Investigation on the effectiveness of ventilation dilution on mitigating COVID-19 patients' secondary airway damage due to exposure to disinfectants

Yifan Li; Yiran Lu; Ying WangLi LiuHao ZhouBorong LinZhiyong PengYufeng Yuan

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Investigation on the effectiveness of ventilation dilution on mitigating COVID-19 patients' secondary airway damage due to exposure to disinfectants

机译：Investigation on the effectiveness of ventilation dilution on mitigating COVID-19 patients' secondary airway damage due to exposure to disinfectants

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Chlorine-containing disinfectants are widely used in hospitals to prevent hospital-acquired severe acute respiratory syndrome coronavirus 2 infection. Meanwhile, ventilation is a simple but effective means to maintain clean air. It is essential to explore the exposure level and health effects of coronavirus disease 2019 patients' inhalation exposure to by-products of chloride-containing disinfectants under frequent surface disinfection and understand the role of ventilation in mitigating subsequent airway damage. We determined ventilation dilution performance and indoor air quality of two intensive care unit wards of the largest temporary hospital constructed in China, Leishenshan Hospital. The chloride inhalation exposure levels, and health risks indicated by interleukin-6 and D-dimer test results of 32 patients were analysed. The mean ± standard deviation values of the outdoor air change rate in the two intensive care unit wards were 8.8 ± 1.5 h~(-1) (Intensive care unit 1) and 4.1 ± 1.4 h~(-1) (Intensive care unit 2). The median carbon dioxide and fine paniculate matter concentrations were 480 ppm and 19 μg/m~3 for intensive care unit 1, and 567 ppm and 21 μg/m~3 for intensive care unit 2, all of which were around the average levels of those in permanent hospitals (579 ppm and 21 μg/m~3). Of these patients, the median (lower quartile, upper quartile) chloride exposure time and calculated dose were 26.66 (2.89, 57.21) h and 0.357 (0.008, 1.317) mg, respectively. A statistically significant positive correlation was observed between interleukin-6 and D-dimer concentrations. To conclude, ventilation helped maintain ward air cleanliness and health risks were not observed.

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《Building and environment》 |2023年第1期|109787.1-109787.14|共14页
作者
Yifan Li; Yiran Lu; Ying WangLi LiuHao ZhouBorong LinZhiyong PengYufeng Yuan;
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Department of Building Science, Tsinghua University, Beijing 100084, China, Laboratory of Eco-Planning & Green Building, Ministry of Education, Tsinghua University, Beijing 100084, China;

Department of Infection Management, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China, Hubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, Hubei 430071, China;

Department of Building Science, Tsinghua University, Beijing 100084, China, Laboratory of Eco-Planning & Green Building, Ministry of Education, Tsinghua University, Beijing 100084, China, Hubei Engineering Center for Infectious Disease Prevention, ControlLaboratory of Eco-Planning & Green Building, Ministry of Education, Tsinghua University, Beijing 100084, China, Institute for Urban Governance and Sustainable Development, Tsinghua University, Beijing 100084, ChinaHubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, Hubei 430071, China, Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, ChinaHubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, Hubei 430071, China, Department of Hepatobiliary and Pancreatic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China;

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正文语种英语
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COIVD-19; ICUs; Chlorine-containing disinfectants; Inhalation exposure;

Investigation on the effectiveness of ventilation dilution on mitigating COVID-19 patients' secondary airway damage due to exposure to disinfectants

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