序言这是CSA Z317的第五版。13、卫生保健设施（HCF）建设、翻新和维护期间的感染控制。它取代了2017年、2012年、2007年和2003年出版的之前版本。它是与医疗设施工程相关的一系列标准的一部分，并规定了预防措施，旨在保护患者和建筑居住者免受疾病传播和其他健康问题的影响，如医疗设施的建设、翻新或维护可能产生的过敏反应。本版本的变更包括:a）引入施工前检查表和新的现场移交要求；b） 建筑空气处理装置、测试和认证的更新要求；c） 澄清感染控制风险评估（ICRA）和感染控制（IC）计划要求，包括更新的附件； d） 重组现有附件，并创建新的信息性附件，以提供样本清单和额外指导；e） 屏障配置示例的更新图；f） 更新的围板材料要求、模块化围板系统规定以及消防和生命安全要求；g） 更新了水管线/系统停水和消毒指南，确保与CSA Z317一致。1.h） 天花板通道的最新要求；以及i）在第8条“新建工程”第4类“现有位置的重建”中增加新的一节，以涵盖第7条中翻修、修理和维护范围以外的重大翻修项目。CSA集团承认，该标准的制定部分得益于阿尔伯塔省、不列颠哥伦比亚省、马尼托巴省、新不伦瑞克省、纽芬兰和拉布拉多、西北地区、新斯科舍省、努纳武特、安大略省、爱德华王子岛、魁北克省、萨斯喀彻温省和育空地区政府的财政支持，由加拿大健康药物和技术协会（CADTH）管理。 本标准的制定符合加拿大标准委员会对加拿大国家标准的要求。CSA集团已将其作为加拿大国家标准发布。范围1。1本标准规定了风险评估过程以及预防和补救措施，包括质量体系要求，以防止接触因HCF施工、翻新、维护和维修工作期间采取的措施而释放或增加的药剂。1.2本标准适用于以下个人或团体在医疗设施的建设、翻新、维护或维修方面的活动:a）调试团队；b） 施工人员（定义见第3条）；c） 感染预防和控制人员； d） 职业健康和安全专业人员；e） 建筑师、工程师和其他设计和施工顾问；f） 规划和项目经理；g） 环境服务人员；h）卫生保健工作者。1.3本标准适用于所有类型的HCF施工项目，无论采用何种施工交付方式（例如，规定金额、公私合作）。1.4本标准的制定是为了在施工、翻新、维护和维修项目的项目规范阶段使用，以及协助预防施工活动中的医疗相关感染（HAI），包括真菌和细菌感染。1.5在本标准中，“应”用于表示要求，即用户为遵守本标准而有义务满足的规定； “应该”用于表示建议或建议但不需要的建议；“可”用于表示一个选项或在标准范围内允许的选项。注释随附条款不包括要求或替代要求；随附条款的注释的目的是将解释性或信息性材料与文本分开。表和图的注释被视为表或图的一部分，可以作为要求编写。附件被指定为规范性（强制性）或信息性（非强制性）以定义其应用。

PrefaceThis is the fifth edition of CSA Z317.13, Infection control during construction, renovation, and maintenance of health care facilities (HCF). It supersedes the previous editions, published in 2017, 2012, 2007, and 2003. It is part of a series of Standards related to health care facility engineering and sets forth preventive measures intended to protect patients and building occupants from disease transmission and other health problems, such as allergic reactions, that can be produced by the construction, renovation, or maintenance of health care facilities.Changes to this edition include the following: a) introduction of a pre-construction checklist and new site turnover requirements; b) updated requirements for construction air handling units, testing, and certification; c) clarification of the infection control risk assessment (ICRA) and infection control (IC) plan requirements, including updated annexes; d) reorganization of the existing annexes, and creation of new informative annexes to provide sample checklists and additional guidance; e) updated figures for examples of barrier configurations; f) updated hoarding material requirements, provision for modular hoarding systems, and fire and life safety requirements; g) updated guidance for water shutdowns and disinfection of water lines/systems, ensuring consistency with CSA Z317.1; h) updated requirements for ceiling access; and i) addition of new section to Clause 8, New Construction, Category 4 - Rebuilding of existing location in place, to cover significant renovation projects beyond the scope of renovation, repairs, and maintenance in Clause 7.CSA Group acknowledges that the development of this Standard was made possible, in part, by the financial support of the governments of Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Québec, Saskatchewan, and Yukon, as administered by the Canadian Association for Drugs and Technology in Health (CADTH). This Standard has been developed in compliance with Standards Council of Canada requirements for National Standards of Canada. It has been published as a National Standard of Canada by CSA Group.Scope1.1 This Standard specifies risk assessment process and precautionary and remedial measures, including quality system requirements, for preventing exposure to agents released or augmented because of actions undertaken during HCF construction, renovation, maintenance, and repair work.1.2 This Standard is intended to apply to the activities of the following individuals or groups in relation to any aspect of construction, renovation, maintenance, or repair of health care facilities: a) commissioning teams; b) constructors (see definition in Clause 3); c) infection prevention and control personnel; d) occupational health and safety professionals; e) architects, engineers, and other design and construction consultants; f) planning and project managers; g) environmental services staff; and h) health care workers.1.3 This Standard applies to all types of HCF construction projects, no matter what construction delivery method is used (e.g., stipulated sum, public-private partnership).1.4 This Standard has been developed for use during the project specification phase of construction, renovation, and maintenance and repair projects, and to assist in preventing health care-associated infections (HAIs) including fungal and bacterial infections from construction activity.1.5 In this Standard, "shall" is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the Standard; "should" is used to express a recommendation or that which is advised but not required; and "may" is used to express an option or that which is permissible within the limits of the Standard. Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material. Notes to tables and figures are considered part of the table or figure and may be written as requirements. Annexes are designated normative (mandatory) or informative (non-mandatory) to define their application.