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Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers

To the best of our knowledge, here, we describe the first hospital-wide outbreak of SARS-CoV-2 that occurred in Germany in April 2020. We aim to share our experience in order to facilitate the management of nosocomial COVID-19 outbreaks in healthcare facilities. All patients and hospital workers wer...

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Autores principales: Höring, Steffen, Fussen, René, Neusser, Johannes, Kleines, Michael, Laurentius, Thea, Bollheimer, Leo Cornelius, Keller, Doris, Lemmen, Sebastian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586206/
https://www.ncbi.nlm.nih.gov/pubmed/33134846
http://dx.doi.org/10.1007/s42399-020-00597-2
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author Höring, Steffen
Fussen, René
Neusser, Johannes
Kleines, Michael
Laurentius, Thea
Bollheimer, Leo Cornelius
Keller, Doris
Lemmen, Sebastian
author_facet Höring, Steffen
Fussen, René
Neusser, Johannes
Kleines, Michael
Laurentius, Thea
Bollheimer, Leo Cornelius
Keller, Doris
Lemmen, Sebastian
author_sort Höring, Steffen
collection PubMed
description To the best of our knowledge, here, we describe the first hospital-wide outbreak of SARS-CoV-2 that occurred in Germany in April 2020. We aim to share our experience in order to facilitate the management of nosocomial COVID-19 outbreaks in healthcare facilities. All patients and hospital workers were screened for SARS-CoV-2 repeatedly. An infection control team on the side was installed. Strict spatial separation of patients and intensified hygiene training of healthcare workers (HCW) were initiated. By the time of reporting, 26 patients and 21 hospital workers were infected with a cluster of cases in the geriatric department. Fourteen patients developed COVID-19 consistent symptoms and five patients with severe pre-existing medical conditions died. The outbreak was successfully contained after intensified infection control measures were implemented and no further cases among patients were detected over a period of 14 days. Strict application of standard infection control measures proved to be successful in the management of nosocomial SARS-CoV-2 outbreaks. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s42399-020-00597-2) contains supplementary material, which is available to authorized users.
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spelling pubmed-75862062020-10-26 Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers Höring, Steffen Fussen, René Neusser, Johannes Kleines, Michael Laurentius, Thea Bollheimer, Leo Cornelius Keller, Doris Lemmen, Sebastian SN Compr Clin Med Covid-19 To the best of our knowledge, here, we describe the first hospital-wide outbreak of SARS-CoV-2 that occurred in Germany in April 2020. We aim to share our experience in order to facilitate the management of nosocomial COVID-19 outbreaks in healthcare facilities. All patients and hospital workers were screened for SARS-CoV-2 repeatedly. An infection control team on the side was installed. Strict spatial separation of patients and intensified hygiene training of healthcare workers (HCW) were initiated. By the time of reporting, 26 patients and 21 hospital workers were infected with a cluster of cases in the geriatric department. Fourteen patients developed COVID-19 consistent symptoms and five patients with severe pre-existing medical conditions died. The outbreak was successfully contained after intensified infection control measures were implemented and no further cases among patients were detected over a period of 14 days. Strict application of standard infection control measures proved to be successful in the management of nosocomial SARS-CoV-2 outbreaks. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s42399-020-00597-2) contains supplementary material, which is available to authorized users. Springer International Publishing 2020-10-26 2020 /pmc/articles/PMC7586206/ /pubmed/33134846 http://dx.doi.org/10.1007/s42399-020-00597-2 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Covid-19
Höring, Steffen
Fussen, René
Neusser, Johannes
Kleines, Michael
Laurentius, Thea
Bollheimer, Leo Cornelius
Keller, Doris
Lemmen, Sebastian
Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers
title Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers
title_full Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers
title_fullStr Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers
title_full_unstemmed Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers
title_short Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers
title_sort management of a hospital-wide covid-19 outbreak affecting patients and healthcare workers
topic Covid-19
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586206/
https://www.ncbi.nlm.nih.gov/pubmed/33134846
http://dx.doi.org/10.1007/s42399-020-00597-2
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