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使用流体动力学模拟和气溶胶隔离效果评估一种创新型儿科隔离(PI)床。

Evaluation of an innovative pediatric isolation (PI) bed using fluid dynamics simulation and aerosol isolation efficacy.

作者信息

Liu Tiantian, Guo Yubing, Hao Xiaotang, Wang Mei, He Shicong, Lin Zhengshi, Zhou Rong

机构信息

School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong, 510310 China.

State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China.

出版信息

Build Simul. 2021;14(5):1543-1552. doi: 10.1007/s12273-021-0761-3. Epub 2021 Mar 4.

Abstract

Airborne transmission is an important mechanism of spread for both viruses and bacteria in hospitals, with nosocomial infections putting a great burden on public health. In this study, we designed and manufactured a bed for pediatric clinic consultation rooms providing air isolation to protect patients and medical personnel from pathogen transmission. The pediatric isolation bed has several primary efficiency filters and a high-efficiency particulate air filter in the bedside unit. The air circulation between inlet and outlet forms negative pressure to remove the patient's exhaled air timeously and effectively. A computational fluid dynamics model was used to calculate the speed of the airflow and the angle of sampler. Following this, we conducted purification experiments using cigarette smoke, and human adenovirus type 5 (HAdV-5) to demonstrate the isolation efficacy. The results showed that the patient's head should be placed as close to the air inlet hood as possible, and an air intake wind speed of 0.86 m/s was effective. The isolation efficacy of the pediatric isolation bed was demonstrated by computational fluid dynamics technology. The isolation efficiency against cigarette smoke exceeded 91.8%, and against was greater than 99.8%, while the isolation efficiency against HAdV-5 was 100%. The pediatric isolation bed could be used where isolation wards are unavailable, such as in intensive care units and primary clinical settings, to control hospital acquired infections.

摘要

空气传播是医院中病毒和细菌传播的重要机制,医院感染给公共卫生带来了沉重负担。在本研究中,我们设计并制造了一种用于儿科门诊咨询室的床,提供空气隔离,以保护患者和医护人员免受病原体传播。儿科隔离床在床头单元中有几个初效过滤器和一个高效空气过滤器。进风口和出风口之间的空气循环形成负压,以及时有效地去除患者呼出的空气。使用计算流体动力学模型来计算气流速度和采样器角度。在此之后,我们使用香烟烟雾和人5型腺病毒(HAdV-5)进行净化实验,以证明隔离效果。结果表明,患者头部应尽可能靠近进风口罩放置,进气风速为0.86 m/s是有效的。通过计算流体动力学技术证明了儿科隔离床的隔离效果。对香烟烟雾的隔离效率超过91.8%,对HAdV-5的隔离效率大于99.8%,而对HAdV-5的隔离效率为100%。儿科隔离床可用于没有隔离病房的地方,如重症监护病房和基层临床环境,以控制医院获得性感染。

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