Absence of nosocomial transmission of coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in the prepandemic phase in Hong Kong - 25/07/20
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Highlights |
• | Overwhelming number of COVID-19 patients may paralyze the health care system. |
• | Infection control measures are crucial to prevent COVID-19 outbreak in hospital. |
• | Staff training by forum, department visit, and practical session are essential. |
• | Active surveillance, early isolation, and rapid laboratory diagnosis are the key. |
• | Zero nosocomial transmission of COVID-19 is achieved in Hong Kong. |
Résumé |
Background |
To describe the infection control strategy to achieve zero nosocomial transmission of symptomatic coronavirus disease (COVID-19) due to SARS-CoV-2 during the prepandemic phase (the first 72 days after announcement of pneumonia cases in Wuhan) in Hong Kong.
Methods |
Administrative support with the aim of zero nosocomial transmission by reducing elective clinical services, decanting wards, mobilizing isolation facilities, providing adequate personal protective equipment, coordinating laboratory network for rapid molecular diagnosis under 4-tier active surveillance for hospitalized patients and outpatients, and organizing staff forum and training was implemented under the framework of preparedness plan in Hospital Authority. The trend of SARS-CoV-2 in the first 72 days was compared with that of SARS-CoV 2003.
Results |
Up to day 72 of the epidemic, 130 (0.40%) of 32,443 patients being screened confirmed to have SARS-CoV-2 by reverse transcription polymerase chain reaction. Compared with SARS outbreak in 2003, the SARS-CoV-2 case load constituted 8.9% (130 SARS-CoV-2/1458 SARS-CoV) of SARS-CoV infected cases at day 72 of the outbreak. The incidences of nosocomial acquisition of SARS-CoV per 1,000 SARS-patient-day and per 100 SARS-patient-admission were 7.9 and 16.9, respectively, which were significantly higher than the corresponding incidences of SARS-CoV-2 (zero infection, P <.001).
Conclusions |
Administrative support to infection control could minimize the risk of nosocomial transmission of SARS-CoV-2.
Le texte complet de cet article est disponible en PDF.Key Words : Coronavirus, Health care workers, Outbreak
Plan
| This work was supported in part by the Consultancy Service for Enhancing Laboratory Surveillance of Emerging Infectious Diseases of the Department of Health, Hong Kong Special Administrative Region; and the Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, the Ministry of Education of China. |
|
| Conflicts of interest: All authors report no conflicts of interest relevant to this article. |
Vol 48 - N° 8
P. 890-896 - août 2020 Retour au numéro
Article précédent
- Pretreated household materials carry similar filtration protection against pathogens when compared with surgical masks
- Jonathan M. Carnino, Sunhyo Ryu, Kareemah Ni, Yang Jin
- Disinfecting noncritical medical equipment—Effectiveness of hydrogen peroxide dry mist as an adjunctive method
- Enrica Amodio, Stefan P. Kuster, Christian Garzoni, Annelies S. Zinkernagel, Hugo Sax, Aline Wolfensberger
Bienvenue sur EM-consulte, la référence des professionnels de santé.