Impact of a Nosocomial COVID-19 Outbreak on a Non-COVID-19 Nephrology Ward during the First Wave of the Pandemic in Spain
| Autor: | Cristina Barrufet Gonzalez, María Milagro Montero, Marta Crespo, María Dolores Arenas Jimenez, Carlota Hidalgo López, Inmaculada López Montesinos, Cristina González Juanes, Milagros Herranz, Luisa Sorlí, Roberto Güerri-Fernández, Juan Pablo Horcajada, Judith Villar-García, Julio Pascual |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Isolation (health care) RM1-950 030501 epidemiology Biochemistry Microbiology Article 03 medical and health sciences 0302 clinical medicine Health care Pandemic Medicine Infection control Pharmacology (medical) 030212 general & internal medicine General Pharmacology Toxicology and Pharmaceutics Index case business.industry Mortality rate Outbreak COVID-19 medicine.disease infection control nosocomial outbreak Infectious Diseases Emergency medicine Therapeutics. Pharmacology 0305 other medical science business Kidney disease |
| Zdroj: | Antibiotics Antibiotics, Vol 10, Iss 619, p 619 (2021) Volume 10 Issue 6 |
| ISSN: | 2079-6382 |
| Popis: | Introduction: The aim of this study was to analyze a nosocomial coronavirus disease 2019 (COVID-19) outbreak that occurred on a polyvalent non-COVID-19 ward at a tertiary care university hospital in Spain during the first wave of the pandemic and to describe the containment measures taken. The outbreak affected healthcare workers (HCWs) and kidney disease patients including transplant patients and those requiring maintenance hemodialysis. Methods: The outbreak investigation and report were conducted in accordance with the Orion statement guidelines. Results: In this study, 15 cases of COVID-19 affecting 10 patients and 5 HCWs were identified on a ward with 31 beds and 43 HCWs. The patients had tested negative for severe acute respiratory syndrome coronavirus 2 infection on admission. One of the HCWs was identified as the probable index case. Five patients died (mortality rate, 50%). They were all elderly and had significant comorbidities. The infection control measures taken included the transfer of infected patients to COVID-19 isolation wards, implementation of universal preventive measures, weekly PCR testing of patients and HCWs linked to the ward, training of HCWs on infection control and prevention measures, and enhancement of cleaning and disinfection. The outbreak was contained in 2 weeks, and no new cases occurred. Conclusion: Nosocomial COVID-19 outbreaks can have high attack rates involving both patients and HCWs and carry a high risk of patient mortality. Hospitals need to implement effective infection prevention and control strategies to prevent nosocomial COVID-19 spread. |
| Databáze: | OpenAIRE |
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