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A Message from the Coeditors-in-Chief. 来自主编的一封信。
IF 0.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-01 Epub Date: 2023-09-12 DOI: 10.1089/apb.2023.29013.kby
Barbara Johnson, Karen Byers
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引用次数: 0
Rosalind Franklin Society Proudly Announces the 2022 Award Recipient for Applied Biosafety 罗莎琳德·富兰克林协会自豪地宣布2022年应用生物安全奖获得者
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-07-26 DOI: 10.1089/apb.2023.29012.rfs2022
LaTonya A Clay
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引用次数: 0
Rate of Splashes When Opening Microfuge Tubes with Various Methods. 用不同方法打开微量离心管时的飞溅率。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 Epub Date: 2023-06-05 DOI: 10.1089/apb.2022.0035
Henry L Wyneken, Audrey A Cerles, Kelly N Kim, Christine Heren, Emma J Reuter, Colin McCarty, Kaylin Chen, Sean Daly, Lauren Gherman, Iqra Imran, Alannah Miller, Caitlin Wrinn, Andrea Valladares, Adam E J Fleming, Rebecca Roberts, Rocco Casagrande

Introduction: Snap-cap microcentrifuge tubes are ubiquitous in biological laboratories. However, limited data are available on how frequently splashes occur when opening them. These data would be valuable for biorisk management in the laboratory.

Methods: The frequency of splashes from opening snap-cap tubes using four different methods was tested. The splash frequency for each method was measured on the benchtop surface and on the experimenter's gloves and smock, using a Glo Germ solution as a tracer.

Results: Splashes occurred very frequently when opening microcentrifuge snap-cap tubes, no matter which method was used to open the tube. The highest rate of splashes on all surfaces was observed with the one-handed (OH) opening method compared with two-handed methods. Across all methods, the highest rate of splashes was observed on the opener's gloves (70-97%) compared with the benchtop (2-40%) or the body of the researcher (0-7%).

Conclusions: All tube opening methods we studied frequently caused splashes, with the OH method being the most error-prone but no two-handed method being clearly superior to any other. In addition to posing an exposure risk to laboratory personnel, experimental repeatability may be affected due to loss of volume when using snap-cap tubes. The rate of splashes underscores the importance of secondary containment, personal protective equipment, and good protocols for decontamination. When working with especially hazardous materials, alternatives to snap-cap tubes (such as screw cap tubes) should be strongly considered. Future studies can examine other methods of opening snap-cap tubes to determine whether a truly safe method exists.

简介扣盖式微离心管在生物实验室中无处不在。然而,关于打开微离心管时发生飞溅的频率的数据却很有限。这些数据对实验室的生物风险管理很有价值:方法:测试了使用四种不同方法打开快盖试管时发生飞溅的频率。使用 Glo Germ 溶液作为示踪剂,测量了每种方法在台面、实验者手套和工作服上的飞溅频率:结果:无论使用哪种方法打开微离心管,在打开微离心管时都会频繁发生飞溅。与双手打开方式相比,单手(OH)打开方式在所有表面上的飞溅率最高。在所有方法中,与台面(2-40%)或研究人员身体(0-7%)相比,开瓶器手套上的飞溅率最高(70-97%):结论:我们研究的所有试管开启方法都经常造成飞溅,其中 OH 方法最容易出错,但没有一种双手开启方法明显优于其他方法。除了会给实验室人员带来暴露风险外,使用快盖试管时由于体积损失可能会影响实验的可重复性。飞溅率凸显了二次封闭、个人防护设备和良好的净化规程的重要性。在处理特别危险的材料时,应积极考虑使用快盖试管的替代品(如螺旋盖试管)。未来的研究可以检查打开快盖试管的其他方法,以确定是否存在真正安全的方法。
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引用次数: 0
Viral Replicon Systems and Their Biosafety Aspects. 病毒复制子系统及其生物安全问题。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 Epub Date: 2023-06-05 DOI: 10.1089/apb.2022.0037
Karen van der Meulen, Greet Smets, Patrick Rüdelsheim

Introduction: Viral RNA replicons are self-amplifying RNA molecules generated by deleting genetic information of one or multiple structural proteins of wild-type viruses. Remaining viral RNA is used as such (naked replicon) or packaged into a viral replicon particle (VRP), whereby missing genes or proteins are supplied via production cells. Since replicons mostly originate from pathogenic wild-type viruses, careful risk consideration is crucial.

Methods: A literature review was performed compiling information on potential biosafety risks of replicons originating from positive- and negative-sense single-stranded RNA viruses (except retroviruses).

Results: For naked replicons, risk considerations included genome integration, persistence in host cells, generation of virus-like vesicles, and off-target effects. For VRP, the main risk consideration was formation of primary replication competent virus (RCV) as a result of recombination or complementation. To limit the risks, mostly measures aiming at reducing the likelihood of RCV formation have been described. Also, modifying viral proteins in such a way that they do not exhibit hazardous characteristics in the unlikely event of RCV formation has been reported.

Discussion and conclusion: Despite multiple approaches developed to reduce the likelihood of RCV formation, scientific uncertainty remains on the actual contribution of the measures and on limitations to test their effectiveness. In contrast, even though effectiveness of each individual measure is unclear, using multiple measures on different aspects of the system may create a solid barrier. Risk considerations identified in the current study can also be used to support risk group assignment of replicon constructs based on a purely synthetic design.

引言病毒 RNA 复制子是通过删除野生型病毒的一种或多种结构蛋白的遗传信息而产生的自我扩增 RNA 分子。剩余的病毒 RNA 可作为复制子使用(裸体复制子),也可包装成病毒复制子颗粒(VRP),通过生产细胞提供缺失的基因或蛋白质。由于复制子大多来自致病性野生型病毒,因此仔细考虑风险至关重要:方法:对有关源自正义和负义单链 RNA 病毒(逆转录病毒除外)的复制子潜在生物安全风险的信息进行了文献综述:对于裸体复制子,风险考虑因素包括基因组整合、在宿主细胞中的持久性、病毒样囊泡的产生以及脱靶效应。对于 VRP,主要的风险考虑因素是重组或互补导致形成初级复制能力病毒(RCV)。为了限制风险,已经介绍了许多旨在降低 RCV 形成可能性的措施。此外,还有报告称,对病毒蛋白质进行改造,使其在万一形成 RCV 的情况下不会表现出危险特性:尽管已开发出多种方法来降低 RCV 形成的可能性,但这些措施的实际作用以及检验其有效性的局限性在科学上仍存在不确定性。相反,尽管每项措施的有效性尚不明确,但在系统的不同方面采用多种措施可能会形成一道坚实的屏障。当前研究中确定的风险考虑因素也可用于支持基于纯合成设计的复制子构建的风险组分配。
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引用次数: 0
The Biosafety Research Road Map: The Search for Evidence to Support Practices in the Laboratory-Shigella spp. 生物安全研究路线图:寻找支持实验室实践的证据-志贺氏菌。
IF 0.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 Epub Date: 2023-06-05 DOI: 10.1089/apb.2022.0046
Stuart D Blacksell, Sandhya Dhawan, Marina Kusumoto, Kim Khanh Le, Ben J Davis, Kathrin Summermatter, Joseph O'Keefe, Joseph Kozlovac, Salama Suhail Almuhairi, Indrawati Sendow, Christina M Scheel, Anthony Ahumibe, Zibusiso M Masuku, Allan M Bennett, Kazunobu Kojima, David R Harper, Keith Hamilton

Introduction: Shigella bacteria cause shigellosis, a gastrointestinal infection most often acquired from contaminated food or water.

Methods: In this review, the general characteristics of Shigella bacteria are described, cases of laboratory-acquired infections (LAIs) are discussed, and evidence gaps in current biosafety practices are identified.

Results: LAIs are undoubtedly under-reported. Owing to the low infectious dose, rigorous biosafety level 2 practices are required to prevent LAIs resulting from sample manipulation or contact with infected surfaces.

Conclusions: It is recommended that, before laboratory work with Shigella, an evidence-based risk assessment be conducted. Particular emphasis should be placed on personal protective equipment, handwashing, and containment practices for procedures that generate aerosols or droplets.

简介:志贺氏菌引起志贺氏菌病,这是一种胃肠道感染,最常通过受污染的食物或水获得。方法:本文综述了志贺氏菌的一般特征,讨论了实验室获得性感染(LAIs)的病例,并确定了当前生物安全实践中的证据差距。结果:LAIs无疑是少报的。由于感染剂量低,需要采取严格的2级生物安全措施,以防止因样品操作或接触受感染表面而造成的lai。结论:建议在开展志贺氏菌的实验室工作之前,进行基于证据的风险评估。应特别强调个人防护装备、洗手和产生气溶胶或液滴的程序的密封措施。
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引用次数: 0
The Biosafety Research Road Map: The Search for Evidence to Support Practices in the Laboratory-SARS-CoV-2. 生物安全研究路线图:寻找支持实验室实践的证据- sars - cov -2。
IF 0.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 Epub Date: 2023-06-05 DOI: 10.1089/apb.2022.0039
Stuart D Blacksell, Sandhya Dhawan, Marina Kusumoto, Kim Khanh Le, Kathrin Summermatter, Joseph O'Keefe, Joseph Kozlovac, Salama Suhail Almuhairi, Indrawati Sendow, Christina M Scheel, Anthony Ahumibe, Zibusiso M Masuku, Kazunobu Kojima, David R Harper, Keith Hamilton

Introduction: The SARS-CoV-2 virus emerged as a novel virus and is the causative agent of the COVID-19 pandemic. It spreads readily human-to-human through droplets and aerosols. The Biosafety Research Roadmap aims to support the application of laboratory biological risk management by providing an evidence base for biosafety measures. This involves assessing the current biorisk management evidence base, identifying research and capability gaps, and providing recommendations on how an evidence-based approach can support biosafety and biosecurity, including in low-resource settings.

Methods: A literature search was conducted to identify potential gaps in biosafety and focused on five main sections, including the route of inoculation/modes of transmission, infectious dose, laboratory-acquired infections, containment releases, and disinfection and decontamination strategies.

Results: There are many knowledge gaps related to biosafety and biosecurity due to the SARS-CoV-2 virus's novelty, including infectious dose between variants, personal protective equipment for personnel handling samples while performing rapid diagnostic tests, and laboratory-acquired infections. Detecting vulnerabilities in the biorisk assessment for each agent is essential to contribute to the improvement and development of laboratory biosafety in local and national systems.

简介:SARS-CoV-2病毒是一种新型病毒,是COVID-19大流行的病原体。它很容易通过飞沫和气溶胶在人与人之间传播。生物安全研究路线图旨在通过为生物安全措施提供证据基础,支持实验室生物风险管理的应用。这涉及评估当前的生物风险管理证据基础,确定研究和能力差距,并就循证方法如何支持生物安全和生物保障提供建议,包括在资源匮乏的环境中。方法:通过文献检索,从接种途径/传播方式、感染剂量、实验室获得性感染、收容释放、消毒和去污策略等5个主要方面确定生物安全方面的潜在缺口。结果:由于SARS-CoV-2病毒的新颖性,存在许多与生物安全和生物安全相关的知识空白,包括变体之间的感染剂量,进行快速诊断检测时处理样本人员的个人防护装备,以及实验室获得性感染。在生物风险评估中发现每种制剂的脆弱性对于促进地方和国家系统中实验室生物安全的改进和发展至关重要。
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引用次数: 0
The Biosafety Research Road Map: The Search for Evidence to Support Practices in Human and Veterinary Laboratories. 生物安全研究路线图:寻找支持人类和兽医实验室实践的证据。
IF 0.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 Epub Date: 2023-06-05 DOI: 10.1089/apb.2022.0040
Stuart D Blacksell, Sandhya Dhawan, Marina Kusumoto, Kim Khanh Le, Kathrin Summermatter, Joseph O'Keefe, Joseph Kozlovac, Salama Suhail Almuhairi, Indrawati Sendow, Christina M Scheel, Anthony Ahumibe, Zibusiso M Masuku, Allan M Bennett, Kazunobu Kojima, David R Harper, Keith Hamilton

Introduction: Lack of evidence-based information regarding potential biological risks can result in inappropriate or excessive biosafety and biosecurity risk-reduction strategies. This can cause unnecessary damage and loss to the physical facilities, physical and psychological well-being of laboratory staff, and community trust. A technical working group from the World Organization for Animal Health (WOAH, formerly OIE), World Health Organization (WHO), and Chatham House collaborated on the Biosafety Research Roadmap (BRM) project. The goal of the BRM is the sustainable implementation of evidence-based biorisk management of laboratory activities, particularly in low-resource settings, and the identification of gaps in the current biosafety and biosecurity knowledge base.

Methods: A literature search was conducted for the basis of laboratory design and practices for four selected high-priority subgroups of pathogenic agents. Potential gaps in biosafety were focused on five main sections, including the route of inoculation/modes of transmission, infectious dose, laboratory-acquired infections, containment releases, and disinfection and decontamination strategies. Categories representing miscellaneous, respiratory, bioterrorism/zoonotic, and viral hemorrhagic fever pathogens were created within each group were selected for review.

Results: Information sheets on the pathogens were developed. Critical gaps in the evidence base for safe sustainable biorisk management were identified.

Conclusion: The gap analysis identified areas of applied biosafety research required to support the safety, and the sustainability, of global research programs. Improving the data available for biorisk management decisions for research with high-priority pathogens will contribute significantly to the improvement and development of appropriate and necessary biosafety, biocontainment and biosecurity strategies for each agent.

缺乏关于潜在生物风险的循证信息可能导致不适当或过度的生物安全和生物安全风险降低战略。这可能对物理设施、实验室工作人员的身心健康以及社区信任造成不必要的损害和损失。世界动物卫生组织(WOAH)、世界卫生组织(世卫组织)和查塔姆研究所的一个技术工作组就生物安全研究路线图项目进行了合作。BRM的目标是可持续地实施实验室活动的循证生物风险管理,特别是在资源匮乏的环境中,并确定当前生物安全和生物安全知识库中的差距。方法:通过文献检索,为选定的4个高优先级病原体亚群的实验室设计和实践提供依据。生物安全方面的潜在差距集中在五个主要方面,包括接种途径/传播方式、感染剂量、实验室获得性感染、控制释放以及消毒和去污战略。代表杂项、呼吸道、生物恐怖/人畜共患和病毒性出血热病原体的类别在每一组中被选中进行审查。结果:制作了病原菌信息表。确定了安全可持续生物风险管理证据基础中的关键空白。结论:差距分析确定了支持全球研究计划的安全性和可持续性所需的应用生物安全研究领域。改善对高优先级病原体进行研究的生物风险管理决策的可用数据将大大有助于改进和制定针对每种病原体的适当和必要的生物安全、生物遏制和生物安全战略。
{"title":"The Biosafety Research Road Map: The Search for Evidence to Support Practices in Human and Veterinary Laboratories.","authors":"Stuart D Blacksell, Sandhya Dhawan, Marina Kusumoto, Kim Khanh Le, Kathrin Summermatter, Joseph O'Keefe, Joseph Kozlovac, Salama Suhail Almuhairi, Indrawati Sendow, Christina M Scheel, Anthony Ahumibe, Zibusiso M Masuku, Allan M Bennett, Kazunobu Kojima, David R Harper, Keith Hamilton","doi":"10.1089/apb.2022.0040","DOIUrl":"10.1089/apb.2022.0040","url":null,"abstract":"<p><strong>Introduction: </strong>Lack of evidence-based information regarding potential biological risks can result in inappropriate or excessive biosafety and biosecurity risk-reduction strategies. This can cause unnecessary damage and loss to the physical facilities, physical and psychological well-being of laboratory staff, and community trust. A technical working group from the World Organization for Animal Health (WOAH, formerly OIE), World Health Organization (WHO), and Chatham House collaborated on the Biosafety Research Roadmap (BRM) project. The goal of the BRM is the sustainable implementation of evidence-based biorisk management of laboratory activities, particularly in low-resource settings, and the identification of gaps in the current biosafety and biosecurity knowledge base.</p><p><strong>Methods: </strong>A literature search was conducted for the basis of laboratory design and practices for four selected high-priority subgroups of pathogenic agents. Potential gaps in biosafety were focused on five main sections, including the route of inoculation/modes of transmission, infectious dose, laboratory-acquired infections, containment releases, and disinfection and decontamination strategies. Categories representing miscellaneous, respiratory, bioterrorism/zoonotic, and viral hemorrhagic fever pathogens were created within each group were selected for review.</p><p><strong>Results: </strong>Information sheets on the pathogens were developed. Critical gaps in the evidence base for safe sustainable biorisk management were identified.</p><p><strong>Conclusion: </strong>The gap analysis identified areas of applied biosafety research required to support the safety, and the sustainability, of global research programs. Improving the data available for biorisk management decisions for research with high-priority pathogens will contribute significantly to the improvement and development of appropriate and necessary biosafety, biocontainment and biosecurity strategies for each agent.</p>","PeriodicalId":7962,"journal":{"name":"Applied Biosafety","volume":"28 2","pages":"64-71"},"PeriodicalIF":0.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10136851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Biosafety Research Road Map: The Search for Evidence to Support Practices in the Laboratory-Bacillus anthracis and Brucella melitensis. 生物安全研究路线图:寻找支持实验室实践的证据-炭疽芽孢杆菌和梅利氏杆菌。
IF 0.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 Epub Date: 2023-06-05 DOI: 10.1089/apb.2022.0042
Stuart D Blacksell, Sandhya Dhawan, Marina Kusumoto, Kim Khanh Le, Kathrin Summermatter, Joseph O'Keefe, Joseph Kozlovac, Salama Suhail Almuhairi, Indrawati Sendow, Christina M Scheel, Anthony Ahumibe, Zibusiso M Masuku, Allan M Bennett, Kazunobu Kojima, David R Harper, Keith Hamilton

Introduction: Brucella melitensis and Bacillus anthracis are zoonoses transmitted from animals and animal products. Scientific information is provided in this article to support biosafety precautions necessary to protect laboratory workers and individuals who are potentially exposed to these pathogens in the workplace or other settings, and gaps in information are also reported. There is a lack of information on the appropriate effective concentration for many chemical disinfectants for this agent. Controversies related to B. anthracis include infectious dose for skin and gastrointestinal infections, proper use of personal protective equipment (PPE) during the slaughter of infected animals, and handling of contaminated materials. B. melitensis is reported to have the highest number of laboratory-acquired infections (LAIs) to date in laboratory workers.

Methods: A literature search was conducted to identify potential gaps in biosafety and focused on five main sections including the route of inoculation/modes of transmission, infectious dose, LAIs, containment releases, and disinfection and decontamination strategies.

Results: Scientific literature currently lacks information on the effective concentration of many chemical disinfectants for this agent and in the variety of matrices where it may be found. Controversies related to B. anthracis include infectious dose for skin and gastrointestinal infections, proper use of PPE during the slaughter of infected animals, and handling contaminated materials.

Discussion: Clarified vulnerabilities based on specific scientific evidence will contribute to the prevention of unwanted and unpredictable infections, improving the biosafety processes and procedures for laboratory staff and other professionals such as veterinarians, individuals associated with the agricultural industry, and those working with susceptible wildlife species.

简介:布鲁氏菌和炭疽芽孢杆菌是由动物和动物产品传播的人畜共患病。本文提供了科学信息,以支持必要的生物安全预防措施,以保护实验室工作人员和在工作场所或其他环境中可能接触这些病原体的个人,并报告了信息方面的空白。关于许多化学消毒剂的适当有效浓度,目前还缺乏资料。与炭疽杆菌有关的争议包括皮肤和胃肠道感染的感染剂量、在屠宰受感染动物期间正确使用个人防护装备(PPE)以及处理受污染材料。据报道,到目前为止,在实验室工作人员中,梅利贝氏杆菌的实验室获得性感染(LAIs)人数最多。方法:通过文献检索,从接种途径/传播方式、感染剂量、LAIs、收容释放、消毒和去污策略等5个主要方面找出生物安全方面的潜在缺口。结果:科学文献目前缺乏关于该剂的许多化学消毒剂的有效浓度的信息,以及在各种基质中可能发现的信息。与炭疽杆菌有关的争议包括皮肤和胃肠道感染的感染剂量、在屠宰受感染动物期间正确使用个人防护装备以及处理受污染的材料。讨论:基于具体科学证据澄清的脆弱性将有助于预防不必要的和不可预测的感染,改善实验室工作人员和其他专业人员(如兽医、与农业有关的个人以及与易感野生动物物种打交道的人员)的生物安全流程和程序。
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引用次数: 0
Sustainability Considerations for Consumables Used in Microbiological and Biomedical Laboratories. 微生物和生物医学实验室所用消耗品的可持续性考虑因素。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-01 Epub Date: 2023-03-06 DOI: 10.1089/apb.2022.0027
Autumn Cerda, Robert Emery, Scott Patlovich

Introduction: The 6th edition of the Biosafety in Microbiological and Biomedical Laboratories includes Appendix L on sustainability that describes a series of considerations for biocontainment facilities. But many biosafety practitioners may not be familiar with sustainability options that are available, feasible, and safe for laboratory settings as training in this realm is not common.

Methods: With a particular focus on consumable products used in containment laboratory operations, a comparative assessment was made regarding sustainability activities employed in the healthcare setting, where significant advances have been achieved.

Results: Table 1 has been created that describes various consumables that result in waste as part of normal laboratory operations, and the biosafety and infection prevention considerations have been highlighted along with options regarding waste elimination or minimization that have been successfully employed.

Conclusion: Even if a containment laboratory has already been designed, constructed, and is in operation, sustainability opportunities exist for the reduction of environmental impacts without compromising safety.

简介:微生物和生物医学实验室生物安全》第 6 版包括关于可持续发展的附录 L,其中介绍了生物安全设施的一系列注意事项。但许多生物安全从业人员可能并不熟悉实验室环境中可用、可行和安全的可持续发展方案,因为这方面的培训并不常见:方法:以隔离实验室操作中使用的消耗品为重点,对医疗保健环境中采用的可持续发展活动进行了比较评估,医疗保健环境在可持续发展方面取得了重大进展:表 1 介绍了实验室正常运行过程中产生废物的各种消耗品,并强调了生物安全和感染预防方面的注意事项,以及已成功采用的消除或尽量减少废物的方案:结论:即使安全壳实验室已经设计、建造完成并投入使用,仍有机会在不影响安全的情况下减少对环境的影响。
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引用次数: 0
Biorisk Management Features of a Temporary COVID-19 Hospital. COVID-19 临时医院的生物风险管理特点。
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-03-01 Epub Date: 2023-03-06 DOI: 10.1089/apb.2022.0018
Benjamin Fontes, Danielle Scavone, Wesley Bridges, Tessa Landgraf, Nanci Fortgang

Introduction: Yale University designed and constructed a temporary field hospital for 100 COVID-19 symptomatic patients. Conservative biocontainment decisions were made in design and operational practices. Objectives of the field hospital included the safe flow of patients, staff, equipment and supplies, and obtaining approval by the Connecticut Department of Public Health (CT DPH) for opening as a field hospital.

Methods: The CT DPH regulations for mobile hospitals were used as primary guidance for the design, equipment, and protocols. References for BSL-3 and ABSL-3 design from the National Institutes of Health (NIH) and Tuberculosis isolation rooms from the United States Centers for Disease Control and Prevention (CDC) were also utilized. The final design involved an array of experts throughout the university.

Results and conclusion: Vendors tested and certified all High Efficiency Particulate Air (HEPA) filters and balanced the airflows inside the field hospital. Yale Facilities designed and constructed positive pressure access and exit tents within the field hospital, established appropriate pressure relationships between zones, and added Minimum Efficiency Reporting Value 16 exhaust filters. The BioQuell ProteQ Hydrogen Peroxide decontamination unit was validated with biological spores in the rear sealed section of the biowaste tent. A ClorDiSys Flashbox UV-C Disinfection Chamber was also validated. Visual indicators were placed the doors of the pressurized tents and spaced throughout the facility to verify airflows. The plans created to design, construct and operate the field hospital provide a blueprint for recreating and reopening a field hospital in the future if ever needed at Yale University.

简介耶鲁大学为 100 名有 COVID-19 症状的病人设计并建造了一所临时野战医院。在设计和运营实践中,耶鲁大学做出了保守的生物隔离决定。野战医院的目标包括病人、工作人员、设备和用品的安全流动,以及获得康涅狄格州公共卫生部(CT DPH)批准作为野战医院开放:方法:康涅狄格州公共卫生部关于流动医院的规定被用作设计、设备和协议的主要指导。此外,还参考了美国国立卫生研究院(NIH)的 BSL-3 和 ABSL-3 设计以及美国疾病控制与预防中心(CDC)的结核病隔离室设计。最终的设计涉及到整个大学的一系列专家:供应商对所有高效微粒空气(HEPA)过滤器进行了测试和认证,并平衡了野战医院内的气流。耶鲁大学设施部门在野战医院内设计并建造了正压通道和出口帐篷,在各区之间建立了适当的压力关系,并增加了最低效率报告值 16 排气过滤器。BioQuell ProteQ 过氧化氢净化装置在生物垃圾帐篷后部密封区域进行了生物孢子验证。还对 ClorDiSys Flashbox 紫外线-C 消毒室进行了验证。在加压帐篷的门上和整个设施内都安装了可视指示器,以验证气流。设计、建造和运营野战医院的计划为将来耶鲁大学需要时重建和重新开放野战医院提供了蓝图。
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引用次数: 0
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