JP3228009U - Infectious disease isolation medical facility - Google Patents

Abstract

PROBLEM TO BE SOLVED: To prevent in-facility contact infection by classifying the inside of a facility into an infected area and a non-infected area and treating the recycled products generated in the facility with wastes from patients, infected persons and the like. Provide an infectious disease isolation medical facility. SOLUTION: An infectious disease isolation medical facility 1 is a hospital room 31a to 31h, 32a to 32g, a medical treatment room 11a to 11f, and a living room of a person involved in a medical field, which are arranged in the facility and constantly maintain a negative pressure. The infected area 10 including the 20 and the non-infected area 80 including the external access unit 801 in which hospital staff and patients enter and exit the facility, and the facility management unit 802, and the non-infected area 80 used in the facility again. It is provided with a high temperature treatment unit 100 that treats the articles to be used at a high temperature to inactivate pathogens, and an incineration treatment unit 125 that incinerates and discards the articles to be discarded from the users of the facility. [Selection diagram] Fig. 1

Description

The present invention relates to an infectious disease isolation medical facility for infectious diseases caused by invasion of human bodies by pathogens present in water, soil, air, and animals such as viruses, bacteria, parasites, and molds.

The cumulative number of people infected with the new coronavirus exceeded 7 million worldwide in June 2020.
The number of infected people per day is now 130,000. In addition, a total of more than 400,000 people have died from the new coronavirus, and people all over the world are now forced to fight for survival against the new coronavirus. The new coronavirus is a virus as a pathogenic microorganism that exists in the environment and causes infectious diseases by invading the human body. Viruses (new coronavirus, influenza, Japanese encephalitis, etc.), rickettsia (tsutsugamushi disease, etc.), bacteria (cholera, erythema, etc.), parasites (worms, etc.), molds (waterworms, etc.) are known as pathogens that cause infectious diseases. Has been done. Ebola hemorrhagic fever, which is one of the first-class infectious diseases caused by the infectious disease Ebola virus, causes high fever at the time of illness, head / abdominal pain, severe bleeding from the digestive organs and nose, and half to 90% of the affected people. Disastrous cases such as death to some extent have been reported, and H5N1 virus has strong virulence and infectivity, for example, 32 million people, which is a quarter of the Japanese population, are infected, of which 640,000. The damage is predicted to be fatal. Conventionally, the medical staff in Japan has been inadequately prepared when clusters actually occur due to the spread of such infectious diseases. Especially when cluster contamination of the new coronavirus occurs, nosocomial infections and the number of hospitalized beds It can be said that the reality is that the number of medical staff and the ability to carry out PCR tests have pushed them to the point of medical collapse. In Practical Model Registration No. 3148324, the applicant proposed an infectious disease ward structure for blocking infectious disease infection in the ward.
Utility model registration No. 3148324

However, the ward structure of Patent Document 1 is used for processing sheets, bandages, other linens used in the building, reusable articles such as medical devices such as scalpels and forceps, and vomiting of patients and infected persons. There is no treatment function for bandages, excrement, and other wastes, and for this reason, it was insufficient in terms of preventing the spread of infection due to contact infection in the facility.

The present invention has been made in view of the above-mentioned conventional problems, and one of the purposes thereof is to manage the facility by dividing it into an infected area and a non-infected area, and to manage linens, medical devices, etc. generated in the facility. The purpose is to provide an infectious disease isolation medical facility that can dispose of recycled products and waste from patients and infected persons and prevent in-facility contact infection.

In order to achieve the above object, the present invention includes hospital rooms 11a to 11f, 31a to 31h, 32a to 32g, medical treatment rooms 11a to 11f, and medical sites, which are arranged in a facility and constantly maintain a negative pressure in the space. The infected area 10 including the living room 20 of the persons concerned, the non-infected area 80 including the external access unit 801 in which the staff and patients in the facility enter and exit the facility, the management unit 802 of the facility, and the inside of the facility. The high-temperature treatment unit 100 that inactivates pathogens by high-temperature treatment of the articles used and reused in the facility, and the incineration processing unit 125 that incinerates and discards the articles to be discarded from the users of the facility. It is composed of an infectious disease isolation medical facility 1 provided.

At that time, the high temperature processing unit 100 includes a first processing chamber 102 and a high temperature circulation type processing device 110 which is arranged in the first processing chamber and circulates high temperature air inside the machine while accommodating the reused articles inside the machine. It is good.

Further, the incineration processing unit 125 may include a second processing chamber 126 and an incineration device 130 arranged in the second processing chamber 126 to incinerate and discharge the article to be discarded.

Further, the incineration processing unit 125 may include a pretreatment device 140 that is exposed to high temperature air to perform high temperature treatment prior to the incineration treatment by the incineration device 130.

Further, the infection area may include a sample waiting room 41 having an entrance / exit facing the outside of the 10 facilities, and a positive / negative determination facility 45 for infectious diseases arranged adjacent to the outside of the sample waiting room 41.

In addition, the infected area 10 in the facility may include an ICU unit 15 for treating patients with acute dysfunction and the like, and general hospital units 30, 31a to 31h for accommodating patients who are determined to need hospitalization.

Further, a buffer chamber 44 may be provided at the entrance / exit boundary between the infected area 10 and the non-infected area 80.

According to the infectious disease isolation medical facility of the present invention, an infected area including a hospital room arranged in the facility and constantly maintaining a negative pressure, a medical treatment room, and a living room of a person involved in the medical field, and in the facility. Infect the non-infected area including the external access department where staff and patients enter and exit the facility, the management department of the facility, and the articles used and reused in the facility at high temperature to inactivate the pathogens. Since the configuration is equipped with a high-temperature processing unit and an incineration processing unit that incinerates and disposes of items to be disposed of from facility users, the facility is divided into an infected area and a non-infected area. It is possible to form a buffer zone when the staff in the facility enters and exits the facility to prevent infection due to the movement of people and infection through contact with goods, and prevent infection in the entire facility.

The high-temperature processing unit includes, for example, a first processing chamber and a high-temperature circulation type processing device that is arranged in the first processing chamber and circulates high-temperature air inside the machine while accommodating reused articles inside the machine. Through the corridor leading to the contaminated area, used sheets, scalpels and other medical equipment, PC terminals, and other reusable items in the first treatment room are brought in and held in the facility. It is possible to carry out high temperature circulation processing in.

Further, since the incineration unit includes a second processing chamber and an incineration device arranged in the second processing chamber to incinerate and discharge the articles to be disposed of, the articles to be disposed of in the facility can be disposed of. It can be incinerated.

Further, since the incineration unit includes a pretreatment device that is exposed to high temperature air and subjected to high temperature treatment prior to the incineration treatment by the incineration device, the incineration is performed by incineration after inactivating and dehydrating the virus. The incineration function of the incinerator is greatly improved, and not only the processed product is completely burned to kill the virus, but also the problem of air pollution does not occur.

In addition, since the infection area includes a sample waiting room having an entrance / exit facing the outside of the facility and a positive / negative judgment facility for infectious diseases located adjacent to the outside of the sample waiting room, it is a drive-through type infection non-infection. It is possible to carry out infection tests smoothly and quickly transport patients to testing institutions as needed.

In addition, since the infected area in the facility includes an ICU department that treats patients with acute dysfunction and a general hospital room that accommodates patients who are judged to need hospitalization, the condition of the patients in the hospital can be changed. In the case of sudden change and seriousness, it is possible to appropriately respond to sudden change of the patient by lifesaving, life support device, etc.

By configuring a buffer room at the entrance / exit boundary between the infected area and the non-infected area, patients enter and leave the infected area, and doctors and staff of the facility can enter and leave the non-infected area through the buffer zone. It is possible to prevent virus infection in the entire facility by entering and leaving the room and reliably processing the items to be reused and the items to be discarded in the facility while blocking the infection due to the flow of people.

Hereinafter, the best mode for carrying out the present invention will be described with reference to the accompanying drawings. The figure shows an embodiment of the anti-infectious disease isolation medical facility of the present invention, FIG. 1 is a plan view of an anti-infectious disease isolation medical facility in which an arrow indicating a person's movement line is inserted, and FIG. 2 is an infected or non-infected. A plan view of an infectious disease isolation medical facility in which the area and the first and second high temperature treatment sections are shaded, FIG. 3 is a plan view of the high temperature treatment section, and FIG. 4 is a schematic front view of the high temperature circulation type treatment device, FIG. Is a perspective explanatory view of the high temperature processing unit, and FIG. 6 is a schematic explanatory view of the incineration processing unit.

In FIG. 1, the infectious disease isolation medical facility 1 includes a horizontally long rectangular ward 2, and a plurality of rooms, rooms, and the like are arranged in the ward 2. In the ward 2 of the embodiment, a corridor 3 is arranged in a straight line in the center in the longitudinal direction, and the corridor 3 is divided into corridors 3, and left and right lanes 4A and 4B including a plurality of rooms for partitioning the space are arranged on the left and right sides thereof. The spaces of the plurality of rooms are partitioned by the wall members of the building, and each room is airtightly divided.

The anti-infectious disease isolation medical facility of the embodiment includes an infected area 10, a non-infected area 80, a high temperature treatment unit 100, and an incineration treatment unit 125.

The infected area 10 is a space facility for accommodating a room, room, equipment, etc. used by an infected person, a medical worker who treats the infected person, or a person who may come into contact with an infected person (including a suspected infected person). This includes equipment and devices used by those people, and is not necessarily the equipment where only infected people are located. The infected area 10 includes a corridor 3, an ICU block 15 as a hospital room, a nurse station 20, a general hospital room 30, a PCR test block 40, and an access acceptance block 50. In FIGS. 1 and 2, for example, a filter such as a hepa filter having a particle collection rate of 99.97% or more with respect to particles having a particle size of about 0.3 μm and a negative pressure generator such as a suction fan are shown. A combined negative pressure holding device (not shown) is installed to constantly hold the infected area space in the facility.

In an embodiment, the ICU block 15 includes a plurality of ICU rooms 11a-11f, a doctor waiting room 12, a warehouse 13, and an anterior room 14. The general ward section 30 includes eight private rooms 31a to 31h and seven communal rooms (multiple rooms) 32a to 32g. Further, the general hospital room section 30 includes a toilet 33 for patients located in the hospital room, a male and female shower 34, and a filth storage area 35.

The PCR test block 40 tests a patient applying for a test by PCR (Polyme-race chain reaction) outside the ward, and when a positive patient is detected, rests or temporarily waits for treatment at the facility or another testing institution. It is a facility for transporting to a medical institution or the like, and includes a sample waiting room 41, a break room 42, a doctor waiting room 43, an exit preparation room 44 for disinfection, etc., and a PCR testing device 45 that can be moved and installed. The PCR test device 45 is a positive / negative determination facility for infectious diseases that allows a person who wishes to perform a test to take a drive-through method while moving in a test space closed from the outside by means of transportation such as a car. It is placed adjacent to the outside of.

The exit preparation room 44 is arranged at the entrance / exit boundary between the infected area 10 and the non-infected area 80, and constitutes a part of a buffer room when entering the non-infected area from the infected area. Disinfectants, disinfecting equipment, etc. are installed so that users can disinfect each time they enter or leave.

The access acceptance block 50 is a facility for accepting and responding to a person who needs to enter the facility from the outside, and mainly performs medical treatment work for the patient. The access receiving block 50 includes a windbreak room 51, a passage leading to the windbreak room 51, a plurality of examination rooms 53, a work space 54, a toilet 55, and a warehouse 56.

Although it is not an access reception block, a storage room 121 (for example, filthy linen) for infected articles containing suspected infected substances can be freely entered and exited from the corridor 3 adjacent to the high temperature processing unit 100. It is located facing the corridor 3.

The non-infected area 80 includes an external access unit 801 for people such as medical facility staff to enter and exit the ward 2 on the premise that it is non-infected, and a management unit 802 for facility operation management and paperwork. including. The non-infected area 80 is always maintained at normal indoor pressure without communicating with the negative pressure generator. FIG. 2 is a diagram in which the non-infected area 80, the high temperature treatment section 100, and the incineration treatment section 125 are shown by diagonal lines. The hatched portion in the diagonally downward right direction is the non-infected area 80, and the hatched portion in the diagonally downward left direction is treated at high temperature. A unit 100 and an incineration processing unit 125 are shown. In the embodiment, the external access unit 801 of the non-infected area 80 includes an entrance 81 facing the outside of the ward, a hall 82 communicating with the entrance 81, a changing break room 83, a preparation room 84, and an exit preparation room 44 of the infected area 10. Includes anterior chamber 820, which is adjacent to. In addition, the management unit 802 includes an office 85 located opposite the hall 82 and a medical office 86 in which the doctor in charge is located. Further, the management unit 802 includes essential equipment 87 such as a nap room, a shower and a toilet. The exit preparation room 44 in the infected area 10 and the front room 820 in the non-infected area 80 are adjacent to each other and can be accessed through a door. The preparation room 44 and the anterior room 820 form an entry / exit boundary between the infected area 10 and the non-infected area 80, and form an infected / non-infected buffer zone. A storage chamber 105 for clean linens is arranged between the access receiving block 50 and the front chamber 104 of the high temperature processing unit 100.

The high temperature treatment unit 100 is a high temperature treatment means for the reused article that inactivates pathogens by treating the article used and reused in the facility at a high temperature. In the embodiment, the high temperature treatment unit 100 is the first processing chamber. The 102 and the high temperature circulation type processing apparatus 110 are included. In the embodiment, the high temperature processing unit 100 further includes an anterior chamber 104 installed adjacent to the first processing chamber 102.

The first processing chamber 102 brought in recycled articles (recycled articles) to be treated at high temperature from the storage chamber 121 of infected articles adjacent to the infected area 10, and treated the recycled articles at high temperature to inactivate the virus. It is a processing facility that is later carried out to the outside via the front chamber 104. A high-temperature circulation type processing device 110 is arranged inside the processing chamber to treat recycled articles and the like at high temperature inside the processing chamber 102, and carry out as necessary. Let me. The portion of the processing chamber 102 other than the installation space of the high-temperature circulation type processing device 110 functions as a work space for temporary storage of recycled articles to be treated at high temperature, temporary storage of processed products, and the like. All or part of the building walls forming the first treatment chamber 102 are constructed with fireproof specifications.

The first processing chamber 102 has a configuration in which the high-temperature circulation type processing apparatus 110 is arranged in the processing chamber, and used sheets, scalpels and other medical devices, and PC terminals in the first processing chamber 102 in a work space other than the apparatus. , Carry in and retain reusable items except for other contamination.

The high temperature circulation type treatment device 110 is a high temperature treatment main body device which circulates high temperature air inside the machine while accommodating reused articles inside the machine, and cleans used sheets, scalpels and other medical devices, PC terminals, and other contaminants. Except for this, reusable articles are treated at high temperature to inactivate viruses and the like. For example, the electric hot air generator 112 raises the air inside the device to a high temperature of, for example, 100 ° or more, and inactivates or kills the pathogen attached to the recycled article while circulating the air. The high-temperature circulation type processing device 110 of the present embodiment is processed by using an electric heater or the like that does not discharge combustibles. The high-temperature processing unit 110 is not limited to the electric heater, and gas, petroleum / coal fuel, and other high-temperature processing equipment for combustion systems may be used. In the present embodiment, as shown in FIGS. 3 and 5, four high-temperature circulation processing devices 110 are provided, and the treated air is discharged to the outside through the duct 115. In the embodiment, the high temperature circulation type processing device 110 includes an electric hot air generator 112 assembled to the machine body 111, an air suction port 113, and an opening / closing door 114, respectively. The high-temperature circulation type treatment apparatus 110 is formed by constructing a wall made of refractory bricks or the like in an airtight box shape, and has several shelves on which a reused article or the like (not shown) is placed.

The anterior chamber 104 forms a buffer zone when the reused article which is installed adjacent to the first processing chamber 102 and has been treated at a high temperature by the high temperature circulation type processing device 110 is discharged to the outside.

In the embodiment, the incineration unit 125 is an incineration means for incinerating and discarding an article to be discarded from a user of the facility, and is a second processing chamber 126, an incineration device 130, and a pretreatment device 140. And, including. Items to be disposed of from facility users include, for example, diapers used by patients, diaper covers, absorbent cotton used during treatment, gauze, masks, disposable gloves, and the like.

The second treatment chamber 126 is arranged adjacent to the pollutant storage area 122 and the front chamber 123, which are arranged facing the corridor 3, and accommodates the incinerator 130 and the pretreatment device 140 housed therein and should be disposed of. It is a treatment facility that temporarily holds contaminants by blocking external contact and odors. All or part of the building walls that form the second treatment room are constructed with refractory bricks and other refractory specifications.

The incineration device 130 is an incineration main body device that incinerates the articles to be discarded in the second processing chamber 126 and discharges them to the outside of the facility. In the present embodiment, the articles to be discarded are completely burned and incinerated. Discharge to the outside air. As shown in FIG. 6, the incinerator 130 has a combustion assisting burner 132, a reburning burner 133, a temperature sensor 134, a dust collection box 135, and a control panel 136 attached to the machine body to which the chimney 131 is attached. The device 137 and the ash outlet 138 are provided.

The pretreatment device 140 is an incineration pretreatment means for exposing treated articles as waste to high-temperature air prior to incineration by the incineration apparatus 130 to effectively burn the articles by the incineration apparatus, and in an embodiment, for example, The high temperature circulation type processing apparatus 110 of the high temperature processing unit 100 is used.

The article to be discarded held in the filth storage place 122 is carried into the second treatment chamber 126 and put into the pretreatment device 140. Articles to be discarded that have been exposed to high temperature air of about 100 ° C. or higher in the pretreatment device 140 are taken out from the device after being pretreated for a required time, and after reducing the water content and the degree of odor, they are arranged adjacent to each other. It is put into the incinerator 130 and incinerated. In the embodiment, the incineration device 130 uses an incineration type device that completely burns the object, and is exhausted to the outside air through a duct after incineration.

In FIG. 1, it is possible to enter and exit between the external PCR inspection device 45 and the infected area 10 (arrow a). Further, the arrow b from the exit preparation room 44 of the infected area 10 to the anterior room 820 of the non-infected area 80 indicates the route of the buffer zone from the infected area to the non-infected area. Further, the arrow c indicates a route when the staff of the facility invades the non-infected area 80 and the infected area 10 from the outside. Further, the arrow d indicates a route when the patient enters each examination room 53 from outside the facility via the windbreak room 51 and the passage 52. Further, arrow e indicates a route for bringing in clean clothing from the outside, arrow f indicates a route from the infected area 10 to the first treatment chamber 102, and arrow g indicates a route from the first treatment chamber 102 via the anterior chamber 123. The route for carrying out the high-temperature treated article is shown. Further, the arrow h is a route from the infected area 10 to the second treatment chamber 126 of the incineration unit 125 via the contaminated storage area 122, and the arrow j is to carry out the article incinerated by the incinerator 130 to the outside. Show the route.

As described above, the inside of the facility is divided into an infected area 10 and a non-infected area 80, and the patient has an infected area because it has a processing unit 100 for recycled products in the facility and a processing unit 125 for waste products in the facility. After entering and leaving the facility, doctors and staff of the facility enter and leave the non-infected area via the buffer zone, and while blocking infection due to the flow of people, reliably dispose of recycled and waste items in the facility. Therefore, it is possible to prevent virus infection in the entire facility.

The infectious disease isolation medical facility of the above embodiment may be installed not only on the ground but also in a large ship. In addition, the structure can be applied to reinforced concrete, wooden structures, and prefabricated buildings as long as the facility ensures a certain degree of airtightness.

It is a schematic plan view of the infectious disease isolation medical facility which concerns on embodiment of this invention. It is the figure which showed the non-infectious area of the infectious disease isolation medical facility of FIG. 1, the high temperature treatment part and the incineration treatment part by hatching. It is a schematic internal plan view of the high temperature processing part of FIG. It is a schematic configuration explanatory view of the high temperature circulation type processing apparatus of FIG. It is a perspective explanatory view of the 1st processing chamber of FIG. It is a schematic front explanatory view of each apparatus which showed side by side the pretreatment apparatus and the incineration apparatus of the 2nd processing chamber of the incineration processing section.

1 Anti-infectious disease isolation medical facility 2 Ward 3 Corridor 10 Infected area 15 ICU block 40 PCR test block 80 Non-infected area 100 High temperature processing unit 102 1st processing room 110 High temperature circulation type processing equipment 125 Incineration processing unit 126 2nd processing room 130 Incinerator 140 Pretreatment device

Claims (7)

An infected area that includes a hospital room that is placed in the facility and constantly maintains negative pressure, a medical treatment room, and a living room for medical personnel.
A non-infected area that includes an external access department where staff and patients in the facility enter and exit the facility, and a management department of the facility.
A high-temperature treatment unit that inactivates pathogens by high-temperature treatment of articles that are used and reused in the facility,
An infectious disease isolation medical facility characterized by having an incineration department that incinerates and disposes of items to be disposed of from facility users. The high temperature processing unit is the first processing room and
The anti-infectious disease isolation medical facility according to claim 1, further comprising a high-temperature circulation type treatment device which is arranged in a first treatment chamber and circulates high-temperature air inside the machine while accommodating recycled articles inside the machine. The incineration department has a second processing room and
The anti-infectious disease isolation medical facility according to claim 1 or 2, further comprising an incinerator that is arranged in a second treatment chamber and incinerates and discharges an article to be discarded. The anti-infectious disease isolation medical treatment according to any one of claims 1 to 3, wherein the incineration unit includes a pretreatment device that is exposed to high temperature air for high temperature treatment prior to the incineration treatment by the incineration device. Facility. The infected area has a sample waiting room with an entrance facing the outside of the facility, and
The anti-infectious disease isolation medical facility according to any one of claims 1 to 4, further comprising a positive / negative determination facility for infectious diseases arranged adjacent to the outside of a sample waiting room. The infected area in the facility is the ICU department that treats patients with acute dysfunction, etc.
The anti-infectious disease isolation medical facility according to any one of claims 1 to 5, further comprising a general ward for accommodating a patient determined to be hospitalized. The anti-infectious disease isolation medical facility according to any one of claims 1 to 6, wherein a buffer chamber is provided at the entrance / exit boundary between the infected area and the non-infected area.

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