
| 10.1016/j.ajic.2020.06.188
http://scihub22266oqcxt.onion/10.1016/j.ajic.2020.06.188
 32599101!7319619!32599101
free
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Am+J+Infect+Control 2020 ; 48 (9): 1056-1061 Nephropedia Template TP
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Containing COVID-19 outside the isolation ward: The impact of an infection control bundle on environmental contamination and transmission in a cohorted general ward #MMPMID32599101Wee LEI; Sim XYJ; Conceicao EP; Aung MK; Tan KY; Ko KKK; Wong HM; Wijaya L; Tan BH; Venkatachalam I; Ling MLAm J Infect Control 2020[Sep]; 48 (9): 1056-1061 PMID32599101show ga
BACKGROUND: During an ongoing outbreak of COVID-19, unsuspected cases may be housed outside of dedicated isolation wards. AIM: At a Singaporean tertiary hospital, individuals with clinical syndromes compatible with COVID-19 but no epidemiologic risk were placed in cohorted general wards for COVID-19 testing. To mitigate risk, an infection control bundle was implemented comprising infrastructural enhancements, improved personal protective equipment, and social distancing. We assessed the impact on environmental contamination and transmission. METHODS: Upon detection of a case of COVID-19 in the dedicated general ward, patients and health care workers (HCWs) contacts were identified. All patient and staff close-contacts were placed on 14-day phone surveillance and followed up for 28 days; symptomatic contacts were tested. Environmental samples were also obtained. FINDINGS: Over a 3-month period, 28 unsuspected cases of COVID-19 were contained in the dedicated general ward. In 5 of the 28 cases, sampling of the patient's environment yielded SARS-CoV-2; index cases who required supplemental oxygen had higher odds of environmental contamination (P?=?.01). A total of 253 staff close-contacts and 45 patient close-contacts were identified; only 3 HCWs (1.2%, 3/253) required quarantine. On 28-day follow-up, no patient-to-HCW transmission was documented; only 1 symptomatic patient close-contact tested positive. CONCLUSIONS: Our institution successfully implemented an intervention bundle to mitigate COVID-19 transmission in a multibedded cohorted general ward setting.|*Patients' Rooms[MESH]|Adult[MESH]|Aged[MESH]|Betacoronavirus[MESH]|COVID-19[MESH]|Contact Tracing[MESH]|Coronavirus Infections/prevention & control/*transmission[MESH]|Cross Infection/*prevention & control[MESH]|Disease Transmission, Infectious/*prevention & control[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Pandemics/prevention & control[MESH]|Patient Care Bundles[MESH]|Patient Isolation[MESH]|Personal Protective Equipment[MESH]|Pneumonia, Viral/prevention & control/*transmission[MESH]|Quarantine/*methods[MESH]|SARS-CoV-2[MESH]
  
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