Current approaches for preventing environment-associated contamination in healthcare facilities: a systematic literature review by open access database

Architecture, Structures and Construction Pub Date : 2022-08-01 DOI:10.1007/s44150-022-00063-8

Vitória Sanches Lemes Soares, Sheila Walbe Ornstein, Ana Judite Galbiatti Limongi França

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引用次数: 1

Abstract

This article presents a Systematic Literature Review (SLR) whose objective is to identify aspects related to the built environment of Emergency Rooms (ERs) and healthcare facilities that interfere with infection by respiratory diseases. The SLR presented is a relevant part of ongoing research dedicated to discussing the built environment’s role on contamination, considering the COVID-19 pandemic scenario and the ER of the University Hospital of the University of São Paulo (USP), sited in São Paulo city, Brazil, as a case study. The results of this SLR showed that the main aspects discussed in the selected articles are: Heating, Ventilation, and Air Conditioning (HVAC) systems; disinfection and hygiene; layout and spatial organisation; air curtain and air purification; natural ventilation; door opening; and surface material. As major findings, the importance of properly designed mechanical ventilation systems and of the parameters’ control for the maintenance of Indoor Air Quality (IAQ) are highlighted. In addition, the existence of isolation rooms; periodic assessments based on guides and protocols; self-sanitising materials surfaces; and environmental design strategies are presented, together with the development of technologies, often incorporated into hospital furniture. Thus, as contribution, the article highlights the importance of the association of several measures related to the performance of the built environment to minimise respiratory infections in healthcare environments. As a limit of this research, only open access articles and reviews from 2017 to 2021 were considered, so that the article reveals trends in this field of study, not covering the entirety of content.

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当前预防医疗设施中环境相关污染的方法:开放获取数据库的系统文献综述

摘要本文提出了一项系统文献综述(SLR)，其目的是确定与急诊室(er)和医疗保健设施的建筑环境有关的方面，这些方面会干扰呼吸道疾病的感染。所展示的SLR是正在进行的研究的相关部分，该研究致力于讨论建筑环境在污染方面的作用，考虑到2019冠状病毒病大流行的情况，以及位于巴西圣保罗市的圣保罗大学医院(USP)的急诊室作为案例研究。该SLR的结果表明，所选文章中讨论的主要方面是:采暖，通风和空调(HVAC)系统;消毒卫生;布局和空间组织;空气幕及空气净化;自然通风;门打开;和表面材料。作为主要发现，强调了合理设计机械通风系统和参数控制对维持室内空气质量(IAQ)的重要性。此外，隔离室的存在;根据指南和协议进行定期评估;自洁材料表面;环境设计策略，以及技术的发展，经常被纳入医院家具。因此，作为贡献，文章强调了与建筑环境性能相关的几种措施的关联的重要性，以尽量减少医疗保健环境中的呼吸道感染。由于本研究的限制，仅考虑了2017年至2021年的开放获取文章和综述，因此本文揭示了该研究领域的趋势，未涵盖全部内容。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Architecture, Structures and Construction

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