在智力和发育障碍 (IDD) 学生学校的COVID-19期间的通风
Martin S Zand1,2,3, Samantha Spallina4, Alexis Ross4
1Department of Medicine, Division of Nephrology, University of Rochester, Rochester, NY, USA.
medRxiv : the preprint server for health sciences
|September 21, 2023
概括
课堂中的高二氧化碳水平与智力和发育障碍 (IDD) 学生学校的SARS-CoV-2病例增加有关. MERV-13过器可能会降低感染率,强调通风改善.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 传染病流行病学 传染病流行病学
背景情况:
- 智力和发育障碍 (IDD) 的学生面临更高的SARS-CoV-2风险,原因是缓解措施的挑战.
- 课堂通风是一种建议的学校战略,以减轻SARS-CoV-2的传播.
- 这项研究重点是针对IDD学生的专门学校.
研究的目的:
- 检查课堂通风 (每小时的空气交换 - ACH) 和二氧化碳暴露 (≥1,000 ppm) 与SARS-CoV-2发病率之间的相关性.
- 在高风险学生群体中评估通风策略的有效性.
- 为学校确定具体的通风改进措施.
主要方法:
- 一所大学和一所专业学校之间建立了一个社区参与的研究伙伴关系.
- 环境二氧化碳水平和每小时的空气变化 (ACH) 在20个月内在100个学校房间测量.
- 每个房间收集了SARS-CoV-2病例,并与环境数据相关联.
主要成果:
- 97%的房间的ACH≤4.0;7%的房间每天超过2000ppm二氧化碳,每天长达3小时.
- 在CO2≥1,000ppm的时间和SARS-CoV-2病例 (43%变异) 之间发现了显著的相关性.
- ACH和SARS-CoV-2病例之间没有显著的相关性;MERV-13过器显示减少了阳性PCR计数.
结论:
- 在课堂上升的二氧化碳水平 (≥1,000 ppm) 与IDD学校的SARS-CoV-2病例有显著的相关性.
- MERV-13过器显示出降低SARS-CoV-2发病率的潜力.
- 该伙伴关系确定了改善学校通风系统的关键领域.
相关概念视频
Mechanical Ventilation II: Invasive Ventilation
177
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
177
Assessment of Ventilation I: Respiratory Rate
1.1K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
1.1K
Assessment of Ventilation II: Respiratory Depth and Rhythm
1.6K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
1.6K
Transmission-based Precautions II: Airborne and Protective Environment
1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
Mechanical Ventilation III: Noninvasive Ventilation
149
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
149
Respiratory Volumes and Capacities I
1.0K
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
1.0K


