Nosocomial Infection Outbreak due to SARS-COV-2 in a Hospital Unit of Particularly Vulnerable Patients

Autor: Rita Galeiras Vázquez, María Teresa Seoane Pillado, Diana Martinez Señaris, Rocío Seijo Bestilleiro, Raquel García Rodríguez, Vanesa Balboa Barreiro, María José Pereira Rodríguez, Valentín Valdés Valiña, Cristina González Martín, Sonia Pértega Díaz, María Teresa García Rodríguez
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Adult
Male
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
media_common.quotation_subject
Hospital unit
Health Personnel
Infectious Disease Transmission
Professional-to-Patient
law.invention
Disease Outbreaks
03 medical and health sciences
Immunocompromised Host
0302 clinical medicine
law
Hygiene
Health care
Epidemiology
medicine
Humans
Disease outbreaks
media_common
Aged
Aged
80 and over
Cross Infection
Infection Control
Inpatients
business.industry
Nebulizers and Vaporizers
Outbreak
COVID-19
General Medicine
Health personnel
Middle Aged
Intensive care unit
Hematologic Diseases
Intensive Care Units
Spain
Emergency medicine
Infectious Disesase Transmission
Patient-to-Professional
030211 gastroenterology & hepatology
Female
business
Coronavirus Infections
Hospital Units
Research Paper
Zdroj: International Journal of Medical Sciences
RUC: Repositorio da Universidade da Coruña
Universidade da Coruña (UDC)
RUC. Repositorio da Universidade da Coruña
instname
ISSN: 1449-1907
Popis: [Abstract] Objectives: To report a COVID-19 outbreak among workers and inpatients at a medical ward for especially vulnerable patients. Methods: Descriptive study of a nosocomial COVID-19 outbreak registered in March-April 2020 at medical ward of onco-hematological patients in an Spanish hospital. Confirmed cases were hospitalized patients, healthcare and non-healthcare workers who tested positive by PCR on a nasopharyngeal swab. Results: Twenty-two COVID-19 cases (12 workers and 10 inpatients) were laboratory-confirmed. Initial cases were a healthcare provider and a visitor who tested positive. The median patients age was 73 years (range 62-88). The main reason of admission was haematological in 8 patients and oncologic in 2. All patients followed an immunosuppressive treatment, 5/10 with high-flow oxygen nebulizations. Five patients presented a moderate/serious evolution, and 5 patients died. The mean workers age was 42.1±10.9. One healthworker required Intensive Care Unit admission, and all of them recovered completely. Conclusions: In the hospital setting, close patients surveillance for SARS-CoV-2 is essential, especially in immunosuppressed patients. Replacing nebulizations or high-flow oxygen therapies, when other equivalent options were available, to reduce dispersion, and controlling ventilation ducts, together with hygiene measures and an active follow-up on inpatients, visitors and workers appear to be important in preventing nosocomial outbreaks.
Databáze: OpenAIRE
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