Joseph John, Baby Helna Mary, Zhao Spencer, Li Xiang-Ling, Cheung Krisco-Cheuk, Swain Kabir, Agus Eli, Ranganathan Sruthi, Gao Jingjing, Luo James N, Joshi Nitin
Center for Nanomedicine, Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women's Hospital Boston Massachusetts USA.
Harvard Medical School Boston Massachusetts USA.
Exploration (Beijing). 2022 May 23;2(6):20210038. doi: 10.1002/EXP.20210038. eCollection 2022 Dec.
Respiratory pathogens transmit primarily through particles such as droplets and aerosols. Although often overlooked, the resuspension of settled droplets is also a key facilitator of disease transmission. In this review, we discuss the three main mechanisms of aerosol generation: direct generation such as coughing and sneezing, indirect generation such as medical procedures, and resuspension of settled droplets and aerosols. The size of particles and environmental factors influence their airborne lifetime and ability to cause infection. Specifically, humidity and temperature are key factors controlling the evaporation of suspended droplets, consequently affecting the duration in which particles remain airborne. We also suggest material-based approaches for effective prevention of disease transmission. These approaches include electrostatically charged virucidal agents and surface coatings, which have been shown to be highly effective in deactivating and reducing resuspension of pathogen-laden aerosols.
呼吸道病原体主要通过飞沫和气溶胶等颗粒传播。尽管常常被忽视,但沉降飞沫的再悬浮也是疾病传播的一个关键促进因素。在本综述中,我们讨论了气溶胶产生的三种主要机制:直接产生(如咳嗽和打喷嚏)、间接产生(如医疗程序)以及沉降飞沫和气溶胶的再悬浮。颗粒大小和环境因素会影响它们在空气中的停留时间和感染能力。具体而言,湿度和温度是控制悬浮飞沫蒸发的关键因素,从而影响颗粒在空气中停留的持续时间。我们还提出了基于材料的有效预防疾病传播的方法。这些方法包括带静电的杀病毒剂和表面涂层,它们已被证明在灭活和减少携带病原体的气溶胶再悬浮方面非常有效。