Literature DB >> 33655242

Self-contained system for mitigation of contaminated aerosol sources of SARS-CoV-2&nbsp.

Bhavesh Patel, Erica Forzani, Amelia Lowell, Kelly McKay, Karam Abi Karam, Adithya Shyamala Pandian, Gabriel Pyznar, Xiaojun Xian, Michael Serhan.   

Abstract

Contaminated aerosols and micro droplets are easily generated by infected hosts through sneezing, coughing, speaking and breathing 1-3 and harm humans’ health and the global economy. While most of the efforts are usually targeted towards protecting individuals from getting infected, 4 eliminating transmissions from infection sources is also important to prevent disease transmission. Supportive therapies for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV-2) pneumonia such as oxygen supplementation, nebulizers and non-invasive mechanical ventilation all carry an increased risk for viral transmission via aerosol to healthcare workers. 5-9 In this work, we study the efficacy of five methods for self-containing aerosols emitted from infected subjects undergoing nebulization therapies with a diverse spectrum on oxygen delivery therapies. The work includes five study cases: Case I: Use of a Full-Face Mask with biofilter in bilevel positive airway pressure device (BPAP) therapy, Case II: Use of surgical mask in High Flow Nasal Cannula (HFNC) therapy, Case III: Use of a modified silicone disposable mask in a HFNC therapy, Case IV: Use of a modified silicone disposable mask with a regular nebulizer and normal breathing, Case V: Use of a mitigation box with biofilter in a Non-Invasive Positive Pressure Ventilator (NIPPV). We demonstrate that while cases I, III and IV showed efficacies of 98-100%; cases II and V , which are the most commonly used, resulted with significantly lower efficacies of 10-24% to mitigate the dispersion of nebulization aerosols. Therefore, implementing cases I, III and IV in health care facilities may help battle the contaminations and infections via aerosol transmission during a pandemic.

Entities:  

Year:  2021        PMID: 33655242      PMCID: PMC7924284          DOI: 10.21203/rs.3.rs-237873/v1

Source DB:  PubMed          Journal:  Res Sq


  17 in total

Review 1.  Role of ventilation in airborne transmission of infectious agents in the built environment - a multidisciplinary systematic review.

Authors:  Y Li; G M Leung; J W Tang; X Yang; C Y H Chao; J Z Lin; J W Lu; P V Nielsen; J Niu; H Qian; A C Sleigh; H-J J Su; J Sundell; T W Wong; P L Yuen
Journal:  Indoor Air       Date:  2007-02       Impact factor: 5.770

2.  Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals.

Authors:  Yuan Liu; Zhi Ning; Yu Chen; Ming Guo; Yingle Liu; Nirmal Kumar Gali; Li Sun; Yusen Duan; Jing Cai; Dane Westerdahl; Xinjin Liu; Ke Xu; Kin-Fai Ho; Haidong Kan; Qingyan Fu; Ke Lan
Journal:  Nature       Date:  2020-04-27       Impact factor: 49.962

3.  Physicochemical aspects and efficiency of albuterol nebulization: comparison of three aerosol types in an in vitro pediatric model.

Authors:  Anne-Laure Sidler-Moix; Ermindo R Di Paolo; Ugo Dolci; Markoulina Berger-Gryllaki; Jacques Cotting; André Pannatier
Journal:  Respir Care       Date:  2014-12-16       Impact factor: 2.258

4.  Cough aerosol in healthy participants: fundamental knowledge to optimize droplet-spread infectious respiratory disease management.

Authors:  Gustavo Zayas; Ming C Chiang; Eric Wong; Fred MacDonald; Carlos F Lange; Ambikaipakan Senthilselvan; Malcolm King
Journal:  BMC Pulm Med       Date:  2012-03-21       Impact factor: 3.317

5.  Crystal structure of SARS-CoV-2 nucleocapsid protein RNA binding domain reveals potential unique drug targeting sites.

Authors:  Sisi Kang; Mei Yang; Zhongsi Hong; Liping Zhang; Zhaoxia Huang; Xiaoxue Chen; Suhua He; Ziliang Zhou; Zhechong Zhou; Qiuyue Chen; Yan Yan; Changsheng Zhang; Hong Shan; Shoudeng Chen
Journal:  Acta Pharm Sin B       Date:  2020-04-20       Impact factor: 11.413

6.  Airborne route and bad use of ventilation systems as non-negligible factors in SARS-CoV-2 transmission.

Authors:  G Correia; L Rodrigues; M Gameiro da Silva; T Gonçalves
Journal:  Med Hypotheses       Date:  2020-04-25       Impact factor: 1.538

Review 7.  Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review.

Authors:  Khai Tran; Karen Cimon; Melissa Severn; Carmem L Pessoa-Silva; John Conly
Journal:  PLoS One       Date:  2012-04-26       Impact factor: 3.240

8.  Intensive care unit isolation hood decreases risk of aerosolization during noninvasive ventilation with COVID-19.

Authors:  Kendrick M Shaw; Angela L Lang; Rodrigo Lozano; Michele Szabo; Samuel Smith; Jingping Wang
Journal:  Can J Anaesth       Date:  2020-05-26       Impact factor: 6.713

9.  Rationale for universal face masks in public against COVID-19.

Authors:  Anthony Paulo Sunjaya; Christine Jenkins
Journal:  Respirology       Date:  2020-04-30       Impact factor: 6.175

10.  Modelling aerosol transport and virus exposure with numerical simulations in relation to SARS-CoV-2 transmission by inhalation indoors.

Authors:  Ville Vuorinen; Mia Aarnio; Mikko Alava; Ville Alopaeus; Nina Atanasova; Mikko Auvinen; Nallannan Balasubramanian; Hadi Bordbar; Panu Erästö; Rafael Grande; Nick Hayward; Antti Hellsten; Simo Hostikka; Jyrki Hokkanen; Ossi Kaario; Aku Karvinen; Ilkka Kivistö; Marko Korhonen; Risto Kosonen; Janne Kuusela; Sami Lestinen; Erkki Laurila; Heikki J Nieminen; Petteri Peltonen; Juho Pokki; Antti Puisto; Peter Råback; Henri Salmenjoki; Tarja Sironen; Monika Österberg
Journal:  Saf Sci       Date:  2020-06-11       Impact factor: 4.877

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