Negative-pressurized isolation rooms have been approved effectively and applied widely for infectious patients. However, the outbreak of COVID-19 has led to a huge demand for negative-pressurized isolation rooms. It is critical and essential to ensure infection control performance through best practice of ventilation systems and optimum airflow distribution within isolation rooms. This study investigates a retrofitting project of an isolation room to accommodate COVID-19 patients. The field measurement has been conducted to ensure the compliance with the design specification from the CDC of Taiwan. The pressure differentials between negative-pressurized isolation rooms and corridor areas should be at least 8 Pa, while the air change rate per hour (ACH) should be 8–12 times. Computational fluid dynamics (CFD) is applied to evaluate the ventilation performance and contamination control. Different layout arrangements of exhaust air have been proposed to enhance the ventilation performance for infection control. A simple projected air-jet curtain has been proposed in the simulation model to enhance extra protection of medical staff. The resulting ventilation control revealed that the contamination control can be improved through the minor adjustment of exhaust air arrangement and the application of an air-jet curtain.

Controlling contamination via proper airflow distribution in an operating room becomes vital to ensure the reliable surgery process. The heating, ventilation, and air conditioning (HVAC) systems significantly influence the operating room environment, including temperature, relative humidity, pressurization, particle counts, filtration, and ventilation rate. A full-scale operating room has been investigated extensively through field measurements and numerical analyses. Computational fluid dynamics (CFD) simulation was conducted and verified with the field measurement data. The simulation was analyzed with three different operating room schemes, including at-rest conditions (case 1), normal operational conditions with personnel (case 2), and actual conditions with personnel inside and some medical equipment blocking the return air (case 3). The concentration decay method was used to evaluate this study. The results revealed that the contamination concentration in case 1 could be diluted quickly with the average value of 404 ppm, whereas the concentration in case 2 slightly increased while performing a surgery with the average value of 420 ppm. The return air grilles in case 3, blocked by obstacles from some medical equipment, resulted in the average concentration value of 474 ppm. Other than that, the contaminant dilution could be obstructed dramatically, which revealed that proper and smooth airflow distribution is essential for contamination control. The ventilation efficiency of case 2 and case 3 dropped around 6% and 17.91% compared to case 1 in the unoccupied and ideal condition. Ventilation efficiency also decreased along with decreasing the air change rate per hour (ACH), while with increasing ACH, the ventilation efficiency in case 3 actually increased, approaching case 2 in the ideal condition.

The biotech cleanroom industry presents a biological basis for living organisms or their components (bacteria or enzymes) to produce helpful medicine. However, biotech industries such as vaccine production need a clean critical environment and contamination control that is always a vital concern for the manufacturing process. This study investigates a biotech cleanroom through a comprehensive field measurement and numerical simulation. The field measurement test results conformed to the design specification to satisfactorily meet with the cleanroom standard of PIC/S and EU GMP. Furthermore, the field measurement data were used as a basic validation and boundary condition for numerical simulation. The numerical simulation results revealed that the concentration distribution in case 1 as a baseline case showed satisfactory results, with a removal efficiency of 75.2% and ventilation efficiency of 80%. However, there was still a high concentration accumulated in certain areas. The improvement strategy was analyzed through non-unidirectional flow ventilation with different face velocities and by adding one return air grille for case 2 and two return air grilles for case 3. The results revealed that case 2 presented the best results in this study, with a removal efficiency of 86.7% and ventilation efficiency of 82% when supplying air velocity at 0.2 m/s. In addition, increasing the supply air velocity to 0.3 m/s could enhance removal ventilation by around 19% and ventilation efficiency by around 5%.