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环境因素与通风对泰国南部医院病房微生物浓度的影响

Environmental Factors and Ventilation Affect Concentrations of Microorganisms in Hospital Wards of Southern Thailand.

作者信息

Onmek Nutthajit, Kongcharoen Jinda, Singtong Ailada, Penjumrus Angkana, Junnoo Siripich

机构信息

Faculty of Science and Technology, Bansomdejchaopraya Rajabhat University, Bangkok 10600, Thailand.

Faculty of Science and Industrial Technology, Prince of Songkla University, Surat Thani Campus, Surat Thani 84000, Thailand.

出版信息

J Environ Public Health. 2020 Jun 8;2020:7292198. doi: 10.1155/2020/7292198. eCollection 2020.

Abstract

Hospitals tend to have high density of occupancy. Poor indoor environmental quality in hospital buildings can exacerbate the health problems of patients and also harm visitors and staff. This study investigated the environmental characteristics and ventilation affecting the concentration of microorganisms in multiple-bed hospital wards. The measurements were accomplished by using a biosampler and an open plate method at four wards, different positions of electric fans, and different times. Data were analyzed by -test and MANOVA. The results revealed that the concentrations of airborne bacteria were higher than the concentrations of fungi. There were significant differences in the concentrations of bacteria and fungi between sampling times and between hospital wards ( < 0.05), while no difference was observed by positions of electric fans. Correlations between the concentrations and other environmental parameters indicate that temperature, number of occupants, and humidity were physical factors associated with the concentrations of microorganisms. In addition, mostly, Gram-positive bacteria were observed. This indicates the conditions in buildings in the tropical climate, and regular housekeeping of all room areas is needed to prevent the growth of airborne contaminants and the related risks to patients, visitors, and staff.

摘要

医院往往入住率很高。医院建筑内恶劣的室内环境质量会加剧患者的健康问题,也会对访客和工作人员造成伤害。本研究调查了多床医院病房中影响微生物浓度的环境特征和通风情况。测量是在四个病房、电风扇的不同位置以及不同时间使用生物采样器和敞口平板法完成的。数据通过t检验和多变量方差分析进行分析。结果显示,空气中细菌的浓度高于真菌的浓度。采样时间之间以及医院病房之间细菌和真菌的浓度存在显著差异(P<0.05),而电风扇位置之间未观察到差异。浓度与其他环境参数之间的相关性表明,温度、居住人数和湿度是与微生物浓度相关的物理因素。此外,观察到的大多是革兰氏阳性菌。这表明了热带气候下建筑内的状况,需要对所有房间区域进行定期清洁,以防止空气传播污染物的滋生以及对患者、访客和工作人员造成相关风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203b/7298270/101fe4d85494/JEPH2020-7292198.001.jpg

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