Abstract
The errors in the design, installation and maintenance of an air-conditioning system within a health facility appear to have consequences that are more serious and complex than those that can be generally hypothesized and verified in the case of residential facilities or offices. This is also due to the presence in hospitals of patients with immune system deficiency. The use of a risk matrix can help to evaluate and better manage the HVAC (Heating, Ventilating and Air-Conditioning) system in healthcare facilities, also allowing to answer questions relating the need to clean the air-conditioning systems. In fact, the latter is associated not only with the reduction of microorganisms, but also with the risk of spreading microorganisms and chemical particles in the environment.
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References
Ahmad I, Tansel B, Mitrani JD. Effectiveness of HVAC duct cleaning procedures in improving indoor air quality. Environ Monit Assess. 2001;72(3):265–76.
ANSI/ASHRAE Standards. Gravimetric and Dust-Spot Procedures for Testing Air-Cleaning Devices Used in General Ventilation for Removing Particulate Matter. Atlanta: ANSI. No.52.1;1992.
ANSI/ASHRAE Standards. Method of Testing General Ventilation Air-Cleaning Devices for Removal Efficiency by Particle Size. Atlanta: ANSI. No.52.2;2012.
ANSI/ASHRAE Standards. Method of Testing General Ventilation Air-Cleaning Devices for Removal Efficiency by Particle Size. Supplement Addenda a, b and d. Atlanta: ANSI. No.52.2;2015.
ASHRAE Standards. Health care facilities. In: ASHRAE. Heating, Ventilating, and Air-Conditioning applications. Atlanta: ASHRAE Handbook; 1995.
ASHRAE Standards. Refrigerating and Air-conditioning Engineers. Ventilation for Indoor Air Quality. Atlanta: ASHRAE. No.62;1999.1–27.
Astley P, Capolongo S, Gola M, Tartaglia A. Operative and design adaptability in healthcare facilities. Technè. 2015;9:162–70. doi:10.13128/Techne-16118.
Baglioni A, Capolongo S. Ergonomics in planning and reconstruction. Giornale italiano di medicina del lavoro ed ergonomia. 2002;24(4):405–9.
Capolongo S. Social aspects and well-being for improving healing processes’ effectiveness. Ann Ist Super Sanità. 2016;52(1):11–4. doi:10.4415/ANN_16_01_05.
Capolongo S, Bellini E, Nachiero D, Rebecchi A, Buffoli M. Soft qualities in healthcare Method and tools for soft qualities design in hospitals’ built environments. Ann Ig. 2014;26(4):391–9. doi:10.7416/ai.2014.1998.
Capolongo S, Gola M, di Noia M, Nickolova M, Nachiero D, Rebecchi A, et al. Social sustainability in healthcare facilities: a rating tool for analyzing and improving social aspects in environments of care. Ann Ist Super Sanità. 2016;52(1):15–23. doi:10.4415/ANN_16_01_06.
CDC (Centers for Disease Control). Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Atlanta: U.S. Department of Health and Human Services (HHS) for CDC; 2003. 52:No. RR-10.
CTI. UNI ISO 11425. Impianto di ventilazione e condizionamento a contaminazione controllata (VCCC) per il blocco operatorio - Progettazione, installazione, messa in marcia, qualifica, gestione e manutenzione. Milano: Comitato Tecnico Italiano; 2011.
D’Alessandro D, Tedesco P, Rebecchi A, Capolongo S. Water use and water saving in Italian hospitals. A preliminary investigation. Ann Ist Super Sanità. 2016;52(1):56–62. doi:10.4415/ANN_16_01_11.
Hanssen SO. HVAC: the importance of clean intake section and dry air filter in cold climate. Indoor Air. 2004;14(Suppl7):195–201. doi:10.1111/j.1600-0668.2004.00288.x.
Health Quality Ontario (Medical Advisory Secretariat Ministry of Health and Long-Term Care—Ontario). Air cleaning technologies: an evidence-based analysis. Ont Health Technol Assess Ser. 2005;5(17):1–52.
Kilbourne EM. Illness due to thermal extremes. In: Wallace RB (ed). Maxcy-Rosenau-Last, Public Health & Preventive Medicine. Stamford, Connecticut: Appleton & Lange. 14th ed. 1998. 607–17.
Laurenti P, Boccia S, Bruno S, Moscato U, Quaranta G, Ficarra MG. Il Rischio in Ospedale. In: Ricciardi W, editor. Igiene, Medicina Preventiva e Sanità Pubblica. Napoli: Idelson- Gnocchi; 2013. p. 851–900.
Mendell MJ, Lei-Gomez Q, Mirer AG, Seppänen O, Brunner G. Risk factors in heating, ventilating, and air-conditioning systems for occupant symptoms in US office buildings: the US EPA BASE study. Indoor Air. 2008;18(4):301–16. doi:10.1111/j.1600-0668.2008.00531.x.
Moscato U, Capolongo S, D’Alessandro D. Approfondimenti di Igiene ed Edilizia Ospedaliera. In: Ricciardi W, editor. Igiene, Medicina Preventiva e Sanità Pubblica. Napoli: Idelson-Gnocchi; 2013a. p. 901–35.
Moscato U, Poscia A, Cerabona V, Wachocka M, Del Cimmuto A, et al. Igiene Ambientale. In: Ricciardi W, editor. Igiene, Medicina Preventiva e Sanità Pubblica. Napoli: Idelson-Gnocchi; 2013b. p. 295–469.
Pittet D, Huguenin T, Dharan S, Sztajzel-Boissard J, Ducel G, Thorens JB, et al. Unusual case of lethal pulmonary aspergillosis in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1996;154(2–1):541–4. doi:10.1164/ajrccm.154.2.8756836.
Rao CY, Burge HA, Chang JCS. Review of quantitative standards and guidelines for fungi in indoor air. J Air Waste Manag Assoc. 1996;46:899–906.
Ricciardi W, Angelillo IF, Brusaferro S, De Giusti M, De Vito E, Moscato U, et al. Igiene e Professioni Sanitarie. Napoli: Idelson-Gnocchi; 2015. p. 177–220.
Sarubbi FA Jr, Kopf BB, Wilson NO, McGinnis MR, Rutala WA. Increased recovery of Aspergillus flavus from respiratory specimens during hospital construction. Am Rev Respir Dis. 1982;125:33–8. doi:10.1164/arrd.1982.125.1.33.
US EPA. Should you have the air ducts in your home cleaned? Washington, DC: US Environmental Protection Agency; 1997. No. 402-K-97-002.
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Moscato, U., Borghini, A., Teleman, A.A. (2017). HVAC Management in Health Facilities. In: Capolongo, S., Settimo, G., Gola, M. (eds) Indoor Air Quality in Healthcare Facilities. SpringerBriefs in Public Health. Springer, Cham. https://doi.org/10.1007/978-3-319-49160-8_9
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