Inadequate ventilation for nosocomial tuberculosis prevention in public hospitals in Central Thailand

• Published in: The international journal of tuberculosis and lung disease Vol. 13; no. 4; pp. 454 - 459
• Main Authors: JIAMJARASRANGSI, W, BUALERT, S, CHONGTHALEONG, A, CHAINDAMPORN, A, UDOMSANTISUK, N, EUASAMARNJIT, W
• Format: Journal Article
• Language: English
• Published: Paris, France IUATLD 01.04.2009; International Union against Tuberculosis and Lung Disease
• Subjects: Air Conditioning; Bacterial diseases; Biological and medical sciences; Cross Infection - prevention & control; Cross-Sectional Studies; General aspects; Hospital Design and Construction; Hospitals, Public; Human bacterial diseases; Human infectious diseases. Experimental studies and models; Humans; Indoor Ventilation; Infectious diseases; Medical sciences; Mycobacterium; Nosocomial Tuberculosis; Pneumology; Public Hospital; Respiratory system : syndromes and miscellaneous diseases; Thailand; Tuberculosis - prevention & control; Tuberculosis and atypical mycobacterial infections; Ventilation - standards; Thailand; Asia; Nosocomial infection; Respiratory disease; nosocomial tuberculosis; Mycobacterial infection; public hospital; Infection; Prevention; Tuberculosis; indoor ventilation; Bacteriosis; Ventilation; Hospital; Pneumology
• ISSN: 1027-3719; 1815-7920

SETTING: Forty-two community and general hospitals in central Thailand.OBJECTIVE: To examine the adequacy of indoor ventilation for nosocomial tuberculosis (TB) prevention in public hospitals in central Thailand.DESIGN: A cross-sectional survey was conducted among 323 patient care and ancillary areas in the target hospitals. Data on indoor ventilation rate were collected by the tracer gas method and reported as air changes per hour (ACH). The adequacy of the measured ventilation rates were then determined by comparison with the international recommended standard values.RESULTS: Indoor ventilation rates were inadequate in almost half of the studied areas (144/323, 44.6%). The inadequacy was particularly serious in the emergency rooms (ERs) and radiological areas, where 73.8% (31/42 each) of the rooms had ACH below the recommended standards. Detailed analysis showed that most of the rooms with natural ventilation had air exchange rates that exceeded the recommended standards, while the opposite was the case for rooms with air-conditioning, particularly the window or wall-mount type.CONCLUSION: Indoor ventilation in high-risk nosocomial TB areas in public hospitals in Thailand was inadequate due to the installation of air-conditioning systems in modern buildings.