Nosocomial spread of COVID-19: lessons learned from an audit on a stroke/neurology ward in a UK district general hospital
Nosocomial spread of COVID-19: lessons learned from an audit on a stroke/neurology ward in a UK district general hospital
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DOI：
10.7861/clinmed.2020-0422
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发表时间：
2020-09-01
影响因子：
4.4
通讯作者：
Nicholl, David J.
中科院分区：
文献类型：
--
作者：
Jewkes, Soraya, V;Zhang, Yimeng;Nicholl, David J.
我们描述了在大流行早期（2020年3月至5月），伯明翰一个有25个床位的神经科/中风病房爆发COVID-19的细节。在133名住院病人中，有21人（16%）的COVID-19检测呈阳性，其中8人（占病房所有住院病人的6%）被确定为医院感染。因此，38%（8/21）的COVID-19感染是医院获得性的。10名感染COVID-19的患者死亡;其中3例是医院获得性病例。21名患者中有5名在获得阳性检测结果之前拭子检测结果为阴性。这项研究强调了对高风险患者（包括中风和复杂脑损伤气管造口术患者）适当使用个人防护设备（PPE）的重要性，以及在高风险患者人群中管理COVID-19的困难。
We describe the details of a COVID-19 outbreak in a 25-bedded Birmingham neurology/stroke ward in the early phase of the pandemic (March to May 2020). Twenty-one of 133 admissions (16%) tested positive for COVID-19 and of those, 8 (6% of all admissions to the ward) were determined to be nosocomial. Thus 38% (8/21) of COVID-19 infections were hospital-acquired. Ten of the patients that contracted COVID-19 died; of these three were hospital-acquired cases. Five of the 21 patients had negative swabs prior to receiving a positive test result. This study highlights the importance of appropriate use of personal protective equipment (PPE) with high-risk patients (including those with stroke and complex brain injury with tracheostomies) and the difficulties of COVID-19 management in a high-risk patient population.