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10.1007/s00402-020-03516-1

http://scihub22266oqcxt.onion/10.1007/s00402-020-03516-1
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32524227!7283422!32524227
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suck abstract from ncbi


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pmid32524227      Arch+Orthop+Trauma+Surg 2021 ; 141 (7): 1131-1137
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  • Assessing the spreading potential of an undetected case of COVID-19 in orthopaedic surgery #MMPMID32524227
  • Schneider KN; Correa-Martinez CL; Gosheger G; Rickert C; Schorn D; Mellmann A; Schwierzeck V; Kampmeier S
  • Arch Orthop Trauma Surg 2021[Jul]; 141 (7): 1131-1137 PMID32524227show ga
  • BACKGROUND: With the novel coronavirus-induced disease (COVID-19), there is the fear of nosocomial infections and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmissions to healthcare workers (HCW). We report the case of a 64-year-old male patient who underwent explantation of a shoulder prosthesis due to a periprosthetic infection. He was tested SARS-CoV-2 positive 7 days after admission to the orthopaedic department following strict infection control measures, routinely including screening all patients for multi-drug-resistant organism (MDRO) colonization upon admission. Aim of our study is to report on the spreading potential of SARS-CoV-2 in a healthcare setting if standard contact precautions and infection control measures have been established. METHODS: All HCW with exposure to the patient from day of admission until confirmed diagnosis of COVID-19 were identified and underwent oropharyngeal swab testing for SARS-CoV-2 by real-time RT-PCR. RESULTS: Sixty-six HCW were identified: nine orthopaedic surgeons, four anaesthesiologists, 25 orthopaedic nurses, five nurse anesthetists, eight scrub nurses, five nursing students, two medical assistants and seven service employees. Fourteen HCW (21%) showed clinical symptoms compatible with a SARS-CoV-2 infection: cough (n = 4), sore throat (n = 3), nasal congestion (n = 3), dyspnea (n = 2), fever (n = 1), headache and myalgia (n = 1). SARS-CoV-2 was not detected in any of the 66 HCW. CONCLUSION: Hygienic measures and contact precautions, aimed at preventing the spread of MRDO, may have helped to prevent a SARS-CoV-2 transmission to HCW-despite high-risk exposure during intubation, surgical treatment and general care. LEVEL OF EVIDENCE: IV, case series.
  • |*COVID-19/diagnosis/prevention & control/transmission[MESH]
  • |*Health Personnel/classification/statistics & numerical data[MESH]
  • |*Infection Control/methods/organization & administration[MESH]
  • |*Occupational Exposure/analysis/prevention & control[MESH]
  • |COVID-19 Nucleic Acid Testing/methods[MESH]
  • |Contact Tracing/methods[MESH]
  • |Device Removal/methods[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Orthopedic Procedures/methods[MESH]
  • |Prosthesis-Related Infections/surgery[MESH]
  • |Risk Management[MESH]
  • |SARS-CoV-2[MESH]


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