Impact of a nosocomial COVID-19 outbreak on a non-COVID-19 nephrology ward during the first wave of the pandemic in Spain
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- dc.contributor.author Montero, Maria Milagro
- dc.contributor.author Hidalgo López, Carlota
- dc.contributor.author López Montesinos, Inmaculada
- dc.contributor.author Sorli Redó, M. Luisa
- dc.contributor.author Barrufet González, Cristina
- dc.contributor.author Villar García, Judit
- dc.contributor.author Güerri Fernández, Roberto
- dc.contributor.author Herranz, Milagros
- dc.contributor.author Crespo Barrio, Marta
- dc.contributor.author Arenas Jiménez, María Dolores
- dc.contributor.author Pascual Santos, Julio
- dc.contributor.author González Juanes, Cristina
- dc.contributor.author Horcajada Gallego, Juan Pablo
- dc.date.accessioned 2021-08-30T06:48:06Z
- dc.date.available 2021-08-30T06:48:06Z
- dc.date.issued 2021
- dc.description.abstract Introduction: The aim of this study was to analyze a nosocomial coronavirus disease 2019 (COVID-19) outbreak that occurred on a polyvalent non-COVID-19 ward at a tertiary care university hospital in Spain during the first wave of the pandemic and to describe the containment measures taken. The outbreak affected healthcare workers (HCWs) and kidney disease patients including transplant patients and those requiring maintenance hemodialysis. Methods: The outbreak investigation and report were conducted in accordance with the Orion statement guidelines. Results: In this study, 15 cases of COVID-19 affecting 10 patients and 5 HCWs were identified on a ward with 31 beds and 43 HCWs. The patients had tested negative for severe acute respiratory syndrome coronavirus 2 infection on admission. One of the HCWs was identified as the probable index case. Five patients died (mortality rate, 50%). They were all elderly and had significant comorbidities. The infection control measures taken included the transfer of infected patients to COVID-19 isolation wards, implementation of universal preventive measures, weekly PCR testing of patients and HCWs linked to the ward, training of HCWs on infection control and prevention measures, and enhancement of cleaning and disinfection. The outbreak was contained in 2 weeks, and no new cases occurred. Conclusion: Nosocomial COVID-19 outbreaks can have high attack rates involving both patients and HCWs and carry a high risk of patient mortality. Hospitals need to implement effective infection prevention and control strategies to prevent nosocomial COVID-19 spread.
- dc.format.mimetype application/pdf
- dc.identifier.citation Montero MM, Hidalgo López C, López Montesinos I, Sorli L, Barrufet Gonzalez C, Villar-García J, Güerri-Fernández R, Herranz M, Crespo M, Arenas Jiménez MD, Pascual J, González Juanes C, Horcajada JP. Impact of a nosocomial COVID-19 outbreak on a non-COVID-19 nephrology ward during the first wave of the pandemic in Spain. Antibiotics (Basel). 2021;10(6):619. DOI: 10.3390/antibiotics10060619
- dc.identifier.doi http://dx.doi.org/10.3390/antibiotics10060619
- dc.identifier.issn 2079-6382
- dc.identifier.uri http://hdl.handle.net/10230/48345
- dc.language.iso eng
- dc.publisher MDPI
- dc.relation.ispartof Antibiotics (Basel). 2021;10(6):619
- dc.rights © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword COVID-19
- dc.subject.keyword Infection control
- dc.subject.keyword Nosocomial outbreak
- dc.title Impact of a nosocomial COVID-19 outbreak on a non-COVID-19 nephrology ward during the first wave of the pandemic in Spain
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion