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10.1016/j.ajic.2020.06.188

http://scihub22266oqcxt.onion/10.1016/j.ajic.2020.06.188
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suck abstract from ncbi


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pmid32599101      Am+J+Infect+Control 2020 ; 48 (9): 1056-1061
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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 #MMPMID32599101
  • Wee LEI; Sim XYJ; Conceicao EP; Aung MK; Tan KY; Ko KKK; Wong HM; Wijaya L; Tan BH; Venkatachalam I; Ling ML
  • Am 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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