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Publication Detail
Use of portable air purifiers to reduce aerosols in hospital settings and cut down the clinical backlog
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Publication Type:Journal article
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Authors:Salmonsmith J, Ducci A, Balachandran R, Guo L, Torii R, Houlihan C, Epstein R, Rubin J, Tiwari MK, Lovat LB
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Publisher:Cambridge University Press (CUP)
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Publication date:18/01/2023
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Pagination:1, 17
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Journal:Epidemiology & Infection
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Status:Accepted
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Country:England
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PII:S0950268823000092
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Language:English
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Publisher URL:
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Notes:© The Author(s), 2023. Published by Cambridge University Press (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Abstract
SARS-CoV-2 has severely affected capacity in the NHS, and waiting lists are markedly
increasing due to downtime of up to 50 minutes between patient consultations/procedures,
to reduce the risk of infection. Ventilation accelerates this air cleaning, but retroactively
installing built-in mechanical ventilation is often cost-prohibitive. We investigated the effect
of using portable air cleaners (PAC), a low-energy and low-cost alternative, to reduce the
concentration of aerosols in typical patient consultation/procedure environments. The
experimental setup consisted of an aerosol generator, which mimicked the subject affected
by SARS-CoV-19, and an aerosol detector, representing a subject who could potentially
contract SARS-CoV-19. Experiments of aerosol dispersion and clearing were undertaken in
situ in a variety of rooms with 2 different types of PAC in various combinations and
positions. Correct use of PAC can reduce the clearance half-life of aerosols by 82%
compared to the same indoor-environment without any ventilation, and at a broadly
equivalent rate to built-in mechanical ventilation. In addition, the highest level of aerosol
concentration measured when using PAC remains at least 46% lower than that when no
mitigation is used, even if the PAC’s operation is impeded due to placement under a table.
The use of PAC leads to significant reductions in the level of aerosol concentration,
associated with transmission of droplet-based airborne diseases. This could enable NHS
departments to reduce the downtime between consultations/procedures.
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