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COVID-19 患者负压隔离病房改造后通风推荐:国际指南比较。

Recommendations for ventilation of remodeled negative-pressure isolation wards for COVID-19 patients: A comparison of international guidelines.

机构信息

Department of Environmental and Occupational Medicine, National Taiwan University Hospital Yunlin Branch, Taiwan; Department of Environmental and Occupational Medicine, National Taiwan University Hospital, Taiwan; Institute of Environmental and Occupational Health Sciences, College of Public Health, National Taiwan University, Taiwan.

Department of Environmental and Occupational Medicine, National Taiwan University Hospital, Taiwan; Institute of Environmental and Occupational Health Sciences, College of Public Health, National Taiwan University, Taiwan; Department of Environmental and Occupational Medicine, National Taiwan University Hospital Hsin-Chu Branch, Taiwan.

出版信息

J Formos Med Assoc. 2023 Feb;122(2):91-97. doi: 10.1016/j.jfma.2022.11.013. Epub 2022 Nov 25.

Abstract

This mini-review provides the practice guideline recommendations for ventilation of remodeled negative-pressure isolation wards for COVID-19 Patients. Remodeled "quasi-negative-pressure" isolation wards had been proved a feasible, inexpensive, safe, and effective measure to contain nosocomial outbreaks. We should first determine the minimum required ventilation volume of an isolation ward based on the severity of COVID-19 patients. Mechanical ventilation remains the mainstay for achieving the requirement, while the assistance of recirculation is also helpful. Beyond adequate ventilation volume, the "clean to less-clean" directional airflow remains the golden rule for the solution of indoor ventilation. The virus-laden exhaust should be treated with HEPA/UV device or be kept away from living organisms, buildings, and air inlets.

摘要

这篇迷你综述提供了针对 COVID-19 患者改建负压隔离病房通风的实践指南建议。改建的“准负压”隔离病房已被证明是遏制医院感染爆发的一种可行、廉价、安全和有效的措施。我们应该首先根据 COVID-19 患者的严重程度确定隔离病房的最小所需通风量。机械通风仍然是实现这一要求的主要手段,而循环利用的辅助也有帮助。除了足够的通风量外,“从清洁到较不清洁”的定向气流仍然是室内通风解决方案的黄金法则。含有病毒的排气应通过高效空气过滤器/紫外线装置处理,或远离生物体、建筑物和进气口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff2/9691448/d6700ad0c01b/gr1_lrg.jpg

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