Current status of community-acquired infection of COVID-19 in delivery facilities in Japan

Autor: Akihiko Sekizawa, Tatsuya Arakaki, Isamu Ishiwata, Tomoaki Ikeda, Gynecologists, Junichi Hasegawa, Katsuyuki Kinoshita
Rok vydání: 2020
Předmět:
RNA viruses
Viral Diseases
Critical Care and Emergency Medicine
Pulmonology
Coronaviruses
Maternal Health
Geographical Locations
Labor and Delivery
0302 clinical medicine
Medical Conditions
Obstetrics and gynaecology
Japan
Pregnancy
Medicine and Health Sciences
030212 general & internal medicine
Pregnancy Complications
Infectious

Pathology and laboratory medicine
Virus Testing
Multidisciplinary
Incidence (epidemiology)
Incidence
Questionnaire
Obstetrics and Gynecology
Medical microbiology
Community-Acquired Infections
Infectious Diseases
030220 oncology & carcinogenesis
Viruses
Medicine
Female
SARS CoV 2
Pathogens
Research Article
Adult
medicine.medical_specialty
Asia
Coronavirus disease 2019 (COVID-19)
SARS coronavirus
Science
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Microbiology
03 medical and health sciences
Respiratory Disorders
Diagnostic Medicine
medicine
Humans
Biology and life sciences
business.industry
Organisms
Viral pathogens
COVID-19
Covid 19
Odds ratio
medicine.disease
Confidence interval
Microbial pathogens
Health Care
Health Care Facilities
Emergency medicine
People and Places
Respiratory Infections
Birth
Women's Health
Health Facilities
business
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 5, p e0251434 (2021)
ISSN: 1932-6203
Popis: A nationwide questionnaire survey about community-acquired infection of coronavirus disease 2019 (COVID-19) was conducted in July 2020 to identify the characteristics of and measures taken by Japanese medical facilities providing maternity services. A case-control study was conducted by including medical facilities with (Cases) and without (Control) community-acquired infection of COVID-19. Responses from 711 hospitals and 707 private clinics were assessed (72% of all hospital and 59% all private clinics provided maternity service in Japan). Seventy-five COVID-19-positive pregnant women were treated in 52 facilities. Community-acquired infection was reported in 4.1% of the facilities. Of these, 95% occurred in the hospital. Nine patients developed a community-acquired infection in the maternity ward or obstetric department. Variables that associated with community-acquired infection of COVID-19 (adjusted odds ratio [95% confidence interval]) were found to be state of emergency prefecture (4.93 [2.17–11.16]), PCR test for SARS-CoV-2 on admission (2.88 [1.59–5.24]), and facility that cannot treat COVID-19 positive patients (0.34 [0.14–0.82]). In conclusion, community-acquired infection is likely to occur in large hospitals that treat a higher number of patients than private clinics do, regardless of the preventive measures used.
Databáze: OpenAIRE