Hemodialysis with Cohort Isolation to Prevent Secondary Transmission during a COVID-19 Outbreak in Korea

Autor: Seok Hui Kang, Seong Nam Kim, Jun Young Do, Hayne Cho Park, Gun Woo Kang, Jang-Hee Cho, Yong-Lim Kim, Sang-Ho Lee, Jong Won Park, Myeong Seong Kim, Young-Ki Lee, Dong Ki Kim, Kyubok Jin, Sun-Hee Park
Rok vydání: 2020
Předmět:
Male
Pediatrics
medicine.medical_treatment
030232 urology & nephrology
Comorbidity
Disease Outbreaks
Cohort Studies
Patient Isolation
0302 clinical medicine
Secondary Prevention
030212 general & internal medicine
Incidence
General Medicine
Middle Aged
Survival Rate
Nephrology
Cohort
Female
Patient Safety
Hemodialysis
Coronavirus Infections
Cohort study
Adult
medicine.medical_specialty
Isolation (health care)
Health Personnel
Pneumonia
Viral
Risk Assessment
Statistics
Nonparametric
End stage renal disease
03 medical and health sciences
Renal Dialysis
Clinical Research
Republic of Korea
Disease Transmission
Infectious
medicine
Humans
Pandemics
Occupational Health
Retrospective Studies
Infection Control
Chi-Square Distribution
business.industry
COVID-19
Retrospective cohort study
medicine.disease
Kidney Failure
Chronic
Middle East respiratory syndrome
business
Program Evaluation
Zdroj: J Am Soc Nephrol
ISSN: 1533-3450
1046-6673
DOI: 10.1681/asn.2020040461
Popis: Background Health care-associated infections during previous coronavirus epidemics involving severe acute respiratory syndrome and Middle East respiratory syndrome resulted from human-to-human transmission in hemodialysis (HD) facilities. The effect of a strategy of HD with cohort isolation-separate dialysis sessions for close contacts of patients with confirmed coronavirus disease 2019 (COVID-19)-on the prevention of secondary transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in HD units is unknown. Methods Our multicenter cohort study of an HD with cohort isolation strategy enrolled close contacts of patients with confirmed COVID-19, including patients on HD and health care workers in HD units. Close contacts had been identified by epidemiologic investigation and tested negative on an immediate screening test for SARS-CoV-2. Results As of March 14, 11 patients on HD and 7 health care workers from 11 HD centers were diagnosed as having COVID-19. The immediate screening test was performed in 306 people, and among them, 302 close contacts with negative test results were enrolled. HD with cohort isolation was performed among all close contacts for a median of 14 days in seven centers. During cohort isolation, nine patients showed symptoms but tested negative for SARS-CoV-2. Two health care workers in the HD units (0.66% of the total group) were diagnosed at the termination test for SARS-CoV-2. Conclusions The transmission of COVID-19 can be controlled without closure of HD centers by implementing preemptive activities, including early detection with rapid testing, cohort isolation, collaboration between institutions, and continuous monitoring of infection. Our strategy and experience may provide helpful guidance for circumstances involving the rapid spread of infectious diseases such as COVID-19.
Databáze: OpenAIRE
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