• 제목/요약/키워드: Airborne virus

검색결과 29건 처리시간 0.028초

코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인 (Guidelines for dental clinic infection prevention during COVID-19 pandemic)

  • 김진
    • 대한치과의료관리학회지
    • /
    • 제8권1호
    • /
    • pp.1-7
    • /
    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

국내 출시 마스크의 바이오에어로졸 여과효율 평가 (Filtration Efficiencies of Commercial Face Masks in Korea for Biological Aerosols)

  • 최수은;최도선;장성재;박성준;윤충식;이기영;고광표;이정훈
    • 한국환경보건학회지
    • /
    • 제48권2호
    • /
    • pp.116-122
    • /
    • 2022
  • Background: The recent COVID-19 pandemic is one of the worst disease outbreaks of the 21th century. Due to a lack of reliable antiviral therapeutics, wearing face masks is recommended to prevent airborne infection originating from virus-contaminated bioaerosols. Objectives: The aim of this study was to evaluate the filtration efficiencies of face masks that are commercially available in South Korea for a biological aerosol of Staphylococcus aureus (S. aureus) and murine coronavirus, a well-known surrogate for human coronaviruses. Methods: We collected six different kinds of commercial masks: two Korea Filter (KF)94 (KF94-1, KF94-2) masks, one surgical (Surgical-1) mask, one anti-droplet (KF-AD-1) mask, and two dust (Dust-1, Dust-2) face masks. S. aureus (ATCC 6538), a well-performing test bacteria and murine coronavirus (ATCC VR-764) were prepared under a suitable culture condition. Then, a mask biological filtration tester was used to examine the microbial filtration efficiencies of masks. Test microorganisms were quantitatively measured via cultivation methods and microbial filtration efficiencies were calculated appropriately. Results: All face masks showed over 99.6% filtration efficiency for S. aureus or murine coronavirus. There were no significant differences among the bacterial filtration efficiencies of the face masks. KF94-1 (99.97±0.08%) and Dust-1 mask (99.97±0.07%) showed the highest (over 99.9%) filtration efficiency for murine coronavirus. KF94-1 or Dust-1 masks showed a significant virus filtration efficiency compared to Surgical-1 mask (p<0.05; Mann-Whitney U test). Conclusions: All the commercially available face masks used in this study can filter S. aureus or murine coronavirus in bioaerosols efficiently, regardless of the mask type. Therefore, our results suggest that wearing a certified face mask is a reliable means to prevent the transmission of infectious airborne diseases via biological aerosols.

고병원성 조류인플루엔자 (HPAI)의 에어로졸을 통한 공기 전파 예측을 위한 공기유동학적 확산 모델 연구 (Aerodynamic Approaches for the Predition of Spread the HPAI (High Pathogenic Avian Influenza) on Aerosol)

  • 서일환;이인복;문운경;홍세운;황현섭;;권경석;김기연
    • 한국농공학회논문집
    • /
    • 제53권1호
    • /
    • pp.29-36
    • /
    • 2011
  • HPAI (High pathogenic avian influenza) which is a disease legally designated as an epidemic generally shows rapid spread of disease resulting in high mortality rate as well as severe economic damages. Because Korea is contiguous with China and southeast Asia where HPAI have occurred frequently, there is a high risk for HPAI outbreak. A prompt treatment against epidemics is most important for prevention of disease spread. The spread of HPAI should be considered by both direct and indirect contact as well as various spread factors including airborne spread. There are high risk of rapid propagation of HPAI flowing through the air because of collective farms mostly in Korea. Field experiments for the mechanism of disease spread have limitations such as unstable weather condition and difficulties in maintaining experimental conditions. In this study, therefore, computational fluid dynamics which has been actively used for mass transfer modeling were adapted. Korea has complex terrains and many livestock farms are located in the mountain regions. GIS numerical map was used to estimate spreads of virus attached aerosol by means of designing three dimensional complicated geometry including farm location, road network, related facilities. This can be used as back data in order to take preventive measures against HPAI occurrence and spread.

지하철 역사 내 코로나 바이러스 저감을 위한 이온풍 집진기 개발 (Development of an ionic wind dust collector towards coronavirus reduction in subway stations)

  • 신동호;김영훈;한방우
    • 한국입자에어로졸학회지
    • /
    • 제18권1호
    • /
    • pp.1-8
    • /
    • 2022
  • Since 2019, the corona virus has been continuously affect human life. In particular, in the indoor space where people live, infection by airborne transmission of viruses is a problem. Among them, the spread in the subway, which is the main mode of transport for humans, can be serious. To solve this problem, our research team developed an ionic wind collector to collect and remove corona virus using an ionic wind collector and ozone. In order to apply the ionic wind collector to the subway, it must operate in two modes. Because large amounts of ozone are harmful to the human body. There is a mode that collects bio-aerosol from the air using ionic wind and a mode that inactivates viruses floating in the air by generating a large amount of ozone. As the applied voltage increased, the cleaning ability of the ionic wind collector increased, and the farther the distance between the discharge electrode and the ground plate, the higher the cleaning ability even at low current. In addition, clean air delivery rate (CADR) of an ionic wind collector was up to 5.5 m3/min. As a result of measuring the amount of ozone generated, it was confirmed that 50 ppb to 250 ppb was generated, and it was confirmed that ozone generation was controllable in the ionic wind dust collector.

Bioviolence Agents에 따른 건물내 미생물오염원의 효율적인 제거방안에 관한 연구 (A Study on the Effective Removal Method of Microbial Contaminants in Building According to Bioviolence Agents)

  • 이현우;홍진관
    • 설비공학논문집
    • /
    • 제22권12호
    • /
    • pp.881-890
    • /
    • 2010
  • As Influenza A virus(H1N1) has been spreading more rapidly around globe, the study on the airborne disease which is transimitted through the respiratory system is on the rise. In this study, the multizone simulation of the public building against bioviolence is performed in the case of unexpected spread of microbial contaminants, such as bioviolence agent, Influenza A, Smallpox, B. anthrax and transport and control characteristics of above three kinds of bioviolence agents are evaluted. Results suggest that Influenza A and Smallpox which has small mean diameter can be more removable than B. anthrax by using high UVGI grade condition and B. anthrax which has large mean diameter can be more removable than Influenza A and Smallpox by using high filter grade condition. Results also suggest that installing a combined air treatment system is more effective to reduce the damage and engineers will use immune building technology for removing the bioviolence agents effectively.

복합식 공기청정기의 물리적 및 생물학적 입자상 물질의 제거 효과 (Efficiency of the Hybrid-type Air Purifier on Reducing Physical and Biological Aerosol)

  • 김기연;김치년;김윤신;노영만;이철민
    • 한국환경보건학회지
    • /
    • 제32권5호
    • /
    • pp.478-484
    • /
    • 2006
  • There was no significant difference in the CADR (Clean Air Delivery Rate) between physical aerosols, NaCl and smoke, and biological aerosols, airborne MS2 virus and P. fluorescens, which implicate that the hybrid-type of air purifier, applying the unipolar ion emission and the radiant catalytic ionization, imposed identical reduction effect on both physical aerosol and bioaerosol. Ventilation decreases the efficiency of air cleaning by unipolar ionization because high ventilation diminishes the particle concentration reduction effect. The particle removal efficiency decreases with increase in the chamber volume because of the augmented ion diffusion and higher ion wall loss rate. Particle size affects the efficiency of air ionization. The efficiency is high for particles with very small diameter because reduction of charge increases with particle size. If there is no increasing supply of ions, the efficiency of air cleaning by unipolar ionization increases with respect to initial concentration of particles because of the large space charge effect at high particle concentration and amplified electric field.

Recent Advances in the Diagnosis and Management of Pneumocystis Pneumonia

  • Tasaka, Sadatomo
    • Tuberculosis and Respiratory Diseases
    • /
    • 제83권2호
    • /
    • pp.132-140
    • /
    • 2020
  • In human immunodeficiency virus (HIV)-infected patients, Pneumocystis jirovecii pneumonia (PCP) is a well-known opportunistic infection and its management has been established. However, PCP is an emerging threat to immunocompromised patients without HIV infection, such as those receiving novel immunosuppressive therapeutics for malignancy, organ transplantation, or connective tissue diseases. Clinical manifestations of PCP are quite different between patients with and without HIV infections. In patients without HIV infection, PCP rapidly progresses, is difficult to diagnose correctly, and causes severe respiratory failure with a poor prognosis. High-resolution computed tomography findings are different between PCP patients with HIV infection and those without. These differences in clinical and radiological features are due to severe or dysregulated inflammatory responses that are evoked by a relatively small number of Pneumocystis organisms in patients without HIV infection. In recent years, the usefulness of polymerase chain reaction and serum β-D-glucan assay for rapid and non-invasive diagnosis of PCP has been revealed. Although corticosteroid adjunctive to anti-Pneumocystis agents has been shown to be beneficial in some populations, the optimal dose and duration remain to be determined. Recent investigations revealed that Pneumocystis colonization is prevalent and that asymptomatic carriers are at risk for developing PCP and can serve as the reservoir for the spread of Pneumocystis by airborne transmission. These findings suggest the need for chemoprophylaxis in immunocompromised patients as well as infection control measures, although the indications remain controversial. Because a variety of novel immunosuppressive therapeutics have been emerging in medical practice, further innovations in the diagnosis and treatment of PCP are needed.

광대역대 활성광촉매를 활용한 융·복합 구조 공기살균정화장치 개발 (Development of air-sterilization purification system of fusion and composite structure using broadband-to-active photocatalyst)

  • 윤승배;황윤정;김승천
    • 한국융합학회논문지
    • /
    • 제10권4호
    • /
    • pp.147-151
    • /
    • 2019
  • 현대인들은 가정, 학교 혹은 직장, 병원, 쇼핑몰, 지하철역과 객실, 주차장 등 일상생활의 대부분을 실내에서 보내게 된다. 이렇듯 실내에 갇힌 현대인들은 갇힌 공기 속에서 살아갈 수밖에 없다. 이에 실내 공기질 향상을 위한 공기정화장치는 많이 개발되었으나 대다수의 공기정화장치는 필터에 의한 필터링과 유해세균 살균방식에 있어 자외선이라는 제한된 영역에서의 살균방식에 국한 할 수밖에 없었다. 여기서는 실내 공기질 향상은 물론 원천적으로 실내공기중의 부유 세균을 제거하고, 자외선뿐만 아니라 가시광선에서도 활동하는 광촉매를 적용한 미디어광촉매필터를 활용한 광대역대 활성광촉매를 활용한 융 복합 구조 공기살균정화장치 개발하고자 한다.

2003년 태안지역에서 황사 부유분진의 미생물학적 동정과 금속 성분 및 농도 (Microbiological Identification and Distribution of Metal Components in Suspended Particulate Matter during Yellow Sand Phenomena at TaeAn Region in 2003)

  • 배강우;김윤섭;김종호;박재석;지영구;이계영
    • Tuberculosis and Respiratory Diseases
    • /
    • 제58권2호
    • /
    • pp.167-173
    • /
    • 2005
  • 연구배경 : 황사는 우리나라에서 주로 3월에서 5월까지 봄에 집중적으로 발생하는 대기오염의 주된 원인으로 사람에게 만성 기관지염을 악화시키고 호흡기 질환을 유발하는 것으로 알려져 있다. 황사기간 중 부유분진 중의 무기이온 성분과 금속성분의 분석에 대한 연구와 천식 등 호흡기 질환과의 연관성에 대한 연구는 많으나, 아직까지 황사의 부유분진중의 미생물에 대한 연구는 부족하다. 이 연구에서는 황사 현상시 부유분진 중에 박테리아, 진균 그리고 바이러스 등의 미생물의 검출유무와 종류를 알아보고 금속 성분 및 농도에 대해 알아보고자 본 연구를 시행하였다. 방 법 : 시료의 채취는 충남 태안군 파도리에서 cascade impactor(AN-200, USA)를 설치하여 1시간 동안 얻었으며 채취는 황사현상 기간과 비황사기간중 각각 한번씩 시행하였다. Cascade impactor에 의해 채취된 부유분진중의 미생물 검사는 cascade impactor내에 있는 여과지를 그람 양성균, 그람 음성균, 진균, 그리고 바이러스의 배지(4종, influenza, parainfluenza, adenovirus, RSV)에 옮긴 후에 배양하여 분석하였다. 금속 성분의 분석은 XRF를 이용하여 분석하였다. 결 과 : 조사 대상 지역의 황사기간과 비황사 기간 중 부유분진의 농도는 각각 80.2, $40.3g/m^3$ 이었다. 부유분진 중 XRF로 분석한 금속성분은 알루미늄과 규소, 황, 칼륨과 칼슘, 철 등 대부분의 금속이 비 황사 기간에 비해 황사 기간에서 농도가 높았다. 미생물 검사 결과상 그람 양성균은 Bacillus species, Coagulase negative staphylococcus가 자랐으며 황사기간보다 비 황사 기간동안 채취한 시료에서 오히려 더 많은 단계의 여과지에서 균이 동정되었으나 두 기 간에서 자라는 균주의 종류에는 차이가 없었다. 진균 배양은 비 황사 기간동안 Mucor species, Cladosporum, Alternaria, Aspergillus, Penicillium, Alternaria등의 진균들이 자랐으며, 황사 기간동안은 Penicillium과 Alternaria, 그리고 다른 mold form fungus들이 자랐다. 바이러스와 그람 음성균은 두 기간 다 자라는 균주는 없었다. 결 론 : 이 연구는 황사 기간동안 대기분진 중에 포함된 미생물에 대한 최초의 연구로 황사 현상시 미생물의 검출 종류는 크게 차이가 없었으나 개체수의 증가가 관찰되었으며 금속 성분의 종류는 차이가 없었으나 농도는 황사 현상시에 더 높은 수치를 보여 황사현상에 따른 호흡기 질환자의 주의와 대기오염에 대한 대책이 필요할 것으로 사료된다.