HEALTHY INDOOR AIR ENVIRONMENT FOR PREVENTING NOSOCOMIAL TRANSMISSION OF MYCOBACTERIUM TUBERCULOSIS IN SUSTAINABLE HOSPITAL BUILDING DESIGN

Authors

  • Md Rajuna Ahmad Shakri Construction Technology and Management Centre, Faculty of Civil Engineering, Universiti Teknologi Malaysia, 81310 Johor Bahru, Johor, Malaysia
  • Rozana Zakaria Construction Technology and Management Centre, Faculty of Civil Engineering, Universiti Teknologi Malaysia, 81310 Johor Bahru, Johor, Malaysia
  • Badrul Hisham Abd Samad Johor State Health Department, Suite 12A-02, Level 12A, Menara MSC Cyberport, No.5, Jalan Bukit Meldrum, 80300, Johor Bahru, Johor, Malaysia
  • Khairulzan Yahya Construction Technology and Management Centre, Faculty of Civil Engineering, Universiti Teknologi Malaysia, 81310 Johor Bahru, Johor, Malaysia
  • Rosli Mohamad Zin Construction Technology and Management Centre, Faculty of Civil Engineering, Universiti Teknologi Malaysia, 81310 Johor Bahru, Johor, Malaysia
  • Mushairry Mustaffar Construction Technology and Management Centre, Faculty of Civil Engineering, Universiti Teknologi Malaysia, 81310 Johor Bahru, Johor, Malaysia
  • Muhd Zaimi Abd Majid Johor State Health Department, Suite 12A-02, Level 12A, Menara MSC Cyberport, No.5, Jalan Bukit Meldrum, 80300, Johor Bahru, Johor, Malaysia
  • Noor Aliza Md Tarekh Respiratory Department and specialist consultant, Hospital Sultanah Aminah, 80100 Johor Bahru, Johor, Malaysia

DOI:

https://doi.org/10.11113/mjce.v23.15820

Keywords:

Health Care Workers, Healthy Building Hospital, IAES Factors, Qualitative Data, Sustainable Indoor Air Environment, Tuberculosis.

Abstract

The Sick Building Syndrome is often related to poor indoor air quality. Healthy indoor air environment is needed for a healthy hospital building. Appropriate design elements need to be implemented to accommodate the mass usage of a hospital’s various facilities. Tuberculosis (TB) is an infectious disease most commonly caused by Mycobacterium tuberculosis (MTB) which can spread via inhalation of infected aerosols. Therefore, Health Care Workers (HCWs) in a hospital are most vulnerable to tuberculosis infection. This paper explicates the sources and factors of TB transmission in the indoor environment of Hospital Sultanah Aminah Johor Bahru, Johor, Malaysia (HSAJB). The study considered the relationship between the physical layout of the TB ward and its indoor air environment quality. This study utilized opinion from HCWs who are directly exposed to this kind of environment. The data was obtained from face-to-face questionnaire surveys. The questionnaire used the Likert scale with five ordinal measures of agreement. From the study, it was found that the source of TB transmission is from positive MTB carriers or active TB patients. Ten Indoor Air Environment Sustainability (IAES) factors related to the transmission and spread of TB which are relatively connected to space area design of TB ward.

References

Abd.Majid, M.Z. (1997) Non-Excusable Delays in Construction. Department of Civil and Building Engineering, Loughborough University, Leicestershire, UK, Ph.D. Thesis.

Alberto Franchi, Luca Richeldi, Giovanni Parrinllo and Giuliano Franco. (2007) Room size is major determinant for tuberculin conversion in health care workers exposed to multidrug resistant tuberculosis patient. Int Arch Occup Environ Health, 80, 533-538.

ASHRAE (2007) Ventilation for Acceptable Indoor Air Quality, Atlanta GA. American Society of Heating, Refrigerating and Air Conditioning Engineers, (ASHRAE Standard 62-2007).

ASHRAE (2008) Ventilation for Health Care Facilities, Atlanta GA. American Society of Heating, Refrigerating and Air-conditioning Engineers, (ASHRAE Standard 170-2008).

ASHRAE (2009) ASHRAE Position Document on Airborne Infectious Diseases. Atlanta GA, American Society of Heating, Refrigerating and Air Conditioning Engineers.

Azarisman SMS, Hadzri HM, Fauzi RA, Faizal M.P.A., Roslina M.A. and Harun R. (2008) Compliance to national guideline on the management of chronic obstructive pulmonary disease in Malaysia: a single center experience. Singapore Med J, 49 (11), 886-896.

Barnhart, Sheppard, Beaudet, Stover B. and Balmes J. (1997) Tuberculosis in health care setting and the estimated benefits of engineering control and respiratory protection. J Occup Environ

Med, 39 (9), 849-885.

Centers for Disease Control and Prevention (1994) Guidelines for the preventing the transmission of mycobacterium tuberculosis in Health Care facilities. American Thoracic Society, CDC

and Infectious Diseases Society of America, MMWR 1994; 43 (No. RR-13).

Centers for Disease Control and Prevention (2000) Targeted tuberculin testing and treatment of latent TB infection. American Thoracic Society, CDC and Infectious Diseases Society of

America, MMWR 2000; 49 (No. RR- 6).

Centers for Disease Control and Prevention (2003) Treatment of Tuberculosis. American Thoracic Society, CDC and Infectious Diseases Society of America, MMWR 2003; 52 (No. RR-11).

Centers for Disease Control and Prevention (2005) Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings. American Thoracic Society, CDC and

Infectious Diseases Society of America, MMWR 2005; 54 (No. RR -17).

Centers for Disease Control and Prevention (2009) Questions and answers about Tuberculosis. s.I., s.n.

Cermak R and Melikov AK. (2006) Air quality and thermal comfort in an office with underfloor, mixing and displacement ventilation. International Journal of Ventilation, 5 (3), 323-332.

Cole E and Cook C. (1998) Characterization of infectious aerosols in health care facilities: an aid to effective engineering controls and preventive strategies. Am J Infect Control, 26 (4), 453–64.

Daniel TM. (2006) The history of tuberculosis, Respiratory Medicine, 100 (11), 1862-1870.

Department of Building Services Engineering of Hong Kong Polythechnic University. (1998) Indoor Environment Quality.

Escombe AR, Oeser CC, Gilman RH, Navincopa M, Ticona E, Pan W, Martínez C. Chacaltana J, Rodríguez R, Moore DA, Friedland JS and Evans CA. (2007) Natural ventilation for the

prevention of airborne contagion. PLoS Med., 4 (2), e68.

Griffith D and Kerr C. (1996) Tuberculosis: disease of the past, disease of the present. J Perianesth Nurs, 11 (4), 240–5.

Health Informatics Centre (2010) Planning and Development Division, Ministry of Health Malaysia, Health Fact 2010, p.6. s.I.,s.n.

Joel DE, Giraldina TN, Niaz B. (2007) Genomics and evolution, pathogenesis and diagnosis of tuberculosis. The Journal of Clinical Investigation,117 (7), 1738-1745.

Kowalski, ladyslaw W, Bahnfleth, William P. and Whittam, T.S. (1999) Filtration of Airborne Microorganisms: Modeling and Prediction. ASHRAE Transactions, Part 2, 105,

Melikov AK. (2004) Personalized ventilation. Indoor Air, 14 (Suppl. 7), 157–167.

Ministry of Health Malaysia (2010) Annual Report of TB registry 2010.s.I., s.n.

Ministry of Health Malaysia and Academy of Medicine of Malaysia. (2002) Clinical Practice Guidelines for the Control and Management of Tuberculosis 2nd Edition, 45-47.

Mundt E. (2001) Non-buoyant pollutant sources and particles in displacement ventilation. Building and Environment, 36, 829-836.

Nicas M, Nazaroff WW, Hubbard A. (2005) Towards understanding the risk of secondary airborne infection: emission of respirable pathogens. J Occup Environ Hyg, 2 (3), 143–54.

Olesen BW and Brager GS. (2004) A Better Way to Predict Comfort: The New ASHRAE Standard 55-2004. ASHRAE Journal, 21-26.

Qian H, Li Y, Nielsen PV, Hyldgaard C.E., Wong T.W., and Chwang A.T.Y. (2006) Dispersion of exhaled droplet nuclei in a two-bed hospital ward with three different ventilation systems.

Indoor Air, 16, 111–128

Riley RL, Mills CC, O’grady F, Sultan, L. U., Wittstadt, F. and Shivpuri,. D. N. (1962) Ultraviolet irradiation of infected air: Comparative infectiousness of different patients, Infectiousness of air from a tuberculosis ward, Am Rev Respir Dis. 1962 Apr; 85, 511-25

Sehulster L, Chinn RY, CDC, HICPAC (2003) Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control

Practices Advisory Committee (HICPAC), MMWR Recomm Rep. 2003 Jun 6; 52 (RR-10): 1- 31. 42.

World Health Organization, Regional Office for South-East Asia and Regional Office for Western Pacific (2004) Practical guidelines for infection control in health care facilities, SEARO Regional Publication No. 41.

World Health Organization. (2009) Global tuberculosis control: a short update to the 2009 report. Geneva, WHO/HTM/TB/2009.426, p.4. s.I., s.n.

Yam R, Yuen PL, Yung R, and Choy T. (2011) Rethinking hospital general ward ventilation design using computational fluid dynamic. Journal of Hospital Infection, 77, 31-36.

Downloads

Published

2018-06-07

Issue

Section

Articles

How to Cite

HEALTHY INDOOR AIR ENVIRONMENT FOR PREVENTING NOSOCOMIAL TRANSMISSION OF MYCOBACTERIUM TUBERCULOSIS IN SUSTAINABLE HOSPITAL BUILDING DESIGN. (2018). Malaysian Journal of Civil Engineering, 23(2). https://doi.org/10.11113/mjce.v23.15820