Authors (including presenting author) :
Ling P.C.(1), Chan C.H.K.(1), Chan M.Y.(1) & Leung S.M.K.(1)
Affiliation :
(1)Department of Tuberculosis and Chest, TWGHs Wong Tai Sin Hospital
Introduction :
Patients with Mycobacteria other than Tuberculosis (MOTT) need long hospitalization stay for systemic antibiotics treatment. Nebulization of antibiotics minimize the systemic exposure by the injection/ infusion of antibiotics (Palmer, 2017; Michalopoulos & Falagas, 2014) & shorten the length of stay in hospital. It is suggested patient to perform nebulization in a well ventilated area (e.g. open area balcony or single room)(Swarnakar et al., 2020) and cleansing of the nearby environment after the procedure to minimize the environmental contamination by the residual antibiotics in home settings.
Objectives :
• Prove that a tent could be an alternative of single isolation area in home setting. • Minimize the environment contamination by using a tent.
Methodology :
A transparent tent was retrieved from online store as a tool for acting as a single isolation area. Three kinds of materials, i.e., artificial colouring & fluorescent agent (for visualization) & peppermint fragrance (for smell testing) had been used to test any leakage from the tent during the process of nebulization. A manikin was put into a transparent tent and underwent the nebulization process, with 15 drops of the above 3 ingredients and made up to 3ml of normal saline in total, for 5 minutes separately. 10L of oxygen from the O2 cylinder acted as the driving force in the nebulization. In the fluorescent agent testing, a UV light torch was applied for revealing any fluorescent debris in the surrounding. Videos and photos has been recorded for the process.
Result & Outcome :
• Artificial colouring Red colour stain had been observed over the face of manikin and inside of the surface of the tent. However, NO stain has been observed outside the surrounding of the tent. • Peppermint fragrance after few minutes of the nebulizing, progressive strong smell of peppermint had been noted. • Fluorescent agent A UV light torch had been used for revealing the presence of debris. Some debris observed over the nasal-oral area of the manikin, the chair and even on the inner surface of the tent. Yet, NO debris had been noted outside the tent. nebulization in a tent would be a good alternative for those living in a crowed area and minimizing the aftercare of cleansing after nebulization.
