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However, the risk is underestimated, and only limited preventive measures are taken in Japanese hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      The demolition process, carried out in July 2014, was supervised by our facility management in collaboration with the infection prevention team and followed an adapted ICRA tool. Dust containment measures were implemented to reduce the risk of airborne\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      contamination. Air sampling was performed at four wards in the adjacent hospital buildings to assess the containment measures\u2019 effectiveness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A high, undetermined number of colonies of bacteria and molds were detected on all outside balconies before demolition. During demolition,\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      spp. was detected only in the ward closest to the demolition site. However, no case of aspergillosis was reported. The difference-in-difference analysis revealed that the interaction between the demolition activity, height of the ward, and distance of the air intake to the demolition activities resulted in a significant increase in the numbers of\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      spp.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      When large-scale demolition work occurs in hospital premises,\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      spp. may increase in the ward where the vertical and horizontal distance of air intake from the demolition site is close, even though infection control measures based on the ICRA are implemented.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19375867211009979","type":"journal-article","created":{"date-parts":[[2021,5,9]],"date-time":"2021-05-09T03:39:40Z","timestamp":1620531580000},"page":"58-74","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of Nosocomial Infection Control Measures to Minimize the Risk of\n                    <i>Aspergillus<\/i>\n                    Dispersion During Major Demolition Work: A Case Study of a Japanese University Hospital"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3676-5190","authenticated-orcid":false,"given":"Yasuhiro","family":"Nakanishi","sequence":"first","affiliation":[{"name":"Nara Medical University"},{"name":"Nara Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Kasahara","sequence":"additional","affiliation":[{"name":"Nara Medical University"},{"name":"Nara Medical University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Koizumi","sequence":"additional","affiliation":[{"name":"Nara Medical University Hospital"},{"name":"Nara Medical University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junko","family":"Tokutani","sequence":"additional","affiliation":[{"name":"Nara Medical University Hospital"},{"name":"Nara Medical University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shingo","family":"Yoshihara","sequence":"additional","affiliation":[{"name":"Nara Medical University"},{"name":"Nara Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichi","family":"Mikasa","sequence":"additional","affiliation":[{"name":"Nara Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Imamura","sequence":"additional","affiliation":[{"name":"Nara Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,7]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Alberti C. 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