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example j. a long-term-care facility in a community with a high tb rate has 20 residents. the facility has implemented infection-control measures, including tb-preventive therapy for residents with latent tb infection, aii precautions, terminal cleaning of shared facilities for tb-infected persons, and a strict policy regarding visitors. the number of tb cases among residents and hcws in the facility is the same. the facility is not tb-prevention standards: high risk (because residents and hcws are at higher risk of m. tuberculosis infection than the general population).in a single-pass air system, the supply air is either outside air that has been heated or cooled or air that is uncontaminated from a central system that supplies multiple areas. after air passes through the room or area, 100% of the air is exhausted to the outside. a single-pass system is the preferred choice for an aii room because the system prevents contaminated air from being recirculated to other areas of the health-care setting. in a recirculating air system, a limited portion of the exhaust air is discharged directly to the outside and replaced with fresh outside air, which mixes with the portion of exhaust air that was not discharged. if the resulting air mixture is not treated, it can contain a substantial proportion of contaminated air when it is recirculated to areas serviced by the system. this air mixture can be recirculated into the general ventilation, and infectious particles can be carried from contaminated areas to uncontaminated areas. alternatively, the air mixture could be recirculated in a specific room or area so that other areas are not affected. the use of air-cleaning technologies for removing or inactivating infectious particles in recirculated air systems has been discussed ( appendix a ).
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