Cargando…

Infection control operations of a large hospital in Taiwan to prevent nosocomial outbreaks during COVID-19 pandemic

BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID-19) is highly contagious, with a potential to cause large nosocomial outbreaks in the hospital setting. We report the advance deployment of comprehensive, multi-level infection contro...

Descripción completa

Detalles Bibliográficos
Autores principales: Cheng, Chun-Wen, Huang, Po-Yen, Wu, Ting-Shu, Huang, Chung-Guei, Tsao, Kuo-Chien, Lin, Chun-Sui, Chung, Ting-Ying, Lai, Chi-Chun, Yang, Cheng-Ta, Chiu, Cheng-Hsun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chang Gung University 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8547780/
https://www.ncbi.nlm.nih.gov/pubmed/34710639
http://dx.doi.org/10.1016/j.bj.2021.10.009
_version_ 1784590446229454848
author Cheng, Chun-Wen
Huang, Po-Yen
Wu, Ting-Shu
Huang, Chung-Guei
Tsao, Kuo-Chien
Lin, Chun-Sui
Chung, Ting-Ying
Lai, Chi-Chun
Yang, Cheng-Ta
Chiu, Cheng-Hsun
author_facet Cheng, Chun-Wen
Huang, Po-Yen
Wu, Ting-Shu
Huang, Chung-Guei
Tsao, Kuo-Chien
Lin, Chun-Sui
Chung, Ting-Ying
Lai, Chi-Chun
Yang, Cheng-Ta
Chiu, Cheng-Hsun
author_sort Cheng, Chun-Wen
collection PubMed
description BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID-19) is highly contagious, with a potential to cause large nosocomial outbreaks in the hospital setting. We report the advance deployment of comprehensive, multi-level infection control measures in a 3,700-bed large hospital to prevent nosocomial outbreaks of COVID-19 during the pandemic. METHODS: We implemented a series of dynamic infection control policies during the pandemic. A confirmed COVID-19 case was defined by positive real-time reverse transcriptase–polymerase chain reaction (RT-PCR) assay. All healthcare worker (HCW) having symptoms or close contact with the confirmed case received the RT-PCR test. RESULTS: A total of 5,722 patients were tested in our hospital from January to May 2020. Twenty-five patients were confirmed COVID-19, including two inpatients. A cluster of 4 HCWs with COVID-19 associated with the 2nd inpatient was identified in the early stage of epidemic. Our enhanced traffic control bundling, mask wearing, hand hygiene and environmental cleaning were reinforced after the outbreak. All other confirmed cases were identified at our outdoor quarantine station or epidemic clinic afterwards, and the results of testing for 146 symptomatic HCWs were all negative. CONCLUSIONS: Integrated teamwork, advance deployment of infection control measures and efficient diagnostic testing and response protected HCW and facilities from large SARS-CoV-2 outbreaks and preserved the capacity and function of the health care system during the pandemic.
format Online
Article
Text
id pubmed-8547780
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Chang Gung University
record_format MEDLINE/PubMed
spelling pubmed-85477802021-10-27 Infection control operations of a large hospital in Taiwan to prevent nosocomial outbreaks during COVID-19 pandemic Cheng, Chun-Wen Huang, Po-Yen Wu, Ting-Shu Huang, Chung-Guei Tsao, Kuo-Chien Lin, Chun-Sui Chung, Ting-Ying Lai, Chi-Chun Yang, Cheng-Ta Chiu, Cheng-Hsun Biomed J Original Article BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID-19) is highly contagious, with a potential to cause large nosocomial outbreaks in the hospital setting. We report the advance deployment of comprehensive, multi-level infection control measures in a 3,700-bed large hospital to prevent nosocomial outbreaks of COVID-19 during the pandemic. METHODS: We implemented a series of dynamic infection control policies during the pandemic. A confirmed COVID-19 case was defined by positive real-time reverse transcriptase–polymerase chain reaction (RT-PCR) assay. All healthcare worker (HCW) having symptoms or close contact with the confirmed case received the RT-PCR test. RESULTS: A total of 5,722 patients were tested in our hospital from January to May 2020. Twenty-five patients were confirmed COVID-19, including two inpatients. A cluster of 4 HCWs with COVID-19 associated with the 2nd inpatient was identified in the early stage of epidemic. Our enhanced traffic control bundling, mask wearing, hand hygiene and environmental cleaning were reinforced after the outbreak. All other confirmed cases were identified at our outdoor quarantine station or epidemic clinic afterwards, and the results of testing for 146 symptomatic HCWs were all negative. CONCLUSIONS: Integrated teamwork, advance deployment of infection control measures and efficient diagnostic testing and response protected HCW and facilities from large SARS-CoV-2 outbreaks and preserved the capacity and function of the health care system during the pandemic. Chang Gung University 2021-12 2021-10-26 /pmc/articles/PMC8547780/ /pubmed/34710639 http://dx.doi.org/10.1016/j.bj.2021.10.009 Text en © 2022 Chang Gung University. Publishing services provided by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Cheng, Chun-Wen
Huang, Po-Yen
Wu, Ting-Shu
Huang, Chung-Guei
Tsao, Kuo-Chien
Lin, Chun-Sui
Chung, Ting-Ying
Lai, Chi-Chun
Yang, Cheng-Ta
Chiu, Cheng-Hsun
Infection control operations of a large hospital in Taiwan to prevent nosocomial outbreaks during COVID-19 pandemic
title Infection control operations of a large hospital in Taiwan to prevent nosocomial outbreaks during COVID-19 pandemic
title_full Infection control operations of a large hospital in Taiwan to prevent nosocomial outbreaks during COVID-19 pandemic
title_fullStr Infection control operations of a large hospital in Taiwan to prevent nosocomial outbreaks during COVID-19 pandemic
title_full_unstemmed Infection control operations of a large hospital in Taiwan to prevent nosocomial outbreaks during COVID-19 pandemic
title_short Infection control operations of a large hospital in Taiwan to prevent nosocomial outbreaks during COVID-19 pandemic
title_sort infection control operations of a large hospital in taiwan to prevent nosocomial outbreaks during covid-19 pandemic
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8547780/
https://www.ncbi.nlm.nih.gov/pubmed/34710639
http://dx.doi.org/10.1016/j.bj.2021.10.009
work_keys_str_mv AT chengchunwen infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT huangpoyen infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT wutingshu infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT huangchungguei infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT tsaokuochien infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT linchunsui infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT chungtingying infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT laichichun infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT yangchengta infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT chiuchenghsun infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic
AT infectioncontroloperationsofalargehospitalintaiwantopreventnosocomialoutbreaksduringcovid19pandemic