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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Chang Gung University
2021
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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 |
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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 |
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