Room ventilation and the risk of airborne infection transmission in 3 health care settings within a large teaching hospital.

Abstract:

BACKGROUND:Room ventilation is a key determinant of airborne disease transmission. Despite this, ventilation guidelines in hospitals are not founded on robust scientific evidence related to the prevention of airborne transmission. METHODS:We sought to assess the effect of ventilation rates on influenza, tuberculosis, and rhinovirus infection risk within 3 distinct rooms in a major urban hospital: a lung function laboratory, an emergency department negative-pressure isolation room, and an outpatient consultation room. Air-exchange rate measurements were performed in each room using CO2 as a tracer. The model developed by Gammaitoni and Nucci was used to estimate infection risk. RESULTS:Current outdoor air-exchange rates in the lung function laboratory and emergency department isolation room limited infection risks to 0.1%-3.6%. Influenza risk for individuals entering an outpatient consultation room after an infectious individual departed ranged from 3.6% to 20.7%, depending on the duration for which each person occupied the room. CONCLUSION:Given the absence of definitive ventilation guidelines for hospitals, air-exchange measurements combined with modeling afford a useful means of assessing, on a case-by-case basis, the suitability of room ventilation for preventing airborne disease transmission.

journal_name

Am J Infect Control

authors

Knibbs LD,Morawska L,Bell SC,Grzybowski P

doi

10.1016/j.ajic.2011.02.014

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

866-72

issue

10

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(11)00179-9

journal_volume

39

pub_type

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