重症监护病房安全设计需考虑的因素——第1部分：历史方面和通风系统
Factors to consider in the safe design of intensive care units - Part 1: historical aspects and ventilation systems.
作者信息
Inkster Teresa, Weinbren Michael, Walker Jimmy
机构信息
Department of Microbiology, Queen Elizabeth University Hospital, Glasgow, UK.
Department of Microbiology, Kings Mill Hospital, Sutton-in -Ashfield, UK.
出版信息
J Infect Prev. 2023 Mar;24(2):55-59. doi: 10.1177/17571774231152724. Epub 2023 Jan 12.
BACKGROUND
Evidence linking the role of ventilation systems in transmission of infection to patients in intensive care units has increased in recent years.
AIMS
This research-based commentary set out to identify the historical aspect of intensive care unit design, current problems and some potential solutions with respect to ventilation systems.
METHODS
Databases and open source information was used to obtain data on the historical aspects and current guidance in ICU, and the authors experiences have been used to suggest potential solutions to ventilation problems in ICU.
FINDINGS
The authors found a number of problems with ventilation in ICU to which there has not been a cohesive response in terms of guidance to support users and designers. The resultant void permits new projects to proceed with suboptimal and designs which place patients and staff at risk.
DISCUSSION
The NHS is now at the start of major new investments in healthcare facilities in England and this together with the end of the antibiotic era mandates new guidance to address these major concerns.
背景
近年来，将通风系统在重症监护病房感染传播中的作用联系起来的证据有所增加。
目的
这篇基于研究的评论旨在确定重症监护病房设计的历史方面、当前问题以及通风系统的一些潜在解决方案。
方法
利用数据库和开源信息获取有关重症监护病房历史方面和当前指南的数据，并利用作者的经验提出解决重症监护病房通风问题的潜在方案。
研究结果
作者发现重症监护病房通风存在一些问题，在为用户和设计师提供支持的指南方面，尚未有统一的应对措施。由此产生的空白使得新项目得以采用次优设计，从而将患者和工作人员置于风险之中。
讨论
英国国民医疗服务体系（NHS）目前正处于英格兰医疗设施重大新投资的开端，再加上抗生素时代的结束，这就需要新的指南来解决这些重大问题。
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