title: Room ventilation and the risk of airborne infection transmission in 3 health care settings within a large teaching hospital.
abstract: BACKGROUND
  Room ventilation is a key determinant of airborne disease transmission. Despite this, ventilation guidelines in hospitals are not founded on robust scientific evidence related to the prevention of airborne transmission.
  
  
  METHODS
  We sought to assess the effect of ventilation rates on influenza, tuberculosis, and rhinovirus infection risk within 3 distinct rooms in a major urban hospital: a lung function laboratory, an emergency department negative-pressure isolation room, and an outpatient consultation room. Air-exchange rate measurements were performed in each room using CO2 as a tracer. The model developed by Gammaitoni and Nucci was used to estimate infection risk.
  
  
  RESULTS
  Current outdoor air-exchange rates in the lung function laboratory and emergency department isolation room limited infection risks to 0.1%-3.6%. Influenza risk for individuals entering an outpatient consultation room after an infectious individual departed ranged from 3.6% to 20.7%, depending on the duration for which each person occupied the room.
  
  
  CONCLUSIONS
  Given the absence of definitive ventilation guidelines for hospitals, air-exchange measurements combined with modeling afford a useful means of assessing, on a case-by-case basis, the suitability of room ventilation for preventing airborne disease transmission.
authors.affiliation: International Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane, Australia.
authors.forename: Luke D
authors.initials: LD
authors.lastname: Knibbs
authors.forename: Lidia
authors.initials: L
authors.lastname: Morawska
authors.forename: Scott C
authors.initials: SC
authors.lastname: Bell
authors.forename: Piotr
authors.initials: P
authors.lastname: Grzybowski
mesh_terms: D003428:Cross Infection / Q000635:transmission*; D018562:Disease Transmission, Infectious / Q000517:prevention & control* / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching; D006801:Humans; D007251:Influenza, Human / Q000635:transmission; D010850:Picornaviridae Infections / Q000635:transmission; D018570:Risk Assessment; D014376:Tuberculosis / Q000635:transmission; D014691:Ventilation / Q000379:methods*