scholarly journals Enhancing appropriate environmental design in healthcare facilities for the inhibition of nosocomial infection

2019 ◽  
Vol 135 ◽  
pp. 01059
Author(s):  
Khai Tran Van
Keyword(s):  
Nosocomial Infection ◽  
Infection Control ◽  
New Technologies ◽  
Care Facility ◽  
Health Care Facility ◽  
Design Strategies ◽  
Healthcare Facilities ◽  
Application Range ◽  
Hospital Design ◽  
Spread Of Infection

A Nosocomial infection also known as a hospital-acquired infection (HAI), is an infection that is acquired in a hospital or other health care facility are increasing even in Contemporary Hospitals of Vietnam. This study described how HALs occur in patients during the time under medical care in healthcare facilities as during hospitalization, the patient is exposed to pathogens through different sources which mostly are environment, healthcare staff, and other infected patients. The prevention and control of HALs requires the implementation of infection control interventions. The role of infection control mentioned in this study is to review and approve construction and architecture design measures to ensure they meet the demands for minimizing nosocomial infections. This study examines how HALs spread among hospitalized patients via environmental routes and how the application of appropriate design of the hospital plays a critical part in preventing the spread of infection. As the application of new technologies has application range within stamina in cases of climate changes, the findings of this study is the adoption of flexible transformable hospital design strategies in Vietnam to prevent infection.

Coronavirus Pandemic- The real lessons are learnt in the time of crises

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1011-1014
Author(s):  
Rathi Saurabh D ◽  
Nikhade P ◽  
Motwani N ◽  
Baror S ◽  
Jaiswal A
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
Control Measures ◽  
Public Health Care ◽  
Standard Equipment ◽  
Healthcare Facilities ◽  
Private Care

The world for every human has changed in the past few months, with one single reason for all- nCOVID-19. Coronavirus had left a significant impact on our life as an individual and as a nation. Every sector in the country is affected, and every situation deemed changed from the previous one. Post-Covid is a new era in itself. This pandemic had helped us to show our inefficiencies in different sectors and profession, including healthcare facilities. Change in the healthcare facility has to be focused. Indian health care facility is based on private care, whereas the pandemic requires public health care approach. The focus needs to be shifted from personal care to community-based care. The annual budget for health welfare is 1-2 per cent of the GDP, which in the future should be increased. More investment, more funds, and more number of doctors can help to combat with such crises efficiently. India has poor infection control standards and policies. Strict infection control measures, standard equipment and training of the paramedics and other healthcare workers are the areas that we can improve. This article highlights the lessons our healthcare facility can learn from this coronavirus pandemic and changes that await for our healthcare system.

scholarly journals Adaptive Architecture and the Prevention of Infections in Hospitals

2016 ◽  
Vol 16 (2) ◽  
pp. 165-172
Author(s):  
Tran van Khai
Keyword(s):  
Climate Change ◽  
Infection Control ◽  
High Efficiency ◽  
New Technologies ◽  
High Standard ◽  
Healthcare Associated Infection ◽  
Application Range ◽  
Hospital Design ◽  
Adaptive Architecture ◽  
The Impact

Abstract Researches has shown that climate change may spark global epidemics. The objectives of hospital design consistent with a high standard of sustainable architecture must not only be the tropicalization of buildings but also a system to confront the impact of infectious diseases which arise from climate change. Infection control is the discipline concerned with preventing nosocomial or healthcare-associated infection. Infection control addresses factors related to the spread of infections within the hospital building, including prevention, monitoring and management measures. As the application of new technologies such as the Heating, ventilation and air conditioning system (HVAC) with high-efficiency particulate arrestance (HEPA) has application range within stamina, the study suggests the need to adopt an integrated adaptive hospital design strategy to prevent infection.

scholarly journals An analysis of infection control of varicella-zoster virus infections in Addenbrooke's Hospital Cambridge over a 5-year period, 1987–92

1996 ◽  
Vol 117 (1) ◽  
pp. 165-171 ◽  
Author(s):  
T. G. Wreghitt ◽  
J. Whipp ◽  
C. Redpath ◽  
W. Hollingworth
Keyword(s):  
Nosocomial Infection ◽  
Infection Control ◽  
Prospective Study ◽  
Varicella Zoster Virus ◽  
Virus Infections ◽  
Patient Case ◽  
Varicella Zoster ◽  
Staff Members ◽  
Spread Of Infection ◽  
The Cost

SummaryThis prospective study analyses infections with varicella-zoster virus (VZV) in Addenbrooke's Hospital, Cambridge during 1987–92 and examines the spread of infection. In total, 93 patients and staff experienced VZV infection. Twenty-one patients had varicella and 49 experienced zoster. None of 101 patients and 1 of 625 staff members in contact with varicella cases acquired infection. By contrast, 2 of 227 patients, and 5 of 1039 staff in contact with zoster cases acquired varicella. One out of 28 (3·6%) VZV antibody-negative patients and staff in contact with varicella acquired infection, compared with 5 out of 29 (17·2%) VZV antibody-negative patients and staff in contact with zoster. Thus, zoster was found to be a more frequent cause of nosocomial infection than varicella. Fourteen members of staff had VZV infection during the study period. One of 99 patients and none of 389 staff members in contact with these cases developed varicella. The cost of dealing with infection control for VZV infections in our hospital is estimated to be £714 per patient case and a total of £13204 per year.

scholarly journals Built Environment Airborne Infection Control Strategies in Pandemic Alternative Care Sites

2020 ◽  
pp. 193758672097983
Author(s):  
David Gordon ◽  
Jane Ward ◽  
Christopher J. Yao ◽  
Joyce Lee
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Patient Care ◽  
Care Facility ◽  
Careful Consideration ◽  
Health Care Facilities ◽  
Transmission Risk ◽  
Design Strategies ◽  
Alternative Care ◽  
Airborne Infection

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.

scholarly journals Architect’s Role in Airborne Infection Control through Ventilation Design.

2020 ◽  
Author(s):  
Raja Singh
Keyword(s):  
Nosocomial Infection ◽  
Infection Control ◽  
Healthcare Facilities ◽  
Airborne Infection ◽  
Infection Spread

A survey was performed among architects to estimate their understanding of the airborne infection spread in buildings and the role ventilation plays in it. The results show an increased awareness by the architects in this area. The respondents also acknowledge the role they play in the ventilation design of the building. This paper creates the context for this important role of an architect in creating appropriate ventilation for built spaces along with the MEP consultants for them to not only be able to create a thermally comfortable building, but to also be able to prevent the spread of airborne infection. The paper also briefly looks at the present techniques available to deal with this infection. Worldwide epidemics have cautioned mankind and the responsibility is shared by the architects and building professionals in creating buildings which prevent the spread of disease. This is because we see an increase in the urbanization coupled with the increased amount of time people are spending indoors. This concern has also been highlighted for healthcare facilities where the chances of nosocomial (nosocomial) infection spread is all the more.

scholarly journals Evaluating Wayfinding Designs in Healthcare Settings through EEG Data and Virtual Response Testing

2021 ◽  
Author(s):  
Saleh Kalantari ◽  
Vidushi Tripathi ◽  
James D. Rounds ◽  
Armin Mostafavi ◽  
Robin Snell ◽  
...  
Keyword(s):  
Interior Design ◽  
Occipital Cortex ◽  
Design Strategies ◽  
Beta Band ◽  
Healthcare Facilities ◽  
Testing Platform ◽  
Hospital Design ◽  
Healthcare Settings ◽  
Unique Nature ◽  
Response Testing

ABSTRACTWayfinding difficulties in healthcare facilities have been shown to increase anxiety among patients and visitors and reduce staff operational efficiency. Wayfinding-oriented interior design features have proven beneficial, but the evaluation of their performance is hindered by the unique nature healthcare facilities and the expense of testing different navigational aids. This study implemented a virtual-reality testing platform to evaluate the effects of different signage and interior hospital design conditions during navigational tasks; evaluated through behavioral responses and mobile EEG. The results indicated that using color to highlight destinations and increase the contrast of wayfinding information yielded significant benefits when combined with wayfinding-oriented environmental affordances. Neural dynamics from the occipital cortex showed beta-band desynchronization with enhanced color condition and additional theta-band desynchronization with enhanced environmental affordance. This multimodal testing platform has the potential to establish a robust body of evidence for future wayfinding design strategies.

scholarly journals Environmental Sustainability for Infection Prevention and Control (IPC) in Healthcare Facilities

2021 ◽  
Author(s):  
Udomiaye Emmanuel ◽  
◽  
Desy Osondu Eze ◽  
Kalu Cheche Kalu ◽  
Aminu Ahmad Haliru
Keyword(s):  
Built Environment ◽  
Infection Control ◽  
Environmental Sustainability ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Design Strategies ◽  
Healthcare Facilities ◽  
And Control ◽  
The Impact

The emergence of the novel coronavirus, increase in microbial resistance and the scarceness of vaccines for the present pandemic have made it imperative to appraise the link between the sustainable built environment and Infection control as well as the strategies employed during the pre-antibiotic period. This paper aims to identify the nexus between a sustainable built environment and infection control in healthcare facilities with the view of developing guidelines and highlighting the role of architecture in curbing the pandemic. The study relied on existing studies, interviews, and interactions with healthcare workers. The findings showed that sustainable design strategies play a significant role in infection prevention and control and could as well be a panacea for curbing the spread of Coronavirus, especially in healthcare facilities. A sustainable environment for hospitals or healthcare facilities, apart from low energy and carbon emission, needs to integrate design strategies to confront the impact of healthcare-associated infections.

scholarly journals Knowledge, Attitude and Practice of Dentists Regarding Cross Infection in Dental Teaching Hospitals of Peshawar

2016 ◽  
Vol 2 (2) ◽  
pp. 3-8
Author(s):  
Nadia Qazi ◽  
Syed Nasir Shah
Keyword(s):  
Infection Control ◽  
Tertiary Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Cross Infection ◽  
Hand Washing ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

OBJECTIVES:The objective of the current study was to assess knowledge, attitude and practices of dentist regarding cross infection in Khyber College of Dentistry (KCD) and Sardar Begum Dental College (SBDC) Peshawar.MATERIALS AND METHODS:This descriptive cross sectional study was conducted at two tertiary care hospitals having sample size 214 with 94 males and 121 females. A pilot study was conducted at Hayatabad Medical Complex to assess the reliability of questionnaire. Self administered anonymous questionnaire was administered to 214 dentists. The dentist in each health care facility was observed for their knowledge, attitude and practice regarding cross infection.RESULTS:Knowledge of dentist’s was optimum but they were lacking sufficient knowledge in areas of sterilization and cross infection due to waste material present in pipes of dental units. Significant numbers of them 28.8% were not agreed with the role of wearing rings in cross infection during dental procedure. Although lack of hand washing and impression was considered as a source of cross infection and 33.9% reported poor attitude regarding hand washing, 39.9% were not regarding the hygiene of nails in cross infection control. Similarly only 59% of them have shown positive attitude towards the vaccination of dental professionals. Although the knowledge and attitude was seen acceptable but their practices regarding the infection control were lacking in area of use of N95 respirator, taking off jewelry during dental surgeries, use of filtered water, use of anti-retraction valve, use of rubber dam for aerosols, use of separate box for sharp disposal and use of disinfectants in dental units..CONCLUSION:From current study it was concluded that dentists have good knowledge but poor practice regarding various aspect of infection control which provide an indication either lack of availability facilities or poor supervision and monitoring, due to lack of policy and implementation regarding cross infection control in dental units

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