Lessons learned from an outbreak of COVID-19 in the head and neck surgery ward of a Japanese cancer center during the sixth wave by Omicron.
Lessons learned from an outbreak of COVID-19 in the head and neck surgery ward of a Japanese cancer center during the sixth wave by Omicron.
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DOI：
10.1016/j.jiac.2022.08.010
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发表时间：
2022-12
影响因子：
2.2
通讯作者：
Ohmagari, Norio
中科院分区：
文献类型：
--
作者：
Itoh, Naoya;Akazawa, Nana;Ishikane, Masahiro;Kawabata, Takanori;Kawamura, Daichi;Chikusa, Tomoyuki;Kodama, Eiichi N.;Ohmagari, Norio
我们描述了在癌症中心头颈外科病房爆发的冠状病毒病(新冠肺炎)，以及为防止医护人员和癌症患者持续接触严重急性呼吸综合征冠状病毒2(SARS-CoV-2)而采取的干预措施。病例定义包括2022年1月27日至1月31日期间与病房有关的所有医护人员和所有SARS-COV-2抗原检测呈阳性的患者。这项回溯性描述性研究在2022年1月27日至2022年2月14日之间进行。从2022年1月28日至2022年2月9日，共筛查84例(36名医护人员，48名患者)，26例(12名医护人员，14名患者)确诊为SARS-CoV-2阳性。对阳性患者实施气雾剂产生程序的医疗保健提供者的比例为91%，非阳性患者为49%。与新冠肺炎患者共用房间的患者中，阳性病例的%和非病例的21%(阳性气管切开患者分别为57%和21%；使用雾化喷雾器的阳性病例分别为43%和9%；阳性病例需要吸痰的分别为50%和15%)。对患者的普遍掩蔽政策的遵从性在阳性病例中为36%，在非病例中为79%。这是头颈部外科病房在奥米克隆大流行期间首次报告发生医院内新冠肺炎疫情。值得注意的是，在为阳性患者和与可能产生气雾剂的新冠肺炎患者共用一个房间的医护人员中，有大量的阳性病例。
We describe a coronavirus disease (COVID-19) outbreak in a cancer center's head and neck surgery ward and the interventions to halt ongoing exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among healthcare workers and patients with cancer. Case definition included all healthcare workers and all patients associated to the ward from January 27 to January 31, 2022 with a positive SARS-COV-2 antigen test. This retrospective descriptive study was conducted between January 27, 2022, and February 14, 2022. From January 28, 2022, to February 9, 2022, 84 cases (36 healthcare workers, 48 patients) were screened, and 26 (12 healthcare workers, 14 patients) were identified as SARS-CoV-2-positive. The proportion of healthcare providers who performed aerosol generating procedures on positive patients was 91% for positive cases and 49% for non-cases. Room sharing with patients with COVID-19 was 64% for positive cases and 21% for non-cases (57% vs. 21% with positive tracheostomy patients; 43% vs. 9% with positive cases using a nebulizer; 50% vs. 15% with positive cases requiring sputum suctioning, respectively). Compliance with the universal masking policy for patients was 36% of positive cases and 79% of non-cases. This is the first report of a nosocomial outbreak of COVID-19 in a head and neck surgery ward during the Omicron pandemic. Notably, there were a high number of positive cases among healthcare workers who performed aerosol generating procedures for positive patients and patients who shared the room with a patient with COVID-19 with the potential to generate aerosols.
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DOI：
10.1016/s1473-3099(22)00001-9
发表时间：
2022-05
期刊：
The Lancet. Infectious diseases
影响因子：
--
作者：
Hart WS;Miller E;Andrews NJ;Waight P;Maini PK;Funk S;Thompson RN
通讯作者：
Thompson RN
影响因子：
6.8
作者：
Menchinelli, Giulia;Bordi, Licia;Posteraro, Brunella
通讯作者：
Posteraro, Brunella
影响因子：
4.1
作者：
Jackson T;Deibert D;Wyatt G;Durand-Moreau Q;Adisesh A;Khunti K;Khunti S;Smith S;Chan XHS;Ross L;Roberts N;Toomey E;Greenhalgh T;Arora I;Black SM;Drake J;Syam N;Temple R;Straube S
通讯作者：
Straube S
影响因子：
--
作者：
Shiomori, T;Miyamoto, H;Makishima, K
通讯作者：
Makishima, K
影响因子：
8.8
作者：
Biernat, Monika M.;Zinczuk, Aleksander;Wrobel, Tomasz
通讯作者：
Wrobel, Tomasz