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Airborne Infection

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Airborne infection isolation room (AIIR) (FKA negative pressure isolation room) * Is a single-occupancy patient-care room used to isolate persons with a suspected or confirmed airborne infectious disease * Environmental factors are controlled in AIIRs to minimize the transmission of infectious agents that are usually transmitted from person to person by droplet nuclei associated with coughing or aerosolization of contaminated fluids * AIIRs should provide negative pressure in the room (so that air flows under the door gap into the room); and an air flow rate of 6-12 ACH ( 6 ACH for existing structures, 12 ACH for new construction or renovation); and direct exhaust of air from the room to the outside of the building or recirculation of air through a HEPA filter before returning to circulation

* According to Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (www.jcaho.org) requires the following five components of an infection control program for accreditation: 1. Surveillance: monitoring patients and healthcare personnel for acquisition of infection and/or colonization 2. Investigation: identification and analysis of infection problems or undesirable trends 3. Prevention: implementation of measures to prevent transmission of infectious agents and to reduce risks for device and procedure-related infections 4. Control: evaluation and management of outbreaks 5. Reporting: provision of information to external agencies as required by state and federal law and regulation

* Patient room, equipment, treatment and diagnostic must be: 6. Single patient room (containing a private bathroom) with the door closed 7. Facilities should maintain a log of all persons entering the patient's room 8. Consider posting personnel at the patient’s door to ensure appropriate and consistent use of PPE by all

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