ASHRAE Journal - February 2014 - 18
TECHNICAL FEATURE
FEA
FIGURE 1 (LEFT) Typical gowning protocol in a Class 10 cleanroom. FIGURE 2 (RIGHT) Typical gowning protocol in a hospital operating room. Exposed skin is obvious and can
be contrasted to semiconductor gowning shown in Figure 1.
Using Cleanroom Technology
Improving Operating Room
Contamination Control
BY JENNIFER A. WAGNER, PH.D., KEVIN J. SCHREIBER, MEMBER ASHRAE, RALPH COHEN, P.E., MEMBER ASHRAE
Annually, the CDC reports nearly 99,000 deaths per year resulting from
health-care associated infections (HAIs). According to the U.S. Department
of Health and Human Services (HHS), it is estimated that of the more than
290,000 incidences of surgical site infection (SSI) annually, more than 13,000
people die each year due to infections acquired during surgical procedures.1
In addition to quality of care implications, according to the HHS Action Plan to Prevent Healthcare Associated
Infections,1 the added health-care costs of treating SSIs
are no longer reimbursed for Medicare patients, placing the financial burden on hospitals. On average, the
cost to hospitals per SSI is $25,546.1 In aggregate, this
amounts to $7.4 billion in additional health-care costs
every year.1
It has been estimated that airborne transmission
accounts for 10% to 20% of HAIs,2 although more recent
studies have concluded that the role of airborne transmission may be underestimated due to the difficulty of
culturing many airborne organisms and the complexities of assessing the role such pathogens play in the contamination of environmental surfaces and subsequent
contact transmission.3 Landmark studies performed
ABOUT THE AUTHORS Jennifer A. Wagner, Ph.D., is a principal infection control consultant at Prism Environmental Health & Safety Solutions. Kevin J. Schreiber is director of healthcare at
Huntair. Ralph Cohen, P.E., is principal at Ralph M Cohen Consultancy.
18
ashraE JourNal
ashrae.org
FEBRUARY 2014
ASHRAE Journal - February 2014
Table of Contents for the Digital Edition of ASHRAE Journal - February 2014
ASHRAE Journal - February 2014
Contents
Commentary
Industry News
Letters
Meetings and Shows
Feature Articles
Understanding Salaries in the A/E Industry
Improving Operating Room Contamination Control
Standing Columns
Engineer's Notebook
Saving Energy with Cooling Towers
Building Sciences
ACREX India 2014 Show Guide
HVAC Applications
Technical vs. Process Commissioning: Design Phase Commissioning
Data Centers
IAQ Applications
Energy Modeling
InfoCenter
Refrigeration Applications
Products
Classified Advertising
Advertisers Index
ASHRAE Journal - February 2014 - ASHRAE Journal - February 2014
ASHRAE Journal - February 2014 - Cover2
ASHRAE Journal - February 2014 - 1
ASHRAE Journal - February 2014 - 2
ASHRAE Journal - February 2014 - Contents
ASHRAE Journal - February 2014 - Commentary
ASHRAE Journal - February 2014 - 5
ASHRAE Journal - February 2014 - Industry News
ASHRAE Journal - February 2014 - 7
ASHRAE Journal - February 2014 - 8
ASHRAE Journal - February 2014 - Letters
ASHRAE Journal - February 2014 - Meetings and Shows
ASHRAE Journal - February 2014 - 11
ASHRAE Journal - February 2014 - Understanding Salaries in the A/E Industry
ASHRAE Journal - February 2014 - 13
ASHRAE Journal - February 2014 - 14
ASHRAE Journal - February 2014 - 15
ASHRAE Journal - February 2014 - 16
ASHRAE Journal - February 2014 - 17
ASHRAE Journal - February 2014 - Improving Operating Room Contamination Control
ASHRAE Journal - February 2014 - 19
ASHRAE Journal - February 2014 - 20
ASHRAE Journal - February 2014 - 21
ASHRAE Journal - February 2014 - 22
ASHRAE Journal - February 2014 - 23
ASHRAE Journal - February 2014 - 24
ASHRAE Journal - February 2014 - 25
ASHRAE Journal - February 2014 - 26
ASHRAE Journal - February 2014 - 27
ASHRAE Journal - February 2014 - Engineer's Notebook
ASHRAE Journal - February 2014 - 29
ASHRAE Journal - February 2014 - 30
ASHRAE Journal - February 2014 - 31
ASHRAE Journal - February 2014 - 32
ASHRAE Journal - February 2014 - 33
ASHRAE Journal - February 2014 - Saving Energy with Cooling Towers
ASHRAE Journal - February 2014 - 35
ASHRAE Journal - February 2014 - 36
ASHRAE Journal - February 2014 - 37
ASHRAE Journal - February 2014 - 38
ASHRAE Journal - February 2014 - 39
ASHRAE Journal - February 2014 - 40
ASHRAE Journal - February 2014 - 41
ASHRAE Journal - February 2014 - Building Sciences
ASHRAE Journal - February 2014 - 43
ASHRAE Journal - February 2014 - 44
ASHRAE Journal - February 2014 - 45
ASHRAE Journal - February 2014 - 46
ASHRAE Journal - February 2014 - 47
ASHRAE Journal - February 2014 - 48
ASHRAE Journal - February 2014 - ACREX India 2014 Show Guide
ASHRAE Journal - February 2014 - SCover2
ASHRAE Journal - February 2014 - S1
ASHRAE Journal - February 2014 - S2
ASHRAE Journal - February 2014 - S3
ASHRAE Journal - February 2014 - S4
ASHRAE Journal - February 2014 - S5
ASHRAE Journal - February 2014 - S6
ASHRAE Journal - February 2014 - S7
ASHRAE Journal - February 2014 - S8
ASHRAE Journal - February 2014 - S9
ASHRAE Journal - February 2014 - S10
ASHRAE Journal - February 2014 - S11
ASHRAE Journal - February 2014 - S12
ASHRAE Journal - February 2014 - S13
ASHRAE Journal - February 2014 - S14
ASHRAE Journal - February 2014 - S15
ASHRAE Journal - February 2014 - S16
ASHRAE Journal - February 2014 - S17
ASHRAE Journal - February 2014 - S18
ASHRAE Journal - February 2014 - S19
ASHRAE Journal - February 2014 - S20
ASHRAE Journal - February 2014 - S21
ASHRAE Journal - February 2014 - SCover4
ASHRAE Journal - February 2014 - HVAC Applications
ASHRAE Journal - February 2014 - 50
ASHRAE Journal - February 2014 - 51
ASHRAE Journal - February 2014 - Technical vs. Process Commissioning: Design Phase Commissioning
ASHRAE Journal - February 2014 - 53
ASHRAE Journal - February 2014 - 54
ASHRAE Journal - February 2014 - 55
ASHRAE Journal - February 2014 - 56
ASHRAE Journal - February 2014 - 57
ASHRAE Journal - February 2014 - Data Centers
ASHRAE Journal - February 2014 - 59
ASHRAE Journal - February 2014 - 60
ASHRAE Journal - February 2014 - 61
ASHRAE Journal - February 2014 - IAQ Applications
ASHRAE Journal - February 2014 - 63
ASHRAE Journal - February 2014 - 64
ASHRAE Journal - February 2014 - 65
ASHRAE Journal - February 2014 - 66
ASHRAE Journal - February 2014 - 67
ASHRAE Journal - February 2014 - Energy Modeling
ASHRAE Journal - February 2014 - 69
ASHRAE Journal - February 2014 - InfoCenter
ASHRAE Journal - February 2014 - 71
ASHRAE Journal - February 2014 - 72
ASHRAE Journal - February 2014 - 73
ASHRAE Journal - February 2014 - Refrigeration Applications
ASHRAE Journal - February 2014 - 75
ASHRAE Journal - February 2014 - Products
ASHRAE Journal - February 2014 - 77
ASHRAE Journal - February 2014 - 78
ASHRAE Journal - February 2014 - Classified Advertising
ASHRAE Journal - February 2014 - Advertisers Index
ASHRAE Journal - February 2014 - Cover3
ASHRAE Journal - February 2014 - Cover4
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