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10.1017/ice.2020.207

http://scihub22266oqcxt.onion/10.1017/ice.2020.207
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32381147!7248590!32381147
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suck abstract from ncbi


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pmid32381147      Infect+Control+Hosp+Epidemiol 2020 ; 41 (7): 820-825
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  • Respiratory surveillance wards as a strategy to reduce nosocomial transmission of COVID-19 through early detection: The experience of a tertiary-care hospital in Singapore #MMPMID32381147
  • Wee LE; Hsieh JYC; Phua GC; Tan Y; Conceicao EP; Wijaya L; Tan TT; Tan BH
  • Infect Control Hosp Epidemiol 2020[Jul]; 41 (7): 820-825 PMID32381147show ga
  • OBJECTIVES: Patients with COVID-19 may present with respiratory syndromes indistinguishable from those caused by common viruses. Early isolation and containment is challenging. Although screening all patients with respiratory symptoms for COVID-19 has been recommended, the practicality of such an effort has yet to be assessed. METHODS: Over a 6-week period during a SARS-CoV-2 outbreak, our institution introduced a "respiratory surveillance ward" (RSW) to segregate all patients with respiratory symptoms in designated areas, where appropriate personal protective equipment (PPE) could be utilized until SARS-CoV-2 testing was done. Patients could be transferred when SARS-CoV-2 tests were negative on 2 consecutive occasions, 24 hours apart. RESULTS: Over the study period, 1,178 patients were admitted to the RSWs. The mean length-of-stay (LOS) was 1.89 days (SD, 1.23). Among confirmed cases of pneumonia admitted to the RSW, 5 of 310 patients (1.61%) tested positive for SARS-CoV-2. This finding was comparable to the pickup rate from our isolation ward. In total, 126 HCWs were potentially exposed to these cases; however, only 3 (2.38%) required quarantine because most used appropriate PPE. In addition, 13 inpatients overlapped with the index cases during their stay in the RSW; of these 13 exposed inpatients, 1 patient subsequently developed COVID-19 after exposure. No patient-HCW transmission was detected despite intensive surveillance. CONCLUSIONS: Our institution successfully utilized the strategy of an RSW over a 6-week period to contain a cluster of COVID-19 cases and to prevent patient-HCW transmission. However, this method was resource-intensive in terms of testing and bed capacity.
  • |*Patient Isolation[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/diagnosis/prevention & control/*transmission[MESH]
  • |Cross Infection/diagnosis/prevention & control/*transmission[MESH]
  • |Early Diagnosis[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infection Control/*methods[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Length of Stay[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Occupational Diseases/*prevention & control[MESH]
  • |Pandemics/prevention & control[MESH]
  • |Patients' Rooms/organization & administration[MESH]
  • |Personal Protective Equipment[MESH]
  • |Pneumonia, Viral/diagnosis/prevention & control/*transmission[MESH]
  • |Pneumonia/virology[MESH]
  • |Population Surveillance/*methods[MESH]
  • |SARS-CoV-2[MESH]
  • |Singapore[MESH]
  • |Symptom Assessment[MESH]


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