泰国中部公立医院通风不足对院内结核病预防的影响
Inadequate ventilation for nosocomial tuberculosis prevention in public hospitals in Central Thailand
摘要
背景:泰国中部42个社区与综合医院。目的:检验泰国中部公立医院不足的室内通风对院内结核病预防的影响。设计:通过横断面调查了解目标医院的323个患者医疗区域和辅助区域的室内通风率,通过追踪气体法测量每小时换气次数,并将测量结果与国际推荐值进行比较。结果:近半数调查区域的室内通风率不符合要求(144/323,44.6%),特别是在急诊室和放射室通风不足更为严重,有73.8%的房间(均为31/42)每小时换气次数低于国际推荐值。详细分析发现使用自然通风的房间大都超过国际推荐值,而使用空调设备的房间恰恰相反,特别是窗式空调和分体式空调。结论:在泰国公立医院中,结核病院内感染高风险区室内通风不足,主要是因为在现代建筑中大量安装空调系统。
出处
《国际结核病与肺部疾病杂志》
2009年第2期58-63,共6页
The International Journal of Tuberculosis and Lung Disease
基金
funded by Thai Health Promotion Foundation contract no.48-00-0063
参考文献10
-
1Joshi R,Reingold A L,Menzies D,Pai M.Tuberculosis among health-care workers in low-and middle-income countries:a systematic review[].PLoS Med.2006
-
2Jensen P A,Lambert L A,Iademarco M F,Ridzon R.Guidelines for preventing the transmission of Mycobacterium tuberculosis in health care settings2005[].Morbidity and Mortality Weekly Report.2005
-
3Research Wikis.Air conditioning marketing research:Organizing and sharing the world‘s research[].ht- tp://wwwresearch wikiscom/Air_Conditioning_Market _Research.2008
-
4Intergovernmental Panel on Climate Change/Technology and Economic Assessment Panel.Safeguarding the ozone layer and the global climate system:issues related to hydrofl uorocarbons and perfl uorocarbons[]..2005
-
5US Department of Energy.A consumer‘s guide to energy efficiency and renewable energy,air conditioning. http: //appsl.eere.energy.gov/consumer/your_home/ space_heating_cooling/index.cfm/mytopic = 12370 . 2005
-
6Khedari J,Sangprajak A,Hirunlabh J.Thailand climate zones[].Renewable Energy.2001
-
7American Standards and Test Material Committee.Standard test method for determining air change in a single zone by means of a tracer gas dilution[].Annual Book of ASTM Standards.1995
-
8Menzies R,Schwartzman K,Loo V,Pasztor J.Measuring ventilation of patient care areas in hospitals.Description of a new protocol[].American Journal of Respiratory and Critical Care Medicine.1995
-
9RAE Systems.Indoor air quality monitor.Operation and maintenance manual Revision B[]..2005
-
10American Society of Heating,Refrigerating and Air-Conditioning Engineers.HVAC design manual for hospitals and clinics[]..2003
-
1高松.开化县高中毕业生结核病感染状况调查[J].中国学校卫生,2009,30(11):1046-1047.
-
2张顺三,尹爱华,姜元亮,张庆,崔海龙,赵磊.沧州市2007-2008年中学生结核病感染情况调查[J].中国学校卫生,2010,31(4):483-483. 被引量：10
-
3邱世聪,汪晓蓉,吴昌祚.室内空气污染与最小通风率[J].皖南医学院学报,1992,11(3):211-213.
-
4张炜敏,何广学,洪峰.医疗卫生机构医务人员结核病感染控制现状[J].中国感染控制杂志,2011,10(4):248-251. 被引量：50
-
5张明.邳州市大中专学生PPD试验结果报告[J].江苏预防医学,2002,13(2):56-56.
-
6钟捷,袁楚仇.高州市1992～2009年结核病感染情况分析[J].医学信息,2011,24(9):2794-2795.
-
7胡春霖.涂阳肺结核家庭儿童感染与发病的研究[J].中国防痨杂志,2003,25(z1). 被引量：2
-
8赵明.“非典”与空调几分关联?[J].电器制造商,2003(7):40-42.
-
9马玉林,屠兴良,张轩.现代建筑鼠害综合防制方法研究初报[J].医学动物防制,1998,14(6):25-26.
-
10韩志强.日常生活 谨记防癌[J].中国健康月刊,2007(1):20-20.
