Biological particles in the operating room(OR)air environment can cause surgical site infections(SSIs).Various ventilation systems have been employed in ORs to ensure an ultraclean environment.However,the effect of di...Biological particles in the operating room(OR)air environment can cause surgical site infections(SSIs).Various ventilation systems have been employed in ORs to ensure an ultraclean environment.However,the effect of different ventilation systems on the control of bacteria-carrying particles(BCPs)released from the surgical staff during surgery is unclear.In this study,the performance of four different ventilation systems(vertical laminar airflow ventilation(VLAF),horizontal laminar airflow ventilation(HLAP),differential vertical airflow ventilation(DVAF),and temperature-controlled airflow ventilation(TAF))used in an OR was evaluated and compared based on the spatial BCP concentration.The airflow field in the OR was solved by the Renormalization Group(RNG)k-e turbulence model,and the BCP phase was calculated by Lagrangian particle tracking(LPT)and the discrete random walk(DRW)model.It was found that the TAF system was the most effective ventilation system among the four ventilation systems for ensuring air cleanliness in the operating area.This study also indicated that air cleanliness in the operating area depended not only on the airflow rate of the ventilation system but also on the airflow distribution,which was greatly affected by obstacles such as surgical lamps and surgical staff.展开更多
The effects of a mobile laminar airflow unit on the concentration, deposition and distribution of bacteria- carrying particles in an operating room are investigated. The exploration is carried out using numerical calc...The effects of a mobile laminar airflow unit on the concentration, deposition and distribution of bacteria- carrying particles in an operating room are investigated. The exploration is carried out using numerical calculation schemes (computational fluid dynamics approach). The model validation was performed through result comparisons with published measurement data from literature. Two types of mobile screen units were evaluated as an extension of turbulent-mixing operating-room ventilation. Airborne particle concentration/sedimentation was recorded with and without a screen unit on the operating table and two instrument tables. Both active and passive air sampling were examined and the results are compared. It was found that the additional mobile ultra-clean laminar airflow unit reduces the counts of airborne bacteria and surface contamination to a level acceptable for infection-prone surgeries.展开更多
基金by the National Natural Science Foundation of China(Nos.41977368 and 51708211)the National Science and Technology Ministry of China(No.2017YFC0702800)+2 种基金the Opening Funds of State Key Laboratory of Building Safety and Built Environment National Engineering Research Center of Building Technology(No.BSBE2017-08)Natural Science Foundation of Hebei Province(No.E2017502051)the Fundamental Research Funds for the Central Universities(Nos.2018MS103 and 2020YJ007).
文摘Biological particles in the operating room(OR)air environment can cause surgical site infections(SSIs).Various ventilation systems have been employed in ORs to ensure an ultraclean environment.However,the effect of different ventilation systems on the control of bacteria-carrying particles(BCPs)released from the surgical staff during surgery is unclear.In this study,the performance of four different ventilation systems(vertical laminar airflow ventilation(VLAF),horizontal laminar airflow ventilation(HLAP),differential vertical airflow ventilation(DVAF),and temperature-controlled airflow ventilation(TAF))used in an OR was evaluated and compared based on the spatial BCP concentration.The airflow field in the OR was solved by the Renormalization Group(RNG)k-e turbulence model,and the BCP phase was calculated by Lagrangian particle tracking(LPT)and the discrete random walk(DRW)model.It was found that the TAF system was the most effective ventilation system among the four ventilation systems for ensuring air cleanliness in the operating area.This study also indicated that air cleanliness in the operating area depended not only on the airflow rate of the ventilation system but also on the airflow distribution,which was greatly affected by obstacles such as surgical lamps and surgical staff.
文摘The effects of a mobile laminar airflow unit on the concentration, deposition and distribution of bacteria- carrying particles in an operating room are investigated. The exploration is carried out using numerical calculation schemes (computational fluid dynamics approach). The model validation was performed through result comparisons with published measurement data from literature. Two types of mobile screen units were evaluated as an extension of turbulent-mixing operating-room ventilation. Airborne particle concentration/sedimentation was recorded with and without a screen unit on the operating table and two instrument tables. Both active and passive air sampling were examined and the results are compared. It was found that the additional mobile ultra-clean laminar airflow unit reduces the counts of airborne bacteria and surface contamination to a level acceptable for infection-prone surgeries.