Conversion of a regular patient room to negative pressure at Ancona university hospital (Italy). A combined experimental and numerical investigation

Negative pressure isolation rooms are employed to prevent the spread of infectious diseases to surrounding spaces. This study reports a combined experimental and numerical analysis aimed at reliably assessing the performance of hospital ventilation systems and effectively reducing the risk of airborne infections. The study appraises the enhancement of the safety conditions by retrofitting an existing, positive pressure room ventilation system with a negative pressure and recirculation one. The assessment consisted in experimental measurements of airborne particle concentration and Computational Fluid Dynamics (CFD) simulations with Lagrangian particle tracking of respiratory droplets. The ventilation performance improvement was quantified in terms of recovery rate, contaminant removal effectiveness, particle transfer toward adjacent spaces and probability of infection. Two experimental campaigns were carried out: an ISO standard recovery assessment and a test in real operational conditions. The negative pressure configuration significantly improved the safety inside the patient ward: the recovery rate for droplets with diameter larger than 5 μm increased by a factor three, and the contaminant removal effectiveness after 15 min increased from 45% to 81%. The numerical model for Computational Fluid Dynamics simulation was successfully validated, confirming the ability of the approach to reproduce the undergoing Physics. The negative pressure design eliminated the particle transmission to surrounding spaces, while 2.5% of the emitted respiratory droplets escaped the room in the original existing scenario. The probability of infection after 15 min exposure was reduced by a factor three and peak values reaching 15% were limited to the immediate vicinity of the patients.