NOSOCOMIAL - NHS Wales aire Part 2.pdf · Pre Steril-Aire Post Steril-Aire Pre Steril-Aire Post...
Transcript of NOSOCOMIAL - NHS Wales aire Part 2.pdf · Pre Steril-Aire Post Steril-Aire Pre Steril-Aire Post...
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NOSOCOMIAL HOSPITALS
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U.S. Department of Health and
Human Services Centers for Disease Control and Prevention (CDC)
c. Ultraviolet Germicidal Irradiation (UVGI)
As a supplemental air-cleaning measure, UVGI is effective in
reducing the transmission of airborne bacterial and viral
infections in hospitals, military housing, and classrooms, but it
has only a minimal inactivating effect on fungal spores.223–228
UVGI is also used in air handling units to prevent or limit the
growth of vegetative bacteria and fungi. Most commercially
available UV lamps used for germicidal purposes are low-
pressure mercury vapor lamps that emit radiant energy
predominantly at a wave-length of 253.7 nm.229, 230
Bacterial inactivation studies using BCG
mycobacteria and Serratia marcescens have
estimated the effect of UVGI as equivalent to
10 ACH–39 ACH.235, 236
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Women & Children’s Hospital of
Buffalo (WCHOB) Neonatal Intensive Care Unit
Ventilator Associated Pneumonia
Highest at Risk Patient
Infants < 30 Weeks Gestational Age
Ventilator Support > 2 weeks
Span of study – 2.5 years
Presented at Society of Healthcare
Epidemiologists of America 2007 Conference
Presented at Pediatric Academic Society
2007 Conference
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BABY IN HOSPITAL
NOSOCOMIAL
REDUCTIONS
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Theatre 1 AHU 4.12 Surface Samples:
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Surface samples taken at Cooling Coil
Surface samples taken at Drain Pan
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Theatre 1 AHU 4.12 Surface Samples:
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Surface samples taken at Supply Duct SD
Surface samples taken at Supply Duct TS
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Theatre 1 AHU 4.12 Surface Samples:
Theatre Supply Register surface sample being collected
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Theatre 1 AHU 4.12 Surface Samples:
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Surface samples taken at Theatre Supply Register SD
Surface samples taken at Theatre Supply Register TS
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Theatre 1 Air Samples:
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Samples taken in supply duct Samples taken below Theatre supply register
Samples taken with Air Sampler on Theatre table
Note: All split plate photos taken with TS agar on left
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Theatre 2 AHU 4.11 Surface Samples:
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Surface samples taken at Cooling Coil
Surface samples taken at Drain Pan
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Theatre 2 AHU 4.11 Surface Samples:
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Surface samples taken at Supply Duct SD
Surface samples taken at Supply Duct TS
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Theatre 2 AHU 4.11 Surface Samples:
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Surface samples taken at Theatre Supply Register SD
Surface samples taken at Theatre Supply Register TS
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Theatre 3 AHU 4.6 Surface Samples:
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Surface samples taken at the Cooling Coil
Surface samples taken at the Drain Pan
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Theatre 3 AHU 4.6 Surface Samples:
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Surface samples taken at Supply Duct SD
Surface samples taken at Supply Duct TS
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Theatre 3 AHU 4.6 Surface Samples:
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QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
Surface samples taken at Theatre Supply Register SD
Surface samples taken at Theatre Supply Register TS
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Theatre 3 Air Samples:
Post HEPA air sample being collected
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Theatre 4 AHU 4.2 Surface Samples:
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Note: Steril-Aire Emitters on Theatre 4 AHU were operating at only 50% of design output due to a fault.
Surface samples taken at Cooling Coil
Surface samples taken at Drain Pan
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Theatre 4 AHU 4.2 Surface Samples:
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Note: Steril-Aire Emitters on Theatre 4 AHU were operating at only 50% of design output due to a fault.
QuickTime™ and a decompressor
are needed to see this picture.
Surface samples taken at Supply Duct SD
Surface samples taken at Supply Duct TS
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Theatre 4 Air Samples:
Operating Table air sample being collected
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FLORIDA HOSPITAL
• 20% REDUCTION IN ENERGY COSTS
• REDUCED MAINTENANCE COSTS
• 40% REDUCTION IN NOSOCOMIAL INFECTIONS
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RIDS ( Remedial in-Room Decontamination System)
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DE Emitters recessed
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DE Emitters recessed
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ITALIAN HOSPITAL
Laboratory of Biological Agents
ISPESL Occupational Hygiene Department
“The results demonstrate the efficacy of the UVC emitter
in inactivating the spores”
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Show First Page of ISPEL
Article
ITALY - DEPT. OF LABOR
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PIC of Human Sneezing
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Pandemic Protection
Plague Europe
Flu Pandemic 1918
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Avian Flu
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BIRD FLU
• Update Avian Flu
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UVC Could Cut the spread of
Tuberculosis by 70%
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Solutions
• Add surgical masks
• Infrared temperature readers.
Thermometer Machine reader at airport
Solutions
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Recycling condensate for grey water
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Water Case study
DELAWARE BIOTECH CASE STUDY
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AMGEN
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We also had our main competitors lamps tested against our Emitters.by an independent consultant
His numbers show that based on a microwatts per inch of glass measured from 1 meter our Emitters put out
about 8.5 to 9 microwatts at 50degrees F per second
The competition averaged about 1.5 to 1.8 microwatts per second
These are similar ratios to the Homeland Security chart
U.S. INDEPENDENT TESTS
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To counter this, the competition say that our Emitters have too much power and the power is not necessary.
TOO MUCH
POWER?
U.S. INDEPENDENT TESTS
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ASHRAE_Handbook
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ASHRAE AIRBORNE
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LEEDS UNIVERSITY
• The Importance of Bioaerosols in Hospital Infections and
the Potential for Control using Germicidal Ultraviolet
Irradiation.
• The importance of bioaerosols on hospital infections.
Humans can fall prey to a whole range of viral and bacterial
diseases such as measles and tuberculosis which are
transmitted via the airborne route from one infectious individual
to another susceptible victim. Infectious aerosols tend to be
extremely small (< 5μm) and can therefore remain suspended
and viable in the air stream over long periods of time. As a result
the risk of airborne infection in high-risk locations (hospitals and
clinics) and confined spaces (trains and aeroplanes) is
extremely high.
L.A. Fletcher*, C.J. Noakes, C.B. Beggs and P.A. Sleigh Aerobiology Research Group, School of Civil Engineering, University of Leeds,
LS2 9JT,
* Vice Chair of the IUVA Topical Group on UV Air Treatment,
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GREEN BUILDINGS
• Most do not have a clear sense of the significant health risks
of indoor pollution
• The EPA says that poor IAQ ranks among the top Environmental risks
to public health
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Patent
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UVC ATMOSPHERE
FILTERING
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UVC and Glass non-
penetration
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UVC vs Xrays
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ULTRAVIOLET “C” BAND
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Penetration Upper no rays
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Penetration Upper View1
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Penetration if vertical 2
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Existing Coil
12”
12”
12”
62”
24”
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New Coil
15”
15” 15”
62”
30”
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9”
9”
9”
9”
9”
80”
62”
42”
18”
36”
9”
36”
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DE Framing Kit
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SE Installation
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Summary : Recap of main
points in list
No more manual cleaning of coil & drain pans
Returns coil capacity to “as-built”
Provides “Conditioned-air”
Removes MOLD, BACTERIA & VIRUSES
Reduces absenteeism & increases productivity
Reduces Hospital Infections and costs
Saves maintenance, labor & material costs
Reduces Mold in ducts
Significant energy cost savings of 10 - 20%
Increases the life of the coil
Increases the life of the HEPA filters
SUMMARY