Litcius/Paper detail

Recommendations for ventilation of remodeled negative-pressure isolation wards for COVID-19 patients: A comparison of international guidelines

Chung-Yen Chen, Ping-Hui Chen, Jia‐Kun Chen, Ta‐Chen Su

2022Journal of the Formosan Medical Association23 citationsDOIOpen Access PDF

Abstract

This mini-review provides the practice guideline recommendations for ventilation of remodeled negative-pressure isolation wards for COVID-19 Patients. Remodeled "quasi-negative-pressure" isolation wards had been proved a feasible, inexpensive, safe, and effective measure to contain nosocomial outbreaks. We should first determine the minimum required ventilation volume of an isolation ward based on the severity of COVID-19 patients. Mechanical ventilation remains the mainstay for achieving the requirement, while the assistance of recirculation is also helpful. Beyond adequate ventilation volume, the "clean to less-clean" directional airflow remains the golden rule for the solution of indoor ventilation. The virus-laden exhaust should be treated with HEPA/UV device or be kept away from living organisms, buildings, and air inlets.

Topics & Concepts

MedicineIsolation (microbiology)Ventilation (architecture)Coronavirus disease 2019 (COVID-19)GuidelineMechanical ventilationIntensive care medicinePatient isolation2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Pressure support ventilationPositive pressure ventilationEmergency medicineOutbreakInfection controlAnesthesiaRespiratory failureVirologyInternal medicineInfectious disease (medical specialty)Mechanical engineeringPathologyDiseaseMicrobiologyEngineeringBiologyInfection Control and VentilationClimate Change and Health ImpactsInfection Control in Healthcare