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两床医院病房中生物气溶胶特性对交叉感染影响的全面实验与数值研究。

Full-scale experimental and numerical study of bioaerosol characteristics against cross-infection in a two-bed hospital ward.

作者信息

Liu Zhijian, Wang Liangqi, Rong Rui, Fu Shifeng, Cao Guoqing, Hao Cuicai

机构信息

Department of Power Engineering, North China Electric Power University, Baoding, Hebei, 071003, PR China.

Hebei Academy of Building Research Co,Ltd, Shijiazhuang, Hebei, 050031, PR China.

出版信息

Build Environ. 2020 Dec;186:107373. doi: 10.1016/j.buildenv.2020.107373. Epub 2020 Oct 12.

Abstract

The transmission and deposition of pathogenic bioaerosols and the subsequent contamination of the air and surfaces is well recognized as a potential route of hospital cross-infection. A full-scale experiment using and computational fluid dynamics were utilized to model the bioaerosol characteristics in a two-bed hospital ward with a constant air change rate (12 ACH). The results indicated that the bioaerosol removal efficiency of unilateral downward ventilation was 50% higher than that of bilateral downward ventilation. Additionally, health care workers (HCWs) and nearby patients had lower breathing zone concentrations in the ward with unilateral downward ventilation. Furthermore, a partition played a positive role in protecting patients by reducing the amount of bioaerosol exposure. However, no obvious protective effect was observed with respect to the HCWs. Only 10% of the bioaerosol was deposited on the surfaces in the ward with unilateral downward ventilation, while up to 35% of the bioaerosol was deposited on the surfaces in the ward with bilateral downward ventilation during the 900 s. The main deposition locations of the bioaerosols were near the wall on the same side of the room as the patient's head in all cases. This study could provide scientific evidence for controlling cross-infection in hospital wards, as well as several guidelines for the disinfection of hospital wards.

摘要

致病性生物气溶胶的传播、沉积以及随后空气和表面的污染,已被公认为医院交叉感染的潜在途径。利用全尺寸实验和计算流体动力学对换气次数恒定(12次/小时)的双床医院病房中的生物气溶胶特性进行建模。结果表明,单侧下送通风的生物气溶胶去除效率比双侧下送通风高50%。此外,在单侧下送通风的病房中,医护人员(HCWs)和附近患者呼吸区域的浓度较低。此外,隔板通过减少生物气溶胶暴露量,对保护患者起到了积极作用。然而,未观察到对医护人员有明显的保护作用。在900秒内,单侧下送通风病房中只有10%的生物气溶胶沉积在表面,而双侧下送通风病房中高达35%的生物气溶胶沉积在表面。在所有情况下,生物气溶胶的主要沉积位置都在房间内与患者头部同侧的墙壁附近。本研究可为控制医院病房交叉感染提供科学依据,也可为医院病房消毒提供若干指导原则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/828d/7550074/abbd9b017143/gr1_lrg.jpg

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