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10.1017/ice.2021.116

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suck abstract from ncbi


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pmid33736732      Infect+Control+Hosp+Epidemiol 2022 ; 43 (3): 319-325
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  • Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation #MMPMID33736732
  • McDougal AN; Elhassani D; DeMaet MA; Shores S; Plante KS; Plante JA; Pyles R; Weaver SC; Williams-Bouyer N; Tyler BJ; Davis HR; Patel J
  • Infect Control Hosp Epidemiol 2022[Mar]; 43 (3): 319-325 PMID33736732show ga
  • OBJECTIVE: Investigate an outbreak of coronavirus disease 2019 (COVID-19) among operating room staff utilizing contact tracing, mass testing for severe acute respiratory coronavirus virus 2 (SARS-CoV-2), and environmental sampling. DESIGN: Outbreak investigation. SETTING: University-affiliated tertiary-care referral center. PATIENTS: Operating room staff with positive SARS-CoV-2 molecular testing. METHODS: Epidemiologic and environmental investigations were conducted including contact tracing, environmental surveys, and sampling and review of the operating room schedule for staff-to-staff, staff-to-patient, and patient-to-staff SARS-CoV-2 transmission. RESULTS: In total, 24 healthcare personnel (HCP) tested positive for SARS-CoV-2, including nurses (29%), surgical technologists (25%), and surgical residents (16%). Moreover, 19 HCP (79%) reported having used a communal area, most commonly break rooms (75%). Overall, 20 HCP (83%) reported symptomatic disease. In total, 72 environmental samples were collected from communal areas for SARS-CoV-2 genomic testing; none was positive. Furthermore, 236 surgical cases were reviewed for transmission: 213 (90%) had negative preoperative SARS-CoV-2 testing, 21 (9%) had a positive test on or before the date of surgery, and 2 (<1%) did not have a preoperative test performed. In addition, 40 patients underwent postoperative testing (mean, 13 days to postoperative testing), and 2 returned positive results. Neither of these 2 cases was linked to our outbreak. CONCLUSIONS: Complacency in infection control practices among staff during peak community transmission of SARS-CoV-2 is believed to have driven staff-to-staff transmission. Prompt identification of the outbreak led to rapid interventions, ultimately allowing for uninterrupted surgical service.
  • |*COVID-19/epidemiology[MESH]
  • |COVID-19 Testing[MESH]
  • |Disease Outbreaks[MESH]
  • |Humans[MESH]
  • |Operating Rooms[MESH]
  • |SARS-CoV-2[MESH]


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