis, the patient may be assigned to stay with others in a hospital ward with multiple beds. Under these circumstances, there may be a risk of infection of the neighboring patients. Therefore, reasonable infection control measures should be implemented in multi-bed hospital wards, intensive care units, among others. The use of hospital curtains as physical barriers against transmission of disease is potentially a simple but effective method to reduce the risk of infection. In this investigation, the effectiveness of hospital curtains in prevention against airborne transmission of diseases in hospital rooms was evaluated by numerical modeling analysis. A computational fluid dynamics (CFD)-statistical hybrid modeling method, which was validated by tracer gas measurements, was employed to determine the transient dispersion of airborne contaminants. It was found that among all the case studies, the use of curtains between two beds could reduce the peak concentration for each individual neighboring patient in a bioaerosol dispersion process. A curtain fully extended to the length of a bed yielded significantly higher protection than a partially extended curtain and the reduction in peak concentration could be as much as 65%.
引用
收藏
页码:252 / 259
页数:8
相关论文
共 24 条
[1]  
[Anonymous], 1993, STAT DISTRIBUTIONS
[2]   Bed occupancy and overcrowding as determinant factors in the incidence of MRSA infections within general ward settings [J].
Borg, MA .
JOURNAL OF HOSPITAL INFECTION, 2003, 54 (04) :316-318
[3]  
*CDC MMWR, 199443 CDC MMWR, P1
[4]   CFD analysis of the performance of a local exhaust ventilation system in a hospital ward [J].
Chau, Oliver K. Y. ;
Liu, Chun-Ho ;
Leung, Michael K. H. .
INDOOR AND BUILT ENVIRONMENT, 2006, 15 (03) :257-271
[5]  
*DEP HLTH ENGL HLT, 2005, GUID PAND INFL INF C
[6]   Microbiological control of airborne contamination in hospitals [J].
Fleischer, M ;
Bober-Gheek, B ;
Bortkiewicz, O ;
Rusiecka-Ziókowska, J .
INDOOR AND BUILT ENVIRONMENT, 2006, 15 (01) :53-56
[7]   Protecting health care workers from SARS and other respiratory pathogens: A review of the infection control literature [J].
Gamage, B ;
Moore, D ;
Copes, R ;
Yassi, A ;
Bryce, E .
AMERICAN JOURNAL OF INFECTION CONTROL, 2005, 33 (02) :114-121
[8]  
GHAUDHURY H, 2005, ENVIRON BEHAV, V37, P760
[9]   The effect of increased bed numbers on MRSA transmission in acute medical wards [J].
Kibbler, CC ;
Quick, A ;
O'Neill, AM .
JOURNAL OF HOSPITAL INFECTION, 1998, 39 (03) :213-219
[10]   Use of ozone to reduce bacteria and moulds in the air and on surfaces [J].
Klánová, K ;
Lajcíková, A .
INDOOR AND BUILT ENVIRONMENT, 2006, 15 (01) :81-84