Negative room pressure

Negative room pressure is an isolation technique used in hospitals and medical centers to prevent cross-contamination from room to room. It includes a ventilation that generates negative pressure (pressure lower than that of the surroundings) to allow air to flow into the isolation room but not escape from the room, as air will naturally flow from areas with higher pressure to areas with lower pressure, thereby preventing contaminated air from escaping the room. This technique is used to isolate patients with airborne contagious diseases such as: influenza (flu), measles, chickenpox, tuberculosis (TB), severe acute respiratory syndrome (SARS-CoV), Middle East respiratory syndrome (MERS-CoV), and coronavirus disease 2019 (COVID-19). Negative pressure is generated and maintained in a room by a ventilation system that continually attempts to move air out of the room. Replacement air is allowed into the room through a gap under the door (typically about one half-inch high). Except for this gap, the room is as airtight as possible, allowing little air in through cracks and gaps, such as those around windows, light fixtures and electrical outlets. Leakage from these sources can make it more difficult and less energy efficient to maintain room negative pressure. Because generally there are components of the exhausted air such as chemical contaminants, microorganisms, or radioactive isotopes that would be unacceptable to release into the surrounding outdoor environment, the air outlet must, at a minimum, be located such that it will not expose people or other occupied spaces. Commonly it is exhausted out of the roof of the building. However, in some cases, such as with highly infections microorganisms in biosafety level 4 rooms, the air must first be mechanically filtered or disinfected by ultraviolet irradiation or chemical means before being released to the surrounding outdoor environment. In the case of nuclear facilities, the air is monitored for the presence of radioactive isotopes and usually filtered before being exhausted through a tall exhaust duct to be released higher in the air away from occupied spaces.