NOSOCOMIAL - NHS Wales aire Part 2.pdf · Pre Steril-Aire Post Steril-Aire Pre Steril-Aire Post...

60
NOSOCOMIAL HOSPITALS

Transcript of NOSOCOMIAL - NHS Wales aire Part 2.pdf · Pre Steril-Aire Post Steril-Aire Pre Steril-Aire Post...

  • NOSOCOMIAL HOSPITALS

  • 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

  • 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

  • BABY IN HOSPITAL

    NOSOCOMIAL

    REDUCTIONS

  • Theatre 1 AHU 4.12 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    Surface samples taken at Cooling Coil

    Surface samples taken at Drain Pan

  • Theatre 1 AHU 4.12 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    QuickTime™ and a decompressor

    are needed to see this picture.

    Surface samples taken at Supply Duct SD

    Surface samples taken at Supply Duct TS

  • Theatre 1 AHU 4.12 Surface Samples:

    Theatre Supply Register surface sample being collected

  • Theatre 1 AHU 4.12 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    Surface samples taken at Theatre Supply Register SD

    Surface samples taken at Theatre Supply Register TS

  • Theatre 1 Air Samples:

    Pre Steril-Aire Post Steril-Aire Pre Steril-Aire Post Steril-Aire

    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

    Pre Steril-Aire Post Steril-Aire

  • Theatre 2 AHU 4.11 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    Surface samples taken at Cooling Coil

    Surface samples taken at Drain Pan

  • Theatre 2 AHU 4.11 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    Surface samples taken at Supply Duct SD

    Surface samples taken at Supply Duct TS

  • Theatre 2 AHU 4.11 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    Surface samples taken at Theatre Supply Register SD

    Surface samples taken at Theatre Supply Register TS

  • Theatre 3 AHU 4.6 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    Surface samples taken at the Cooling Coil

    Surface samples taken at the Drain Pan

  • Theatre 3 AHU 4.6 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    Surface samples taken at Supply Duct SD

    Surface samples taken at Supply Duct TS

  • Theatre 3 AHU 4.6 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    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

  • Theatre 3 Air Samples:

    Post HEPA air sample being collected

  • Theatre 4 AHU 4.2 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    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

  • Theatre 4 AHU 4.2 Surface Samples:

    Pre Steril-Aire Post Steril-Aire

    Pre Steril-Aire Post Steril-Aire

    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

  • Theatre 4 Air Samples:

    Operating Table air sample being collected

  • FLORIDA HOSPITAL

    • 20% REDUCTION IN ENERGY COSTS

    • REDUCED MAINTENANCE COSTS

    • 40% REDUCTION IN NOSOCOMIAL INFECTIONS

  • RIDS ( Remedial in-Room Decontamination System)

  • DE Emitters recessed

  • DE Emitters recessed

  • ITALIAN HOSPITAL

    Laboratory of Biological Agents

    ISPESL Occupational Hygiene Department

    “The results demonstrate the efficacy of the UVC emitter

    in inactivating the spores”

  • Show First Page of ISPEL

    Article

    ITALY - DEPT. OF LABOR

  • PIC of Human Sneezing

  • Pandemic Protection

    Plague Europe

    Flu Pandemic 1918

  • Avian Flu

  • BIRD FLU

    • Update Avian Flu

  • UVC Could Cut the spread of

    Tuberculosis by 70%

  • Solutions

    • Add surgical masks

    • Infrared temperature readers.

    Thermometer Machine reader at airport

    Solutions

  • Recycling condensate for grey water

  • Water Case study

    DELAWARE BIOTECH CASE STUDY

  • AMGEN

  • 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

  • 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

  • ASHRAE_Handbook

  • ASHRAE AIRBORNE

  • 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,

  • 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

  • Patent

  • UVC ATMOSPHERE

    FILTERING

  • UVC and Glass non-

    penetration

  • UVC vs Xrays

  • ULTRAVIOLET “C” BAND

  • Penetration Upper no rays

  • Penetration Upper View1

  • Penetration if vertical 2

  • Existing Coil

    12”

    12”

    12”

    62”

    24”

  • New Coil

    15”

    15” 15”

    62”

    30”

  • 9”

    9”

    9”

    9”

    9”

    80”

    62”

    42”

    18”

    36”

    9”

    36”

  • DE Framing Kit

  • SE Installation

  • 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