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Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility

In May of 2020, the Substance Abuse and Mental Health Service Administration (SAMSA) issued guidelines for state psychiatric hospitals, recommending that these facilities adopt universal testing for COVID-19 and “three-space” triage protocols for dedicated COVID-19 positive, negative, and quarantine...

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Autores principales: Brody, Benjamin D., Shi, Zhenzhen, Shaffer, Charles, Eden, Daniel, Wyka, Katarzyna, Parish, Sharon J., Alexopoulos, George S., Nazario, Helen, Russ, Mark J., Kanellopoulos, Dora
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161793/
https://www.ncbi.nlm.nih.gov/pubmed/34098157
http://dx.doi.org/10.1016/j.psychres.2021.114036
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author Brody, Benjamin D.
Shi, Zhenzhen
Shaffer, Charles
Eden, Daniel
Wyka, Katarzyna
Parish, Sharon J.
Alexopoulos, George S.
Nazario, Helen
Russ, Mark J.
Kanellopoulos, Dora
author_facet Brody, Benjamin D.
Shi, Zhenzhen
Shaffer, Charles
Eden, Daniel
Wyka, Katarzyna
Parish, Sharon J.
Alexopoulos, George S.
Nazario, Helen
Russ, Mark J.
Kanellopoulos, Dora
author_sort Brody, Benjamin D.
collection PubMed
description In May of 2020, the Substance Abuse and Mental Health Service Administration (SAMSA) issued guidelines for state psychiatric hospitals, recommending that these facilities adopt universal testing for COVID-19 and “three-space” triage protocols for dedicated COVID-19 positive, negative, and quarantine spaces to mitigate the risk of nosocomial infection. The Westchester Behavioral Health Center of New York Presbyterian Hospital (WBHC-NYP) adopted a comprehensive infection control protocol consistent with these recommendations in April, 2020. We reviewed the records of 1,139 patients treated on the inpatient service at WBHC-NYP between March 14th and June 10(th), 2020, dates corresponding to the first COVID-19 surge in the New York City metropolitan region. The incidence of detected nosocomial or possible nosocomial infections before and during the implementation of the protocol was 0.096 (16/167), or 0.96 infections per 10 at-risk patients. The incidence of nosocomial or possible nosocomial infections after complete implementation was 0.0110 (2/182), or 1.1 infections per 100 at-risk patients. The difference in incidence between the two time points was statistically significant (p<.0003) and represents a 9-fold decrease.  Our findings support the institutional use of a combined testing and space allocation protocol to mitigate risk of outbreaks in confined settings.
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spelling pubmed-81617932021-05-28 Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility Brody, Benjamin D. Shi, Zhenzhen Shaffer, Charles Eden, Daniel Wyka, Katarzyna Parish, Sharon J. Alexopoulos, George S. Nazario, Helen Russ, Mark J. Kanellopoulos, Dora Psychiatry Res Article In May of 2020, the Substance Abuse and Mental Health Service Administration (SAMSA) issued guidelines for state psychiatric hospitals, recommending that these facilities adopt universal testing for COVID-19 and “three-space” triage protocols for dedicated COVID-19 positive, negative, and quarantine spaces to mitigate the risk of nosocomial infection. The Westchester Behavioral Health Center of New York Presbyterian Hospital (WBHC-NYP) adopted a comprehensive infection control protocol consistent with these recommendations in April, 2020. We reviewed the records of 1,139 patients treated on the inpatient service at WBHC-NYP between March 14th and June 10(th), 2020, dates corresponding to the first COVID-19 surge in the New York City metropolitan region. The incidence of detected nosocomial or possible nosocomial infections before and during the implementation of the protocol was 0.096 (16/167), or 0.96 infections per 10 at-risk patients. The incidence of nosocomial or possible nosocomial infections after complete implementation was 0.0110 (2/182), or 1.1 infections per 100 at-risk patients. The difference in incidence between the two time points was statistically significant (p<.0003) and represents a 9-fold decrease.  Our findings support the institutional use of a combined testing and space allocation protocol to mitigate risk of outbreaks in confined settings. Elsevier B.V. 2021-08 2021-05-28 /pmc/articles/PMC8161793/ /pubmed/34098157 http://dx.doi.org/10.1016/j.psychres.2021.114036 Text en © 2021 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Brody, Benjamin D.
Shi, Zhenzhen
Shaffer, Charles
Eden, Daniel
Wyka, Katarzyna
Parish, Sharon J.
Alexopoulos, George S.
Nazario, Helen
Russ, Mark J.
Kanellopoulos, Dora
Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility
title Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility
title_full Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility
title_fullStr Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility
title_full_unstemmed Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility
title_short Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility
title_sort universal covid-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161793/
https://www.ncbi.nlm.nih.gov/pubmed/34098157
http://dx.doi.org/10.1016/j.psychres.2021.114036
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