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10.1016/j.jhin.2020.05.035 http://scihub22266oqcxt.onion/10.1016/j.jhin.2020.05.035 32485197!7261079!32485197     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Hosp+Infect 2020 ; 105 (4): 632-637 Nephropedia Template TP {{tp|p=32485197|t=2020. A novel cohorting and isolation strategy for suspected COVID-19 cases during a pandemic |pdf=|usr=}}{{32485197}} gab.com Text A novel cohorting and isolation strategy for suspected COVID-19 cases during a pandemic JO: J Hosp Infect http://www.kidney.de/pget.php?&tw=1&pmid=32485197 #FOAvip BACKGROUND: The COVID-19 pandemic presents a significant infection prevention and control challenge. The admission of large numbers of patients with suspected COVID-19 disease risks overwhelming the capacity to protect other patients from exposure. The delay between clinical suspicion and confirmatory testing adds to the complexity of the problem. METHODS: We implemented a triage tool aimed at minimizing hospital-acquired COVID-19 particularly in patients at risk of severe disease. Patients were allocated to triage categories defined by likelihood of COVID-19 and risk of a poor outcome. Category A (low-likelihood; high-risk), B (high-likelihood; high-risk), C (high-likelihood; low-risk) and D (low-likelihood; low-risk). This determined the order of priority for isolation in single-occupancy rooms with Category A the highest. Patients in other groups were cohorted when isolation capacity was limited with additional interventions to reduce transmission. RESULTS: Ninety-three patients were evaluated with 79 (85%) receiving a COVID-19 diagnosis during their admission. Of those without a COVID-19 diagnosis: 10 were initially triaged to Category A; 0 to B; 1 to C and 4 to D. All high-risk patients requiring isolation were, therefore, admitted to single-occupancy rooms and protected from exposure. Twenty-eight (30%) suspected COVID-19 patients were evaluated to be low risk (groups C and D) and eligible for cohorting. No symptomatic hospital-acquired infections were detected in the cohorted patients. DISCUSSION: Application of a clinical triage tool to guide isolation and cohorting decisions may reduce the risk of hospital-acquired transmission of COVID-19 especially to individuals at the greatest of risk of severe disease. Twit Text FOAVip A novel cohorting and isolation strategy for suspected COVID-19 cases during a pandemic ????J Hosp Infect http://www.kidney.de/pget.php?&tw=1&pmid=32485197 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32485197 #FOAvip English Wikipedia <ref>{{Cite pmid|32485197}}</ref> A novel cohorting and isolation strategy for suspected COVID-19 cases during a pandemic #MMPMID32485197 Patterson B; Marks M; Martinez-Garcia G; Bidwell G; Luintel A; Ludwig D; Parks T; Gothard P; Thomas R; Logan S; Shaw K; Stone N; Brown M J Hosp Infect 2020[Aug]; 105 (4): 632-637 PMID32485197show ga BACKGROUND: The COVID-19 pandemic presents a significant infection prevention and control challenge. The admission of large numbers of patients with suspected COVID-19 disease risks overwhelming the capacity to protect other patients from exposure. The delay between clinical suspicion and confirmatory testing adds to the complexity of the problem. METHODS: We implemented a triage tool aimed at minimizing hospital-acquired COVID-19 particularly in patients at risk of severe disease. Patients were allocated to triage categories defined by likelihood of COVID-19 and risk of a poor outcome. Category A (low-likelihood; high-risk), B (high-likelihood; high-risk), C (high-likelihood; low-risk) and D (low-likelihood; low-risk). This determined the order of priority for isolation in single-occupancy rooms with Category A the highest. Patients in other groups were cohorted when isolation capacity was limited with additional interventions to reduce transmission. RESULTS: Ninety-three patients were evaluated with 79 (85%) receiving a COVID-19 diagnosis during their admission. Of those without a COVID-19 diagnosis: 10 were initially triaged to Category A; 0 to B; 1 to C and 4 to D. All high-risk patients requiring isolation were, therefore, admitted to single-occupancy rooms and protected from exposure. Twenty-eight (30%) suspected COVID-19 patients were evaluated to be low risk (groups C and D) and eligible for cohorting. No symptomatic hospital-acquired infections were detected in the cohorted patients. DISCUSSION: Application of a clinical triage tool to guide isolation and cohorting decisions may reduce the risk of hospital-acquired transmission of COVID-19 especially to individuals at the greatest of risk of severe disease. |*Guidelines as Topic[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |Betacoronavirus/*isolation & purification[MESH] |COVID-19[MESH] |Cohort Studies[MESH] |Coronavirus Infections/*diagnosis[MESH] |Cross Infection/*prevention & control[MESH] |Female[MESH] |Humans[MESH] |London[MESH] |Male[MESH] |Middle Aged[MESH] |Pandemics/*prevention & control[MESH] |Pneumonia, Viral/*diagnosis[MESH] |SARS-CoV-2[MESH]A novel cohorting and isolation strategy for suspected COVID-19 cases (epmc).pdf DeepDyve Pubget Overpricing