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10.7150/ijms.53270

http://scihub22266oqcxt.onion/10.7150/ijms.53270
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33859521!8040424!33859521
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suck abstract from ncbi


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pmid33859521      Int+J+Med+Sci 2021 ; 18 (10): 2146-2154
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  • Nosocomial Infection Outbreak due to SARS-COV-2 in a Hospital Unit of Particularly Vulnerable Patients #MMPMID33859521
  • Bestilleiro RS; Senaris DM; Rodriguez MJP; Vazquez RG; Rodriguez RG; Rodriguez MTG; Martin CG; Pillado MTS; Barreiro VB; Valina VV; Diaz SP
  • Int J Med Sci 2021[]; 18 (10): 2146-2154 PMID33859521show ga
  • Objectives: To report a COVID-19 outbreak among workers and inpatients at a medical ward for especially vulnerable patients. Methods: Descriptive study of a nosocomial COVID-19 outbreak registered in March-April 2020 at medical ward of onco-hematological patients in an Spanish hospital. Confirmed cases were hospitalized patients, healthcare and non-healthcare workers who tested positive by PCR on a nasopharyngeal swab. Results: Twenty-two COVID-19 cases (12 workers and 10 inpatients) were laboratory-confirmed. Initial cases were a healthcare provider and a visitor who tested positive. The median patients age was 73 years (range 62-88). The main reason of admission was haematological in 8 patients and oncologic in 2. All patients followed an immunosuppressive treatment, 5/10 with high-flow oxygen nebulizations. Five patients presented a moderate/serious evolution, and 5 patients died. The mean workers age was 42.1+/-10.9. One healthworker required Intensive Care Unit admission, and all of them recovered completely. Conclusions: In the hospital setting, close patients surveillance for SARS-CoV-2 is essential, especially in immunosuppressed patients. Replacing nebulizations or high-flow oxygen therapies, when other equivalent options were available, to reduce dispersion, and controlling ventilation ducts, together with hygiene measures and an active follow-up on inpatients, visitors and workers appear to be important in preventing nosocomial outbreaks.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*epidemiology/mortality[MESH]
  • |Cross Infection/*epidemiology[MESH]
  • |Disease Outbreaks[MESH]
  • |Female[MESH]
  • |Health Personnel[MESH]
  • |Hematologic Diseases/therapy[MESH]
  • |Hospital Units[MESH]
  • |Humans[MESH]
  • |Immunocompromised Host[MESH]
  • |Infection Control/*methods[MESH]
  • |Inpatients[MESH]
  • |Intensive Care Units[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nebulizers and Vaporizers[MESH]


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