Risk Assessment and Prevention of Severe Acute Respiratory Syndrome Coronavirus 2 Transmission for Hospitalized Urological Patients After the COVID-19 Pandemic in Wuhan, China
| Autor: | Wenxi Gao, Xiaoqi Yang, Hua Xu, Xiaoling Qu, Shaogang Wang, Huan Yang, Zhangqun Ye, Ejun Peng, Ding Xia, Zhiqiang Chen, Kun Tang, Jie Sun, Ying Zhan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
SARS-CoV-2 transmission
medicine.medical_specialty Lung Isolation (health care) Transmission (medicine) business.industry Urology COVID-19 Retrospective cohort study lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens lcsh:RC254-282 Asymptomatic Article Hospitalized patients medicine.anatomical_structure Internal medicine medicine Outpatient clinic medicine.symptom Risk assessment Airway business |
| Zdroj: | European Urology Open Science European Urology Open Science, Vol 20, Iss, Pp 20-27 (2020) |
| ISSN: | 2666-1683 |
| Popis: | Background Emerging asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections were detected and multiple cases were found to be SARS-CoV-2 positive again, which raised an alarm for the patients hospitalized after the coronavirus disease 2019 (COVID-19) pandemic. Objective We investigated the risk and prevention of hospital transmission of SARS-CoV-2 to hospitalized urological patients. Design, setting, and participants This is a retrospective study of 319 hospitalized urological patients enrolled between April 20, 2020 and May 11, 2020 from two tertiary hospitals in Wuhan, China. Intervention Chest computed tomography (CT) images, nucleic acid tests (NATs), and serum antibody were examined at the outpatient department and 1 wk after admission for all patients. Outcome measurements and statistical analysis The chest CT images, NATs, serum antibody results, and clinical data were collected and analyzed. Results and limitations None of the 319 patients was found to be SARS-CoV-2 NAT positive. Ten and four patients were detected to be immunoglobulin (Ig)G and IgM positive, respectively. The chest CT features of 116 patients showed abnormal lung findings. During the 1-wk isolation, one patient initially being IgG positive only was found to be IgM positive, and another initially IgM-positive patient had a rising IgG level. Through risk assessment, we identified seven patients with very high and high risk for hospital transmission, and delayed the surgery while maintaining close follow-up. Five intermediate-risk patients were operated on successfully under paravertebral block or epidural anesthesia to avoid opening the airway with endotracheal intubation. The remaining 104 low-risk and 203 normal patients underwent normal surgery. Conclusions Of the 319 patients, seven were identified as very high and high risk, which reinforced the importance of epidemic surveillance of discharged COVID-19 patients and asymptomatic infections. Five intermediate-risk patients were operated on successfully under regional anesthesia. Patient summary Our experience of risk assessment and management practice may provide a strategy to prevent severe acute respiratory syndrome coronavirus 2 transmission to hospitalized urological patients after the coronavirus disease 2019 (COVID-19) pandemic. |
| Databáze: | OpenAIRE |
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