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Built Environment Airborne Infection Control Strategies in Pandemic Alternative Care Sites.
Gordon, David; Ward, Jane; Yao, Christopher J; Lee, Joyce.
  • Gordon D; Ballinger, Philadelphia, PA, USA.
  • Ward J; Uniformed Services University, Bethesda, MD, USA.
  • Yao CJ; School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
  • Lee J; 6572University of Pennsylvania, Philadelphia, PA, USA.
HERD ; 14(2): 38-48, 2021 04.
Article in English | MEDLINE | ID: covidwho-975844
Semantic information from SemMedBD (by NLM)
1. Communicable Diseases PROCESS_OF Patients
Subject
Communicable Diseases
Predicate
PROCESS_OF
Object
Patients
2. Communicable Diseases PROCESS_OF Patients
Subject
Communicable Diseases
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
OBJECTIVES, PURPOSES, OR

AIM:

To identify design strategies utilized in airborne infection isolation and biocontainment patient rooms that improve infection control potential in an alternative care environment.

BACKGROUND:

As SARS-CoV-2 spreads and health care facilities near or exceed capacity, facilities may implement alternative care sites (ACSs). With COVID-19 surges predicted, developing additional capacity in alternative facilities, including hotels and convention centers, into patient care environments requires early careful consideration of the existing space constraints, infrastructure, and modifications needed for patient care and infection control. Design-based strategies utilizing engineering solutions have the greatest impact, followed by medical and operational strategies.

METHODS:

This article evaluates infection control and environmental strategies in inpatient units and proposes system modifications to ACS surge facilities to reduce infection risk and improve care environments.

RESULTS:

Although adequate for an acute infectious disease outbreak, existing capacity in U.S. biocontainment units and airborne infection isolation rooms is not sufficient for widespread infection control and isolation during a pandemic. To improve patients' outcomes and decrease infection transmission risk in the alternative care facility, hospital planners, administrators, and clinicians can take cues from evidence-based strategies implemented in biocontainment units and standard inpatient rooms.

CONCLUSIONS:

Innovative technologies, including optimized air-handling systems with ultraviolet and particle filters, can be an essential part of an infection control strategy. For flexible surge capacity in future ACS and hospital projects, interdisciplinary design and management teams should apply strategies optimizing the treatment of both infectious patients and minimizing the risk to health care workers.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Patients' Rooms / Infection Control / Built Environment / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: HERD Journal subject: Health Services Research / Health Services Year: 2021 Document Type: Article Affiliation country: 1937586720979832

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patients' Rooms / Infection Control / Built Environment / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: HERD Journal subject: Health Services Research / Health Services Year: 2021 Document Type: Article Affiliation country: 1937586720979832