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. 2021 Feb 4;195:110841. doi: 10.1016/j.envres.2021.110841

Table 2.

Information from articles on the SARS-COV-2 transmission through indoor air in hospitals and prevention methods.

Author/Year/Ref Country of Origin Sample Size Sampling locations Type of samples Results of SARS-COV-2 in the air Results reported in studies Proposed methods to prevent SARS-COV-2 transmission
Masoumbeigi et al. (2020) Iran 31 Samples Emergency, bedridden, ICU, CT-SCAN, laundry wards Air, Temperature, Relative, humidity No The SARS-COV-2 was not detected in air samples. Use of natural and mechanical air conditioning system with positive pressure to clean the air in hospitals
Faridi et al. (2020) Iran 10 Samples ICU, ICU-General,ICU-Heart surgery, Thorax, Internal Air, CO2, Temperature, Relative humidity No The SARS-COV-2 was not detected in air samples. Use precautions for health care workers in hospitals
Li et al. (2020) China 135 Samples ICU, General isolation wards, Fever clinic, Storage room for medical waste, Conference rooms, Public area Air, Aerosol No All aerosol samples were negative for the SARS-COV-2 detection. Isolation ward with ‘three zones and two channels’, namely, clean, buffer and contaminated zones, with doctor and patient channels. The isolation ward should have negative pressure ventilation with 12 or more air changes per hour
Cheng et al. (2020) China 8 Samples Patients' room Air, Aerosol No The SARS-COV-2 was not detected in air samples. Use appropriate hospital infection control measures
Kenarkoohi et al. (2020) Iran 14 Samples ICU, ICU entrance hall, Hospital entrance hall, Laboratory ward, CT scan, Radiology, Men internal ward, Woman internal ward, Emergency ward Air, Bioaerosol, Temperature, Relative humidity, CO2, Particulate matter Yes Possibility of airborne transmission of SARS-COV-2 Use the highest levels of Personal Protective Equipment (PPE) precautions
Lednicky et al. (2020) USA 9 Samples Patients' room Air, Aerosol Yes The SARS-COV-2 in aerosols can be viable, and there is an inhalation risk with coughs, sneezes, and speaking. Physical distance, wearing of face-coverings and hand-washing
Chia et al. (2020) Singapore 6 Samples Airborne infection isolation rooms, General ward Air, Bioaerosol, Temperature, Relative humidity Yes SARS-COV-2 >4 μm and 1–4 μm sizes PCR-positive particles in two rooms Not mentioned.
Ong et al. (2020) Singapore 3 rooms Isolation rooms Air No All aerosol samples were negative for the SARS-COV-2 detection Strict adherence to environmental and hand hygiene
Liu et al. (2020) China 35 Samples The intensive care units, coronary care units, ward rooms inside Renmin Hospital, Toilet, Staff workstations inside Fangcang Hospital, Medical staff areas, Public areas Air, Total suspended particles Yes Very low concentration of SARS-COV-2 RNA in aerosols of isolated wards and ventilated patient rooms, higher concentration of SARS-COV-2 RNA in toilet Room ventilation, sanitization of protective apparel, and proper use and disinfection of toilet areas
Guo et al. (2020) China 40 Samples ICU, GW Air, Aerosol Yes SARS-COV-2 was widely distributed in the air, the SARS-COV-2 transmission distance might be 4 m Stricter protective measures by medical staff.
Ding et al. (2020) China 46 Samples Isolation rooms, cleaner's storage, Nursing station, Corridor Air, Bioaerosol, CO2 Yes One air sample from a corridor was weakly positive to SARS-COV-2 detection Pay attention to hygiene in both private and public toilets