IMPLEMENTASI NEGATIVE PRESSURE HOOD (NPH) DAN NEGATIVE PRESSURE WHEELCHAIR (NPW) UNTUK MENCEGAH PENULARAN COVID-19 PADA PARA TENAGA KESEHATAN DI RS KEBON JATI

Authors

  • Yudith Yunia Kusmala Program Studi Kedokteran - Universitas Jenderal Ahmad Yani
  • Deny Bayu Saefudin Program Studi Teknik Mesin - Universitas Jenderal Achmad Yani; Cimahi
  • Rachman Hakim Program Studi Teknik Mesin - Universitas Jenderal Achmad Yani; Cimahi
  • Damawidjaya Biksono Program Studi Teknik Mesin - Universitas Jenderal Achmad Yani; Cimahi
  • Manty Aldilani Ikaningsih Program Studi Teknik Metalurgi - Universitas Jenderal Achmad Yani; Bandung

Keywords:

COVID-19, HEPA Filter, Negative Pressure Hood (NPH), Negative Pressure Wheelchair (NPW).

Abstract

Rumah Sakit Umum Kebon Jati merupakan salah satu rumah sakit rujukan Covid-19 yang ada di Kota Bandung.  Saat ini, proses transportasi  pasien Covid-19 dilakukan dengan menggunakan ranjang dan kursi roda yang ditutupi dengan tudung mika transparan untuk mencegah penularan dari pasien ke lingkungan sekitarnya,  tanpa dilengkapi alat filtrasi apapun. Rancangan tudung ranjang yang telah ada di RS membuat pasien kurang nyaman karena kondisi ventilasi dalam tudung kurang baik,  Selain itu, rancangan tudung kursi roda yang tidak dilengkapi sistem negative pressure membuat tenaga kesehatan merasa khawatir jika udara infeksius dalam tudung menyebar tidak terkontrol. Hal ini menjadi perhatian dan motivasi tim untuk memodifikasi ranjang  dan  alat transfer pasien yang sudah ada dengan menggunakan sistem negative pressure yang dilengkapi HEPA filter. Modifikasi tersebut dilakukan untuk mencegah udara yang dihembuskan pasien keluar dari tudung (hood) tanpa terkendali dan tanpa filtrasi.. Berdasarkan hasil survei yang telah dilakukan, penggunaan Negative Pressure Hood (NPH) dan Negative Pressure Wheelchair (NPW) dapat meningkatkan kenyamanan dan mengurangi kekhawatiran tenaga kesehatan atas penularan virus. Hasil eksperimen pada simulasi kondisi ruangan dan menggunakan smoke generator sebagai simulator partikel virus, menunjukkan nilai efisiensi filtrasi lebih dari 90% dengan tingkat desibelmeter blower sekitar 55-68 dB untuk NPH dan NPW.

References

Bárcena, Montserrat, Gert T. Oostergetel, Willem Bartelink, Frank G. A. Faas, Arie Verkleij, Peter J. M. Rottier, Abraham J. Koster, dan Berend Jan Bosch. 2009. “Cryo-electron tomography of mouse hepatitis virus: Insights into the structure of the coronavirion.” Proceedings of the National Academy of Sciences of the United States of America 106(2):582–87. doi: 10.1073/pnas.0805270106.

Bourouiba, Lydia. 2020. “Turbulent Gas Clouds and Respiratory Pathogen Emissions: Potential Implications for Reducing Transmission of COVID-19.” JAMA 323(18):1837–38. doi: 10.1001/jama.2020.4756.

Christopherson, David A., William C. Yao, Mingming Lu, R. Vijayakumar, dan Ahmad R. Sedaghat. 2020. “High-Efficiency Particulate Air Filters in the Era of COVID-19: Function and Efficacy.” Otolaryngology - Head and Neck Surgery (United States) 163(6):1153–55. doi: 10.1177/0194599820941838.

Convissar, David, Connie Y. Chang, Wonjae E. Choi, Marvin G. Chang, dan Edward A. Bittner. 2020. “The Vacuum Assisted Negative Pressure Isolation Hood (VANISH) System: Novel Application of the Stryker NeptuneTM Suction Machine to Create COVID-19 Negative Pressure Isolation Environments.” Cureus 12(5). doi: 10.7759/cureus.8126.

David, Abel P., Jose G. Gurrola Ii, Nicole T. Jiam, dan Joshua M. Reither. 2020. “Endoscopic skull base and transoral surgery during COVID-19 pandemic : Minimizing droplet spread with negative-pressure otolaryngology viral isolation drape.” (April):1577–82. doi: 10.1002/hed.26239.

Faridi, Sasan, Sadegh Niazi, Kaveh Sadeghi, Kazem Naddafi, Jila Yavarian, Mansour Shamsipour, Nazanin Zahra Shafiei Jandaghi, Khosro Sadeghniiat, Ramin Nabizadeh, Masud Yunesian, Fatemeh Momeniha, Adel Mokamel, Mohammad Sadegh Hassanvand, dan Talat MokhtariAzad. 2020. “A field indoor air measurement of SARS-CoV-2 in the patient rooms of the largest hospital in Iran.” Science of The Total Environment 725:138401. doi: 10.1016/j.scitotenv.2020.138401.

Fehr, Anthony R., dan Stanley Perlman. 2015. “Coronaviruses: An overview of their replication and pathogenesis.” Hal. 1–23 in Coronaviruses: Methods and Protocols. Springer New York.

Hao, Limei, Jinhui Wu, Jinming Zhang, Zhangyi Liu, Ying Yi, Zongxing Zhang, Enlei Zhang, dan Jiancheng Qi. 2019. “Development of a negative pressure hood for isolation and transportation of individual patient with respiratory infectious disease.” Biosafety and Health 1(3):144–49. doi: 10.1016/j.bsheal.2019.12.007.

Huang, Ying, Gwo Hwa Wan, Yao Kuang Wu, Kuo Chien Tsao, Source Infection Control, Hospital Epidemiology, No May, Ying-huang Tsai, dan Gwo-hwa Wan. 2014. “Airborne Severe Acute Respiratory Syndrome Coronavirus Concentrations in a Negative ‐ Pressure Isolation Room • Airborne Severe Acute Respiratory Syndrome Coronavirus Concentrations in a Negative-Pressure Isolation Room.” 27(5):523–25.

Hutten, Irwin M. 2007. “Air Filter Applications.” Hal. 325–67 in Handbook of Nonwoven Filter Media. Elsevier.

Masters, Paul S. 2006. “The Molecular Biology of Coronaviruses.” Advances in Virus Research.

Miller, Shelly L., Nicholas Clements, Steven A. Elliott, Shobha S. Subhash, Aaron Eagan, dan Lewis J. Radonovich. 2017. “Implementing a negative-pressure isolation ward for a surge in airborne infectious patients.” American Journal of Infection Control 45(6):652–59. doi: 10.1016/j.ajic.2017.01.029.

Nishimura, Hidekazu, Yuxuan Fan, dan Soichiro Sakata. 2020. “New applications of a portable isolation hood for use in several settings and as a clean hood.” Journal of Thoracic Disease 12(7):3500–3506. doi: 10.21037/jtd-20-1211.

Pemerintah Kota Bandung. 2020. Salinan Keputusan Wali Kota Bandung Tentang Penetapan Rumah Sakit Rujukan Penanggulangan Penyakit Infeksi Emerging Tertentu. Indonesia.

Phu, Hai Thien, Yensil Park, Austin J. Andrews, Ian Marabella, Asish Abraham, Reid Mimmack, Bernard A. Olson, Jonathan Chaika, Eugene Floersch, Mojca Remskar, Janet R. Hume, Gwenyth A. Fischer, Kumar Belani, dan Christopher J. Hogan. 2020. “Design and evaluation of a portable negative pressure hood with HEPA filtration to protect health care workers treating patients with transmissible respiratory infections.” American Journal of Infection Control 48(10):1237–43. doi: 10.1016/j.ajic.2020.06.203.

Seger, Christian D., Libing Wang, Xuezhi Dong, Peyton Tebon, Sebastian Kwon, Elaine C. Liew, Jure Marijic, dan Soban Umar. 2020. “A Novel Negative Pressure Isolation Device for Aerosol.” 131(3). doi: 10.1213/ANE.0000000000005052.

World Health Organization. 2020a. “Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations.” WHO Scientific Brief. Diambil 17 Maret 2021 (https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations).

World Health Organization. 2020b. “Transmission of SARS-CoV-2: implications for infection prevention precautions.” WHO Scientific Brief 10. Diambil (https://www.who.int/publications/i/item/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations).

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Published

2021-03-06

How to Cite

Yunia Kusmala, Y. ., Bayu Saefudin, D. ., Hakim, R. ., Biksono, D. ., & Aldilani Ikaningsih, M. . (2021). IMPLEMENTASI NEGATIVE PRESSURE HOOD (NPH) DAN NEGATIVE PRESSURE WHEELCHAIR (NPW) UNTUK MENCEGAH PENULARAN COVID-19 PADA PARA TENAGA KESEHATAN DI RS KEBON JATI . Prosiding Penelitian Pendidikan Dan Pengabdian 2021, 1(1), 727–741. Retrieved from https://prosiding.rcipublisher.org/index.php/prosiding/article/view/215