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10.1017/ice.2020.321

http://scihub22266oqcxt.onion/10.1017/ice.2020.321
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32618530!8387689!32618530
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suck abstract from ncbi


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pmid32618530      Infect+Control+Hosp+Epidemiol 2021 ; 42 (9): 1046-1052
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  • Investigation of nosocomial SARS-CoV-2 transmission from two patients to healthcare workers identifies close contact but not airborne transmission events #MMPMID32618530
  • Bays DJ; Nguyen MH; Cohen SH; Waldman S; Martin CS; Thompson GR; Sandrock C; Tourtellotte J; Pugashetti JV; Phan C; Nguyen HH; Warner GY; Penn BH
  • Infect Control Hosp Epidemiol 2021[Sep]; 42 (9): 1046-1052 PMID32618530show ga
  • OBJECTIVE: To describe the pattern of transmission of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) during 2 nosocomial outbreaks of coronavirus disease 2019 (COVID-19) with regard to the possibility of airborne transmission. DESIGN: Contact investigations with active case finding were used to assess the pattern of spread from 2 COVID-19 index patients. SETTING: A community hospital and university medical center in the United States, in February and March, 2020, early in the COVID-19 pandemic. PATIENTS: Two index patients and 421 exposed healthcare workers. METHODS: Exposed healthcare workers (HCWs) were identified by analyzing the electronic medical record (EMR) and conducting active case finding in combination with structured interviews. Healthcare coworkers (HCWs) were tested for COVID-19 by obtaining oropharyngeal/nasopharyngeal specimens, and RT-PCR testing was used to detect SARS-CoV-2. RESULTS: Two separate index patients were admitted in February and March 2020, without initial suspicion for COVID-19 and without contact or droplet precautions in place; both patients underwent several aerosol-generating procedures in this context. In total, 421 HCWs were exposed in total, and the results of the case contact investigations identified 8 secondary infections in HCWs. In all 8 cases, the HCWs had close contact with the index patients without sufficient personal protective equipment. Importantly, despite multiple aerosol-generating procedures, there was no evidence of airborne transmission. CONCLUSION: These observations suggest that, at least in a healthcare setting, most SARS-CoV-2 transmission is likely to take place during close contact with infected patients through respiratory droplets, rather than by long-distance airborne transmission.
  • |*COVID-19[MESH]
  • |*Cross Infection/epidemiology[MESH]
  • |Health Personnel[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional[MESH]
  • |Pandemics[MESH]


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