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Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward

Negative pressure isolation wards could provide safety for health care workers (HCWs) and patients infected with SARS-CoV-2. However, respiratory behavior releases aerosols containing pathogens, resulting in a potential risk of infection for HCWs. In this study, the spatiotemporal distribution of dr...

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Autores principales: Wang, Yongxin, Liu, Zhijian, Liu, Haiyang, Wu, Minnan, He, Junzhou, Cao, Guoqing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9159814/
https://www.ncbi.nlm.nih.gov/pubmed/35669356
http://dx.doi.org/10.1016/j.buildenv.2022.109247
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author Wang, Yongxin
Liu, Zhijian
Liu, Haiyang
Wu, Minnan
He, Junzhou
Cao, Guoqing
author_facet Wang, Yongxin
Liu, Zhijian
Liu, Haiyang
Wu, Minnan
He, Junzhou
Cao, Guoqing
author_sort Wang, Yongxin
collection PubMed
description Negative pressure isolation wards could provide safety for health care workers (HCWs) and patients infected with SARS-CoV-2. However, respiratory behavior releases aerosols containing pathogens, resulting in a potential risk of infection for HCWs. In this study, the spatiotemporal distribution of droplet aerosols in a typical negative pressure isolation ward was investigated using a full-scale experiment. In this experiment, artificial saliva was used to simulate the breathing behavior, which can reflect the effect of evaporation on droplet aerosols. Moreover, numerical simulations were used to compare the transport of droplet aerosols released by the three respiratory behaviors (breathing, speaking, and coughing). The results showed that droplet aerosols generated by coughing and speaking can be removed and deposited more quickly. Because reduction in the suspension proportion per unit time was much higher than that in the case of breathing. Under the air supply inlets, there was significant aerosol deposition on the floor, while the breathing area possessed higher aerosol concentrations. The risk of aerosol resuspension and potential infection increased significantly when HCWs moved frequently to these areas. Finally, more than 20% of the droplet aerosols escaped from the ward when the number of suspended aerosols in the aerosol space was 1%.
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spelling pubmed-91598142022-06-02 Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward Wang, Yongxin Liu, Zhijian Liu, Haiyang Wu, Minnan He, Junzhou Cao, Guoqing Build Environ Article Negative pressure isolation wards could provide safety for health care workers (HCWs) and patients infected with SARS-CoV-2. However, respiratory behavior releases aerosols containing pathogens, resulting in a potential risk of infection for HCWs. In this study, the spatiotemporal distribution of droplet aerosols in a typical negative pressure isolation ward was investigated using a full-scale experiment. In this experiment, artificial saliva was used to simulate the breathing behavior, which can reflect the effect of evaporation on droplet aerosols. Moreover, numerical simulations were used to compare the transport of droplet aerosols released by the three respiratory behaviors (breathing, speaking, and coughing). The results showed that droplet aerosols generated by coughing and speaking can be removed and deposited more quickly. Because reduction in the suspension proportion per unit time was much higher than that in the case of breathing. Under the air supply inlets, there was significant aerosol deposition on the floor, while the breathing area possessed higher aerosol concentrations. The risk of aerosol resuspension and potential infection increased significantly when HCWs moved frequently to these areas. Finally, more than 20% of the droplet aerosols escaped from the ward when the number of suspended aerosols in the aerosol space was 1%. Elsevier Ltd. 2022-07-01 2022-05-30 /pmc/articles/PMC9159814/ /pubmed/35669356 http://dx.doi.org/10.1016/j.buildenv.2022.109247 Text en © 2022 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Wang, Yongxin
Liu, Zhijian
Liu, Haiyang
Wu, Minnan
He, Junzhou
Cao, Guoqing
Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward
title Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward
title_full Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward
title_fullStr Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward
title_full_unstemmed Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward
title_short Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward
title_sort droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9159814/
https://www.ncbi.nlm.nih.gov/pubmed/35669356
http://dx.doi.org/10.1016/j.buildenv.2022.109247
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