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考虑不同患者体位的负压隔离病房中生物气溶胶迁移特性及通风模式优化研究。

Study on the migration characteristics of bioaerosols and optimization of ventilation patterns in a negative pressure isolation ward considering different patient postures.

机构信息

Guangzhou Panyu Central Hospital, Guangzhou, China.

School of Electric Power, South China University of Technology, Guangzhou, China.

出版信息

PLoS One. 2023 Aug 17;18(8):e0290288. doi: 10.1371/journal.pone.0290288. eCollection 2023.

Abstract

Due to the serious global harm caused by the outbreak of various viral infectious diseases, how to improve indoor air quality and contain the spread of infectious bioaerosols has become a popular research subject. Negative pressure isolation ward is a key place to prevent the spread of aerosol particles. However, there is still limited knowledge available regarding airflow patterns and bioaerosol diffusion behavior in the ward, which is not conducive to reducing the risk of cross-infection between health care workers (HCWs) and patients. In addition, ventilation layout and patient posture have important effects on aerosol distribution. In this study, the spatial and temporal characteristics as well as dispersion patterns of bioaerosols under different ventilation patterns in the ward were investigated using the computational fluid dynamics (CFD) technique. It is concluded that changes in the location of droplet release source due to different body positions of the patient have a significant effect on the bioaerosol distribution. After optimizing the layout arrangements of exhaust air, the aerosol concentration in the ward with the patient in both supine and sitting positions is significantly reduced with particle removal efficiencies exceeding 95%, that is, the ventilation performance is improved. Meanwhile, the proportion of aerosol deposition on all surfaces of the ward is decreased, especially the deposition on both the patient's body and the bed is less than 1%, implying that the risk of HCWs being infected through direct contact is reduced.

摘要

由于各种病毒性传染病爆发造成的严重全球危害,如何提高室内空气质量并遏制传染性生物气溶胶的传播已成为热门研究课题。负压隔离病房是防止气溶胶颗粒传播的关键场所。然而,对于病房内气流模式和生物气溶胶扩散行为的了解仍然有限,这不利于降低医护人员(HCWs)和患者之间交叉感染的风险。此外,通风布局和患者姿势对气溶胶分布有重要影响。在这项研究中,使用计算流体动力学(CFD)技术研究了病房内不同通风模式下生物气溶胶的时空特征和扩散模式。研究结果表明,由于患者身体位置的不同,液滴释放源的位置变化对生物气溶胶分布有显著影响。通过优化排风布局的安排,患者处于仰卧和坐姿时病房内的气溶胶浓度显著降低,去除效率超过 95%,即通风性能得到改善。同时,气溶胶在病房所有表面上的沉积比例降低,特别是患者身体和床上的沉积比例小于 1%,这意味着 HCWs 通过直接接触感染的风险降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b35/10434850/fe692fc71921/pone.0290288.g001.jpg

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