Journal of The Korea Institute of Healthcare Architecture (의료ㆍ복지 건축 : 한국의료복지건축학회 논문집)

Korea Institute of Healthcare Architecture (한국의료복지건축학회)
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Space planning about Personal Protective Equipment(PPE) Doffing Area to reduce cross-infection among healthcare workers

의료진 교차감염을 낮추기 위한 음압격리병동 내 개인보호구 탈의구역의 공간구성

  • 박도은 (건축학과, 아주대학교) ;
  • 이현진 (의료공간디자인학과, 건양대학교) ;
  • 권순정 (건축학과, 아주대학교)
  • Received : 2023.08.17
  • Accepted : 2023.09.04
  • Published : 2023.09.15
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Abstract

Purpose: To decrease cross-infection, it's essential to analyze the spatial composition of the 'PPE doffing area'. Instead of solely relying on manpower standards, we should focus on responding to infectious diseases within the context of space planning. By doing so, we can lower the risk for healthcare workers' infection and ensure a level of safety in various environmental changes or new manpower input situations. Methods: This analysis is conducted specifically for facilities with negative pressure isolation wards. Additionally, interview surveys to obtain feedback from healthcare workers and incorporate their expertise into the design of the 'PPE doffing area' have been carried. Results: In a PPE doffing area, the standard spaces include a PPE doffing room, a shower room, and a clothing room. Depending on the facility environment or the level of infectious diseases, a Decontamination room or Anteroom can be optionally added. Healthcare workers who remove their PPE in the PPE doffing room should avoid re-entering the Negative pressure room. The shower room is often underutilized. When planning for a future PPE doffing area, an aisle space or passageway must be included even if a shower room is planned. Implications: This study examined the space used by healthcare workers rather than patients, with a focus on infection prevention through architectural planning rather than individual efforts. However, the investigation was limited to facilities that have been converted from general wards to negative pressure isolation wards, so it cannot be generalized to all infectious disease facilities.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 감염병의료안전강화 기술개발사업 지원에 의하여 이루어진 것임(과제고유번호 : HG22C0017).

References

  1. 감염병의 예방 및 관리에 관한 법률 시행규칙. [시행 2022. 5. 4.] [보건복지부령 제885호, 2022. 5. 4., 일부개정]
  2. 감염병전문병원 의료기관 지정 등. [시행 2020. 7. 1.] [보건복지부고시 제2020-140호, 2020. 7. 1., 타법개정]
  3. 강자현, 2018, "다양한 개인 보호구 사용 방법에 따른 오염 발생 비교를 위한 시뮬레이션 실험 결과", 대한내과학회지, 93(1), 41-49
  4. 보건복지부, 2021, "코로나19 중증환자 긴급치료병상 지원기준(병동형)"
  5. 유재상, 2021, "국가 격리병상의 운영 실태 분석 및 개선의 방향에 관한 연구(석사학위)", 충남대학교
  6. 윤형진, 권순정, 2017, "국가지정입원격리병상의 시설별 면적구성에 관한 연구 - 2016년 국가지정입원격리병상 확충사업대상을 중심으로", 의료.복지 건축: 한국의료복지건축학회 논문집, 23(2), 73-82, https://doi.org/10.15682/jkiha.2017.23.2.73
  7. 이도신, 임가영, 이혜린, 전영민, 이주영, 2021, "COVID19감염병 대응의료진용 개인보호복 착용시 온열심리반응 및 기온과 보호수준의 영향", 한국생활환경학회, 28(6), 561-575 https://doi.org/10.21086/ksles.2021.12.28.6.561
  8. 임리사, 김다은, 김영우, 2020, "감염예방 및 통제에 있어서 의료시설 디자인의 역할과 방향", 대한건축학회논문집, 36(8), 11-20, doi:10.5659/JAIK.2020.36.8.11
  9. 임리사, 2022, "코로나 이후 의료환경의 변화 - 미국 사례를 중심으로", 건축, 66(11), 33-36
  10. Abrar Ahmad Chughtai; Xin Chen; Chandini Raina Macintyre; M App Epid, 2018, "risk of self-contamination during doffing PPE", American Journal of Infection Control, 46(2018), 1329-1334 https://doi.org/10.1016/j.ajic.2018.06.003
  11. Anil Giri; Binaya Sapkota; et al, 2021, "A Narrative Review of Personal Protective Equipment Uses in Coronavirus Disease 2019 and Its Disposable Practices", JMA Journal, 4(2), 86-90 https://doi.org/10.31662/jmaj.2020-0120
  12. Chughtai, A. A.; Chen, X.; Macintyre, C. R., 2018, "Risk of self-contamination during doffing of personal protective equipment", American Journal of Infection Control, 46(12), 1329-1334. doi:10.1016/j.ajic.2018.06.003
  13. Doos, D.; Barach, P.; Sarmiento, E.; Ahmed, R., 2022, "Reuse of personal protective equipment: Results of a human factors study using fluorescence to identify Self-Contamination during donning and doffing", The Journal of Emergency Medicine, 62(3), 337-341. doi:10.1016/j.jemermed.2021.12.010
  14. Filip Haegdorens; Erik Franck; Pierre Smith; Arnaud Bruyneel; Koenraad G. Monsieurs; Peter Van Bogaert, 2022, "Sufficient personal protective equipment training can reduce COVID-19 related symptoms in healthcare workers: A prospective cohort study", International Journal of Nursing Studies, 1236(2022)
  15. Kang, J., 2018, "Simulation results for contamination comparisons by various use protocols of personal protective equipment", The Korean Journal of Medicine, 93(1), 41-49. doi:10.3904/kjm.2018.93.1.41
  16. Lau, J.; Fung, K. S.; Wong, T. W.; Kim, J. H.; Wong, E.; Chung, S; Ho, D.; Chan, L. Y.; Lui, S. F.; Cheng, A, 2004, "SARS Transmission among Hospital Workers in Hong Kong", Emerging Infectious Diseases, 10(2), 280-286. https://doi.org/10.3201/eid1002.030534
  17. Matic, Zorana; Oh, Yeinn; Lim, Lisa, 2020, "의료종사자의 안전한 개인보호장비 탈의를 위한 공간설계에 관한 연구", 한국의료복지건축학회지, 26(3), 17-26
  18. Molly Harrod; Lauren E. Weston; Lynn Gregory; Laura Petersen MHSA; Jeanmarie Mayer; Frank A. Drews; Sarah L. Krein, 2020, "A qualitative study of factors affecting personal protective equipment use among health care personnel", American Journal of Infection Control, 48(2020), 410-415 https://doi.org/10.1016/j.ajic.2019.08.031
  19. Tabah, A.; Ramanan, M.; Laupland, K. B.; Buetti, N.; Cortegiani, A.; Mellinghoff, J.; et al, 2020, "Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey", Journal of Critical Care, 59, 70-75. doi:10.1016/j.jcrc.2020.06.005