ArticleAmerican journal of infection control2021
Implementing a negative pressure isolation space within a skilled nursing facility to control SARS-CoV-2 transmission.
Article in American journal of infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Non-pharmacological measures implemented in the setting of long-term care facilities to prevent SARS-CoV-2 infections and their consequences: a rapid review.The Cochrane database of systematic reviews · 2021Pooled it
- COVID-19 Prevention and Control Measures in Workplace Settings: A Rapid Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Cost of a Measles Outbreak in an Urban Shelter.JAMA network open · 2026Article
- Ward microclimate and procedural factors as predictors for CRAB environmental contamination in ICUs: a longitudinal monitoring study.Antimicrobial resistance and infection control · 2026Article
- TRAINERWALL: An Innovative, Cost-Effective Removable Anteroom for Pathogen Containment in Healthcare Settings.International journal of environmental research and public health · 2025Article
- Factors influencing long-term care facility performance during the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- The impact of facility and staff characteristics on infection control of COVID-19: Perceptions of elder care home managers in Stockholm, Sweden.Nursing open · 2024Article
- Factors to consider in the safe design of intensive care units - Part 1: historical aspects and ventilation systems.Journal of infection prevention · 2023Article
- Computational decision-support tools for urban design to improve resilience against COVID-19 and other infectious diseases: A systematic review.Progress in planning · 2023Article
- Extraordinary Impacts on the Healthcare Workforce:: COVID-19 and Aging.Delaware journal of public health · 2022Article
- A mesoscale agent based modeling framework for flow-mediated infection transmission in indoor occupied spaces.Computer methods in applied mechanics and engineering · 2022Article
- Expert consensus on the diagnosis and treatment of severe and critical coronavirus disease 2019 (COVID-19).Journal of intensive medicine · 2022Article
- A review of facilities management interventions to mitigate respiratory infections in existing buildings.Building and environment · 2022Article
- Droplet aerosols transportation and deposition for three respiratory behaviors in a typical negative pressure isolation ward.Building and environment · 2022Article
- Infectious Aerosol Capture Mask as Environmental Control to Reduce Spread of Respiratory Viral Particles.Viruses · 2022Article
- Factors Associated With SARS-CoV-2 Attack Rates in Aged Care-A Meta-analysis.Open forum infectious diseases · 2022Article
- The impact of heating, ventilation, and air conditioning design features on the transmission of viruses, including the 2019 novel coronavirus: A systematic review of ventilation and coronavirus.PLOS global public health · 2022Article
- Durable Antibody Responses in Staff at Two Long-Term Care Facilities, during and Post SARS-CoV-2 Outbreaks.Microbiology spectrum · 2021Article
- Reducing Morbidity and Mortality Rates from COVID-19, Influenza and Pneumococcal Illness in Nursing Homes and Long-Term Care Facilities by Vaccination and Comprehensive Infection Control Interventions.Geriatrics (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIsolation space must be expanded during pandemics involving airborne transmission. Little to no work has been done to establish optimal design strategies and implementation plans to ease surge capacity and expand isolation capacity over long periods in congregate living facilities. The COVID-19 pandemic has an airborne transmission component and requires isolation, which is difficult to accomplish in skilled nursing facilities.
methodsIn this study we designed, implemented, and validated an isolation space at a skilled nursing facility in Lancaster, PA. The overall goal was to minimize disease transmission between residents and staff within the facility. We created an isolation space by modifying an existing HVAC system of the SNF. We measured pressure on-site and performed computational fluid dynamics and Lagrangian particle-based modeling to test containment and possible transmission extent given the isolation space is considered negative rather than individual rooms.
resultsPressure data shows the isolation space maintained an average (standard deviation) hourly value of -2.3 Pa (0.12 Pa) pressure differential between it and the external hallway connected to the rest of the facility. No transmission of SARS-CoV-2 between residents isolated to the space occurred, nor did any transmission to the staff or other residents occur. The isolation space was successfully implemented and, as of writing, continues to be operational through the pandemic.
conclusionSkilled nursing facilities can be retrofitted to provide negative pressure isolation space in a reasonable time frame and a cost effective manner to minimize airborne disease transmission within that space.
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