Engineering Solutions for Preventing Airborne Transmission in Hospitals with Resource Limitation and Demand Surge.

Air cleaning technologies Airborne transmission Hybrid ventilation Natural ventilation Temporary negative-pressure rooms Ventilation systems

Journal

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
ISSN: 0972-5229
Titre abrégé: Indian J Crit Care Med
Pays: India
ID NLM: 101208863

Informations de publication

Date de publication:
Apr 2021
Historique:
entrez: 28 5 2021
pubmed: 29 5 2021
medline: 29 5 2021
Statut: ppublish

Résumé

Among the various strategies for the prevention of airborne transmission, engineering measures are placed high in the hierarchy of control. Modern hospitals in high-income countries have mechanical systems of building ventilation also called HVAC (heating, ventilation, and air-conditioning) but installation and maintenance of such systems is a challenging and resource-intensive task. Even when the state-of-the-art technology was used to build airborne infection isolation rooms (AIIRs), recommended standards were often not met in field studies. The current coronavirus disease-2019 pandemic has highlighted the need to find cost-effective and less resource-intensive engineering solutions. Moreover, there is a need for the involvement of interdisciplinary teams to find innovative infection control solutions and doctors are frequently lacking in their understanding of building ventilation-related problems as well as their possible solutions. The current article describes building ventilation strategies (natural ventilation and hybrid ventilation) for hospitals where HVAC systems are either lacking or do not meet the recommended standards. Other measures like the use of portable air cleaning technologies and temporary negative-pressure rooms can be used as supplementary strategies in situations of demand surge. It can be easily understood that thermal comfort is compromised in buildings that are not mechanically fitted with HVAC systems, therefore the given building ventilation strategies are more helpful when climatic conditions are moderate or other measures are combined to maintain thermal comfort. Zia H, Singh R, Seth M, Ahmed A, Azim A. Engineering Solutions for Preventing Airborne Transmission in Hospitals with Resource Limitation and Demand Surge. Indian J Crit Care Med 2021;25(4):453-460.

Identifiants

pubmed: 34045813
doi: 10.5005/jp-journals-10071-23792
pmc: PMC8138644
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

453-460

Informations de copyright

Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.

Déclaration de conflit d'intérêts

Source of support: Nil Conflict of interest: None

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Auteurs

Hina Zia (H)

Department of Architecture, Jamia Millia Islamia (Central University), New Delhi, India.

Ritu Singh (R)

Department of Trauma and Emergency, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Manu Seth (M)

Department of Critical Care Medicine and Anesthesiology, Nishat Hospital and Research Centre, Lucknow, Uttar Pradesh, India.

Armin Ahmed (A)

Department of Critical Care Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.

Afzal Azim (A)

Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Classifications MeSH