JP2010047940A - Facility corresponding to infectious disease - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a facility which makes possible a meeting or the like with an infected patient who is in isolation in a hospital room without wearing protective clothing. <P>SOLUTION: The facility 1 corresponding to an infectious disease is used for isolating an infected patient or a suspected patient and is provided with a plurality of hospital rooms 32 (32a to 32e, 32f to 32j), a corridor 33, an observation passage 35, an entrance, and a door way. The plurality of hospital rooms 32 are used for isolating the infected patient or the suspected patient, and the corridor 33, which is provided so that it faces each of the hospital rooms 32 (32a to 32e, 32f to 32j), is used for coming into and going out of each of the hospital rooms 32 (32a to 32e, 32f to 32j). The observation passage 35 makes possible observation of the state of the interior of each of the hospital rooms 32 (32a to 32e, 32f to 32j) from outside. The entrance is provided to the corridor 33, and the doorway is provided to the observation passage 35. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an infectious disease-response facility, and more particularly to an infectious disease-response facility that can prevent the spread of infectious diseases and can reduce the construction period and cost.

  In Japan, patients with infectious diseases such as new influenza (mainly patients with droplet infection or contact infection) and their pseudo-patients (patients who are uncertain whether they are infected with new influenza etc.) are designated by the Infectious Disease Law. It is necessary to transport and isolate it to a medical institution, but infectious disease patients and pseudo patients who have entered from abroad cannot be transported to a designated medical institution (if there are too many patients to transport, the medical condition is too heavy In cases where transportation is not possible, it is necessary to construct an infectious disease-response facility that can isolate infectious and pseudo-patients in the vicinity of the airport where they enter the country.

An example of such an infectious disease response facility is described in Patent Document 1. This infectious disease response facility (unit hospital) unitizes equipment such as operating rooms, intensive care units, examination rooms, examination rooms, hospital rooms, nurse stations, administrative departments, toilets / bathrooms, corridors, etc. Alternatively, it is configured by a plurality of modules and connected to each other, and an independent air supply / exhaust system and an air purification device are provided for each unit, and is arranged in an air tent as necessary.
JP-A-4-333382

  In an infectious disease-response facility (unit hospital) with the above-mentioned structure, operating rooms, intensive care units, examination rooms, examination rooms, hospital rooms, nurse stations, administrative departments, toilets / bathrooms, corridors, etc. By constructing the units and connecting them together, an infectious disease-compatible facility (unit hospital) is constructed, so that the construction period can be shortened.

  However, since it does not have the function of completely isolating the hospital room from other facilities such as corridors, when a visitor meets an infectious disease patient in the hospital room, the staff checks the condition of the infectious disease patient in the hospital room. In such a case, there is annoyance that must wear protective clothing.

  The present invention has been made in view of the conventional problems as described above, and without wearing protective clothing, a visitor meets an infectious disease patient or a pseudo patient in a hospital room, or a staff member in a hospital room. An object is to provide an infectious disease response facility capable of confirming the state of an infectious disease patient or a pseudo patient.

In order to solve the above problems, the present invention employs the following means.
That is, the present invention is an infectious disease response facility for isolating an infectious disease patient or a pseudo patient so as to face a plurality of hospital rooms for isolating the infectious disease patient or the pseudo patient, and the respective hospital rooms. A corridor for entering and exiting each hospital room, an observation passage capable of observing the inside of each hospital room from the outside, an entrance provided in the hallway, and an entrance provided in the observation passage. Features.

  According to the infectious disease response facility of the present invention, the staff enters the hallway from the entrance with the protective clothing worn, and enters and exits each hospital room from the hallway. The visitor and staff enter the observation passage from the entrance without wearing protective clothing and meet with an infectious disease patient or pseudo patient in each room from the observation passage, or an infectious disease patient or pseudo patient in each room. Can be observed.

  In the present invention, in the corridor, a carry-in area for an infectious disease patient or a pseudo-patient is continuously provided, and in the carry-in area, a waiting area for a staff is continuously provided, and in the carry-in area and the wait area, Each may be provided with an entrance / exit.

  According to the infectious disease-response facility of the present invention, an infectious disease patient or a pseudo patient is carried into a carry-in area from an entrance / exit, and is isolated from the carry-in area into each hospital room via a corridor. Further, the staff enters the carry-in area from the standby area through the entrance / exit while wearing protective clothing, and comes into contact with the infectious disease patient or the pseudo patient carried into the carry-in area.

  Further, according to the present invention, the plurality of hospital rooms are arranged in at least two rows in a row and in a row, the corridor is provided between adjacent hospital rooms, and faces each room in the hospital room group. As described above, the observation path may be provided.

  According to the infectious disease-response facility of the present invention, an infectious disease patient or a pseudo patient is isolated from a corridor into each room in a hospital room group. In addition, the staff enters and leaves each room in the hospital room group from the corridor while wearing protective clothing. In addition, the visitor and staff meet with the infectious disease patient or pseudo patient in each room of the hospital room group from the observation passage without wearing protective clothing, and observe the state of the infectious disease patient or pseudo patient in each room. You can do it.

Furthermore, the present invention may be characterized in that a diagnosis / treatment room for an infectious disease patient or a pseudo patient is provided in a part of the carry-in area.
According to the infectious disease-handling facility of the present invention, an infectious disease patient or a pseudo-patient is carried into a carry-in area and then undergoes a predetermined examination and treatment in the examination / treatment room. It will be carried into each hospital room.

Furthermore, the present invention may be a prefabricated building.
According to the infectious disease response facility of the present invention, the construction period can be shortened.

As described above, according to the infectious disease response facility of the present invention, the staff enters the corridor from the entrance with the protective clothing worn, and enters and exits each hospital room from the corridor. The visitor and staff enter the observation passage from the entrance without wearing protective clothing and meet with an infectious disease patient or pseudo patient in each room from the observation passage, or an infectious disease patient or pseudo patient in each room. Can be observed. Therefore, the troublesomeness of wearing protective clothing can be eliminated when the visitor meets an infectious disease patient or pseudo patient in the hospital room or the staff observes the infectious disease patient or pseudo patient in the hospital room.
In addition, the visitor and the staff may visit the infectious disease patient or pseudo patient in the sick room from the observation passage without contacting the infectious disease patient or pseudo patient in each sick room, or Since the situation can be observed, it is possible to prevent the spread of infectious diseases.
In addition, when there are at least two rows of hospital rooms, each of which has multiple hospital rooms arranged side by side, the infection of each room in the patient room group from the observation path without the protective clothing worn by the visitor and staff Since it is possible to meet with an illness patient or a pseudo patient and to observe the state of an infectious disease patient or a pseudo patient in each hospital room, the troublesomeness of wearing protective clothing can be eliminated.
Furthermore, the construction period can be shortened by using prefabricated buildings.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
1 to 7 show an embodiment of an infectious disease response facility according to the present invention. FIG. 1 is an explanatory diagram showing the relationship among a hospital room area, an observation area, a carry-in area, and a staff standby area. FIG. 2 is an explanatory diagram of each area of the hospital room area, FIG. 3 is an explanatory diagram showing the relationship between the hospital room of the hospital room area and the hallway, FIG. 4 is an explanatory diagram of the carry-in area and the waiting area of the staff, and FIG. FIG. 6 is a cross-sectional view taken along line AA in FIG. 5, and FIG. 7 is a cross-sectional view taken along line BB in FIG.

  That is, the infectious disease-response facility 1 of the present embodiment is infected with an infectious disease patient such as a new influenza (mainly due to droplet infection or contact infection) or a simulated patient thereof (infectious disease such as a new influenza). It is a prefabricated building that can handle the isolation of patients who are uncertain) (hereinafter referred to as “infectious disease patients, etc.”), as shown in FIGS. A base 2 installed on the base 2, an outer wall 3 standing on the top of the base 2 to form a rectangular space 4 inside, and a plurality of panel members closing the lower opening of the space 4 inside the outer wall 3 A floor 5, a ceiling 6 made of a plurality of panels that closes an upper opening of the space 4 inside the outer wall 3, a partition wall 7 that partitions the space 4 inside the outer wall 3 into a plurality of areas, and an upper part of the ceiling 6 And a roof 65 provided on the roof.

  As shown in FIGS. 1 to 5, the outer wall 3 is formed by assembling a plurality of panel members into an annular shape, and a substantially rectangular space 4 is formed in a portion surrounded by the outer wall 3. The space 4 is partitioned into a plurality of areas by partition walls 7.

  The partition wall 7 is constructed by assembling a plurality of panel members into a desired shape, and as shown in FIG. 1, the space 4 inside the outer wall 3 has a substantially rectangular shape by the partition wall 7. A hospital room area 18, a substantially U-shaped observation area 34 provided so as to surround the hospital room area 18 (excluding the right side), a substantially rectangular carry-in area 36 provided on the right side of the hospital room area 18, and a hospital room It is divided into a substantially rectangular staff waiting area 41 provided on the right side of the area 18 and below the carry-in area 36.

  As shown in FIG. 2, the hospital room area 18 is further divided into three substantially rectangular areas 18 a to 18 c in the vertical direction by the partition wall 7. As shown in FIG. 3, the upper area 18 a and the lower area are divided. A plurality of hospital rooms 32 (32a to 32e, 32f to 32j) are provided in 18c, and a corridor 33 is configured by the inner area 18b.

  In the present embodiment, as shown in FIGS. 3 and 4, the upper area 18 a and the lower area 18 c of the hospital room area 18 are divided into five in the left-right direction in FIG. 3 by the partition walls 7. Each of the room rooms 32a to 32e of each room group is configured such that five room rooms 32a to 32e and 32f to 32j are provided side by side and independently in the upper area 18a and the lower area 18c, respectively. 32f to 32j, patients with infectious diseases are accommodated.

  As shown in FIGS. 3 and 4, the hallway 33 constituted by the inner area 18 b of the hospital room area 18 is provided so as to face each of the hospital rooms 32 a to 32 e and 32 f to 32 j, and through this hallway 33. An infectious disease patient or the like can be accommodated in each of the hospital rooms 32a to 32e and 32f to 32j, and a staff can enter and exit the hospital rooms 32a to 32e and 32f to 32j.

  In each hospital room 32 (32a to 32e, 32f to 32j), as shown in FIG. 5, facilities such as a bed 55, a washstand 56, and a unit bath 57 are provided. In the part of the partition wall 7 corresponding to each hospital room 32 (32a to 32e, 32f to 32j) (the part facing the observation corridor 35 described later), the observation path in each hospital room 32 (32a to 32e, 32f to 32j). Pass boxes 58 for carrying meals and the like from the 35 side are provided.

  The pass box 58 is a box in which two doors (not shown) are provided on both the hospital room 32 side and the observation passage 35 side, and both doors are not opened simultaneously (with one door closed). Configured to open the other door).

  As shown in FIG. 5, a front room 59 serving as a barrier is provided in a portion of each hospital room 32 facing the corridor 33, and the front room 59 includes a door 59 a that opens and closes between the corridor 33 and each hospital room. 32 (32a to 32e, 32f to 32j) are provided with two doors 59b that open and close between them, and at the same time, both doors do not open (the other door with one door closed) The staff is configured to be able to enter / exit each hospital room 32 (32a to 32e, 32f to 32j) through the front room 59 from the corridor 33 side.

  As shown in FIG. 5 and FIG. 7, an incision window 60 is provided in each part of the partition wall 7 (a part corresponding to the observation corridor 35) corresponding to each hospital room 32 (32 a to 32 e, 32 f to 32 j). The visitor visits an infected patient or the like housed in each hospital room 32 (32a to 32e, 32f to 32j) from the observation passage 35 through the slaughter window 60, or the staff visits each hospital room 32 (32a to 32e). , 32f to 32j), it is possible to observe the state of the infected patient and the like housed in it.

  The corridor 33 is provided in a state completely independent of an observation passage 35 and hospital rooms 32 (32a to 32e, 32f to 32j), which will be described later, and predetermined examinations and treatments are performed in the examination / treatment room 42 via the corridor 33. A completed infectious disease patient or the like is accommodated in each hospital room 32 (32a to 32e, 32f to 32j), or the staff enters and exits each hospital room 32 (32a to 32e, 32f to 32j) through the corridor 33. It is configured.

  Each hospital room 32 (32a to 32e, 32f to 32j) is configured as an infected area, and the corridor 33 is configured as a semi-clean area.

  As shown in FIG. 3, the carry-in area 36 is partitioned into three in the vertical direction in FIG. 3 by the partition wall 7, and is discharged from each of the patient rooms 32 a to 32 e and 32 f to 32 j in the upper part in FIG. 3. A barrier 37 is configured to carry the waste out of the facility.

  The middle part of the carry-in area 36 in FIG. 3 is further divided into two in the left-right direction in FIG. 4 by the partition wall 7 as shown in FIG. 4, and the right part in FIG. A medical examination / treatment room 42 for performing examination and treatment of infectious disease patients and the like carried in from is constructed, and the left side part temporarily stores waste discharged from each hospital room 32 (32a to 32e, 32f to 32j) A cabinet 43 is configured.

  The lower part of the carry-in area 36 in FIG. 3 is configured as a barrier 39 for carrying an infectious disease patient or the like into the facility from outside the facility. As shown in FIG. 5, an entrance / exit 52 provided with a slope for carrying an infectious disease patient or the like into the facility is provided in an outer portion of the outer wall 3 adjacent to the barrier 39.

  As shown in FIG. 4, the barrier 39 in the carry-in area 36 is further divided into two in the left-right direction in FIG. 4 by the partition wall 7, and a wind vent room 40 is configured at the right side in FIG. Infected patients and the like are carried into the carry-in area 36 from 52 through the windbreak chamber 40.

  The examination / treatment room 42 and the storage 43 are configured in a semi-clean area.

  As shown in FIG. 5, in the carry-in area 36, a door 39 a that opens and closes with the storage 43, a door 39 b that opens and closes with the hallway 33, and a door 39 c that opens and closes between the entrance and exit 52 of the facility. And four doors 39d that open and close between the examination / treatment room 42 are provided.

  At the lower end of the carry-in area 36 in FIG. 4, as shown in FIG. 5, a clothing room 53 and a dressing room 54 are provided in an independent state. The clothing room 53 is provided with two doors: a door 53b that opens and closes with the carry-in area 36 and a door 53a that opens and closes with the staff room 47, so that these two doors do not open simultaneously. (One door is closed and the other door is opened). The undressing room 54 is provided with two doors: a door 54b that opens and closes to the carry-in area 36 and a door 54a that opens and closes to the staff room 47, so that these two doors do not open simultaneously. (One door is closed and the other door is opened).

As shown in FIGS. 1 to 4, the staff waiting area 41 is provided in a state completely independent of the hospital room area 18 and the carry-in area 36.
As shown in FIG. 4, the staff waiting area 41 is divided into two in the left-right direction in FIG. 4 by the partition wall 7, and a staff room 47 in which the staff waits is configured on the left side, and the right side is illustrated. An inspection room 48 for performing various inspections is configured. As shown in FIG. 5, the staff room 47 and the examination room 48 are partitioned by a door 47a so as to be opened and closed.

  At the lower end of the staff room 47 in FIG. 4, as shown in FIG. 5, a toilet 50, a wind chamber 49, a dressing room 51, and a unit shower 51a are provided in an independent state. The windbreak room 49 is provided with two doors, a door 49a for opening and closing between the staff room 47 and a door 45b for opening and closing between the entrance 45 to the observation area 34, and the entrance 45 from the outside of the facility. The door 45b, the wind vent room 49, and the door 49a are configured to be able to enter and leave the staff room 47.

  The staff room 47, the toilet 50, and the dressing room 51 are configured in a clean area, the examination room 48 is configured in a semi-clean area, and the wind chamber 49 is configured as a barrier.

As shown in FIGS. 1 to 5, the observation area 34 is provided in a state of being completely independent from the hospital room area 18, the carry-in area 36, and the staff standby area 41. In the observation area 34, without wearing protective clothing, a visitor meets an infectious disease patient or the like housed in each hospital room 32 (32 a to 32 e, 32 f to 32 j), or the staff visits each hospital room 32 (32 a to 32 a to 32 a to 32 a. 32e, 32f to 32j) are configured in an observation passage 35 for observing the state of an infectious disease patient or the like accommodated in the patient.
Note that the observation passage 35 is configured in a clean area.

  The observation passage 35 is configured to be directly accessible from the outside of the facility via the lower right entrance 45 in FIG. 5, and visitors, staff, etc. can enter the observation passage 35 from the outside of the facility via the entrance 45. It is configured to allow access. The doorway 45 is provided with a door 45 a that opens and closes with the observation passage 35 and a door 45 b that opens and closes with the staff room 47 described above. Opening windows 46 are provided at a plurality of locations in the portion of the outer wall 3 facing the observation passage 35.

  The air supply / exhaust system of the infection handling facility 1 having the above-described configuration is configured so that the inside of each hospital room 32 (32a to 32e, 32f to 32j) is made negative pressure to enter the observation passage 35 and the corridor 33 from the outside of the facility. Air is taken in, and this air is taken into each hospital room 32 (32a-32e, 32f-32j) from the observation passage 35 and the corridor 33, and is circulated through each hospital room 32 (32a-32e, 32f-32j). 32 (32a to 32e, 32f to 32j) is configured to exhaust to the outside of the facility.

  Specifically, as shown in FIG. 6, an exhaust port 61 is provided in the lower part (near the floor 5) of each hospital room 32 (32a to 32e, 32f to 32j), and facilities are provided on the ceiling 6 of the observation passage 35 and the corridor 33. An air supply port 62 communicating with the outside of the room is provided, and the portion of the partition wall 7 on the ceiling 6 side between the observation passage 35 and each hospital room 32 (32a to 32e, 32f to 32j), the corridor 33 and each front room 59 The dampers 63 are respectively provided on the ceiling 6 side portion of the partition wall 7 and the ceiling side portion of the partition wall 7 between each hospital room 32 (32a to 32e, 32f to 32j) and each front chamber 59.

  By having such a configuration, exhausting from the exhaust port 61 of each hospital room 32 (32a to 32e, 32f to 32j) results in a negative pressure in each hospital room 32 (32a to 32e, 32f to 32j). Air is taken into the observation passage 35 and the corridor 33 from the outside through the air supply port 62 of the observation passage 35 and the air supply port 62 of the hallway 33, and the respective hospital rooms 32 (32 a to 32 a through the observation passage 35 through the dampers 63. 32e, 32f to 32j) or from the corridor 33 through the dampers 63 into the front chambers 59 and from the front chambers 59 through the dampers 63 to the respective hospital rooms 32 (32a to 32e, 32f to 32j). 32j) and is circulated through each hospital room 32 (32a to 32e, 32f to 32j) and then exhausted from each patient room 32 (32a to 32e, 32f to 32j) through the exhaust port 61. It is discharged to the facility of the external contact.

  A part of the air taken into each front room 59 is exhausted to the outside of the facility through an exhaust port 61 provided in the ceiling 6 of each front room 59.

  In the infectious person handling facility 1 according to the present embodiment configured as described above, an infectious disease patient or the like is carried into the carry-in area 36 inside the facility through the entrance / exit 52, and a predetermined examination is performed in the examination / treatment room 42. After the treatment is performed, the patient is carried into each hospital room 32 (32a to 32e, 32f to 32j) from the examination / treatment room 42 via the carry-in area 36 and the corridor 33, and each patient room 32 (32a to 32e, 32f to 32f). 32j) through the front chamber 59.

  In this case, the staff waiting in the staff room 47 changes to the protective clothing in the clothing room 53 and then performs a predetermined examination and treatment in the examination / treatment room 42 for an infectious disease patient or the like brought in from the outside. The patient room 32 (32a to 32e, 32f) is accommodated in the hospital room 32 (32a to 32e, 32f to 32j) from the examination / treatment room 42 through the corridor 33 to the front room 49. 32j) exits to the corridor 33 side through the front room 59, returns to the carry-in area 36 from the corridor 33, takes off protective clothing in the dressing room 54, and returns to the staff room 42.

  In addition, the visitor enters the observation passage 35 from the outside of the facility through the entrance / exit 45, so that each visitor 32 (32a to 32e, 32f to 32j) can enter from the observation passage 35 without wearing protective clothing. You can meet with infectious disease patients. Furthermore, provision of meals and the like to patients with infectious diseases accommodated in the respective hospital rooms 32 (32a to 32e, 32f to 32j) is performed from the observation passage 35 through the pass box 58 without wearing protective clothing. be able to. Furthermore, when the staff confirms the state of an infectious disease patient or the like housed in each hospital room 32 (32a to 32e, 32f to 32j), it can be confirmed from the observation passage 35 without wearing protective clothing. it can.

  Furthermore, in the infectious disease-response facility 1 of the present embodiment, since it is a prefabricated building constructed by assembling the foundation 2, the outer wall 3, the partition wall 7, the floor 5, the ceiling 6, and the roof 65, In cases where infectious disease patients entering the country cannot be transferred to designated medical institutions (when the number of patients cannot be transferred due to too many patients, or because the medical condition is too heavy, etc.), it may be constructed in the vicinity of the airport in a short period of time. Because it can, it can respond sufficiently in an emergency.

  In the above description, the infectious disease-response facility 1 is configured with a prefabricated building, but the infectious disease-compatible facility may be configured with other buildings without being limited to the prefabricated building.

  In the above description, a group of rooms in which five rooms 32 (32a to 32e, 32f to 32j) are arranged side by side is provided in two rows, but four or less rooms or six or more rooms are arranged side by side. It may be arranged in a hospital room group. In addition, the hospital room group is not limited to two rows, and may be configured in three or more rows.

It is explanatory drawing which showed the relationship between the hospital room area, observation area, carrying-in area, and staff standby area of the infectious disease corresponding | compatible facility of one Embodiment by this invention. It is explanatory drawing of each area of a hospital room area. It is explanatory drawing which showed the relationship between the hospital room of a hospital room area, and a hallway. It is explanatory drawing of a carrying-in area and the waiting area of a staff. It is the top view which showed the whole infectious disease corresponding | compatible facility of one Embodiment of this invention. It is sectional drawing seen along the AA line of FIG. It is sectional drawing seen along the BB line of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Infectious disease response facility 2 Basics 3 Exterior wall 4 Space 5 Floor 6 Ceiling 7 Partition wall 18 Hospital room area 18a Upper area 18b Middle area 18c Lower area 32 Hospital room 33 Corridor 34 Observation area 35 Observation passage 36 Carry-in area 37 Barrier 39 Barrier 39a Door 39b Door 39c Door 39d Door 40 Cold room 41 Staff waiting area 42 Examination / treatment room 43 Storage 45 Entrance 45a Door 45b Door 46 Open / close window 47 Staff room 47a Door 48 Inspection room 49 Wind chamber 49a Door 50 Toilet 51 Dressing room 51a Unit shower 52 Entrance 53 Dressing room 53a Door 53b Door 54 Dressing room 54a Door 54b Door 55 Bed 56 Wash basin 57 Unit bath 58 Pass box 59 Front room 59a Door 59b Door 60 Fitting window 61 Exhaust port 62 Air supply port 63 Damper 65 Roof

Claims (5)

An infectious disease response facility for isolating infectious or simulated patients,
A plurality of rooms for isolating infectious disease patients or simulated patients, a corridor for entering and exiting each room provided to face each room, and the inside of each room can be observed from the outside An infectious disease response facility comprising an observation passage, an entrance / exit provided in the hallway, and an entrance / exit provided in the observation passage.   In the corridor, there is a carry-in area for infectious disease patients or pseudo-patients, a wait area for staff is connected in the carry-in area, and an entrance is provided in each of the carry-in area and the wait area. The infectious disease response facility according to claim 1, wherein   The plurality of hospital rooms are provided in at least two rows of hospital rooms arranged side by side in a row, the corridor is provided between adjacent hospital rooms, and the observation path faces each room in the hospital room group. The infectious disease response type facility according to claim 1 or 2, characterized in that it is provided.   The infectious disease response facility according to claim 2 or 3, wherein a part of the carry-in area is provided with an examination / treatment room for an infectious disease patient or a pseudo patient.   The infectious disease response facility according to any one of claims 1 to 4, wherein the facility is a prefabricated building.

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