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10.15585/mmwr.mm6915e5

http://scihub22266oqcxt.onion/10.15585/mmwr.mm6915e5
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32298249!7755059!32298249
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suck abstract from ncbi


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pmid32298249      MMWR+Morb+Mortal+Wkly+Rep 2020 ; 69 (15): 472-476
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  • Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020 #MMPMID32298249
  • Heinzerling A; Stuckey MJ; Scheuer T; Xu K; Perkins KM; Resseger H; Magill S; Verani JR; Jain S; Acosta M; Epson E
  • MMWR Morb Mortal Wkly Rep 2020[Apr]; 69 (15): 472-476 PMID32298249show ga
  • On February 26, 2020, the first U.S. case of community-acquired coronavirus disease 2019 (COVID-19) was confirmed in a patient hospitalized in Solano County, California (1). The patient was initially evaluated at hospital A on February 15; at that time, COVID-19 was not suspected, as the patient denied travel or contact with symptomatic persons. During a 4-day hospitalization, the patient was managed with standard precautions and underwent multiple aerosol-generating procedures (AGPs), including nebulizer treatments, bilevel positive airway pressure (BiPAP) ventilation, endotracheal intubation, and bronchoscopy. Several days after the patient's transfer to hospital B, a real-time reverse transcription-polymerase chain reaction (real-time RT-PCR) test for SARS-CoV-2 returned positive. Among 121 hospital A health care personnel (HCP) who were exposed to the patient, 43 (35.5%) developed symptoms during the 14 days after exposure and were tested for SARS-CoV-2; three had positive test results and were among the first known cases of probable occupational transmission of SARS-CoV-2 to HCP in the United States. Little is known about specific risk factors for SARS-CoV-2 transmission in health care settings. To better characterize and compare exposures among HCP who did and did not develop COVID-19, standardized interviews were conducted with 37 hospital A HCP who were tested for SARS-CoV-2, including the three who had positive test results. Performing physical examinations and exposure to the patient during nebulizer treatments were more common among HCP with laboratory-confirmed COVID-19 than among those without COVID-19; HCP with COVID-19 also had exposures of longer duration to the patient. Because transmission-based precautions were not in use, no HCP wore personal protective equipment (PPE) recommended for COVID-19 patient care during contact with the index patient. Health care facilities should emphasize early recognition and isolation of patients with possible COVID-19 and use of recommended PPE to minimize unprotected, high-risk HCP exposures and protect the health care workforce.
  • |*Infectious Disease Transmission, Patient-to-Professional[MESH]
  • |*Personnel, Hospital/statistics & numerical data[MESH]
  • |Adult[MESH]
  • |Betacoronavirus/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |California/epidemiology[MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology/*transmission[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Occupational Exposure[MESH]
  • |Pandemics[MESH]
  • |Personal Protective Equipment/statistics & numerical data[MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology/*transmission[MESH]
  • |Risk Assessment[MESH]


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