[Nosocomial infection with SARS-Cov-2 within departments of digestive surgery].
Identifieur interne : 000136 ( Main/Exploration ); précédent : 000135; suivant : 000137[Nosocomial infection with SARS-Cov-2 within departments of digestive surgery].
Auteurs : M. Luong-Nguyen [France] ; H. Hermand [France] ; S. Abdalla [France] ; N. Cabrit [France] ; C. Hobeika [France] ; A. Brouquet [France] ; D. Goéré [France] ; A. Sauvanet [France]Source :
- Journal de chirurgie viscerale [ 1878-786X ] ; 2020.
Abstract
Introduction
The COVID-19 pandemic imposed a drastic reduction in surgical activity in order to respond to the influx of hospital patients and to protect uninfected patients by avoiding hospitalization. However, little is known about the risk of infection during hospitalization or its consequences. The aim of this work was to report a series of patients hospitalized on digestive surgery services who developed a nosocomial infection with SARS-Cov-2 virus.
Methods
This is a non-interventional retrospective study carried out within three departments of digestive surgery. The clinical, biological and radiological data of the patients who developed a nosocomial infection with SARS-Cov-2 were collected from the computerized medical record.
Results
From March 1, 2020 to April 5, 2020, among 305 patients admitted to digestive surgery departments, 15 (4.9 %) developed evident nosocomial infection with SARS-Cov-2. There were nine men and six women, with a median age of 62 years (35-68 years). All patients had co-morbidities. The reasons for hospitalization were: surgical treatment of cancer (
Conclusions
The risk of SARS-Cov-2 infection during hospitalization or following digestive surgery is a real and potentially serious risk. Measures are necessary to minimize this risk in order to return to safe surgical activity.
DOI: 10.1016/j.jchirv.2020.04.012
PubMed: 32341721
PubMed Central: PMC7181987
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Cabrit</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Clichy</settlement></placeName></affiliation></author><author><name sortKey="Hobeika, C" sort="Hobeika, C" uniqKey="Hobeika C" first="C" last="Hobeika">C. 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Brouquet</name><affiliation wicri:level="4"><nlm:affiliation>Chirurgie digestive, hôpital de Bicêtre, AP-HP, université Paris Sud, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie digestive, hôpital de Bicêtre, AP-HP, université Paris Sud, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Goere, D" sort="Goere, D" uniqKey="Goere D" first="D" last="Goéré">D. Goéré</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Sauvanet, A" sort="Sauvanet, A" uniqKey="Sauvanet A" first="A" last="Sauvanet">A. Sauvanet</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Clichy</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32341721</idno><idno type="pmid">32341721</idno><idno type="doi">10.1016/j.jchirv.2020.04.012</idno><idno type="pmc">PMC7181987</idno><idno type="wicri:Area/Main/Corpus">001562</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001562</idno><idno type="wicri:Area/Main/Curation">001562</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001562</idno><idno type="wicri:Area/Main/Exploration">001562</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Nosocomial infection with SARS-Cov-2 within departments of digestive surgery].</title><author><name sortKey="Luong Nguyen, M" sort="Luong Nguyen, M" uniqKey="Luong Nguyen M" first="M" last="Luong-Nguyen">M. Luong-Nguyen</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Hermand, H" sort="Hermand, H" uniqKey="Hermand H" first="H" last="Hermand">H. Hermand</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Abdalla, S" sort="Abdalla, S" uniqKey="Abdalla S" first="S" last="Abdalla">S. Abdalla</name><affiliation wicri:level="4"><nlm:affiliation>Chirurgie digestive, hôpital de Bicêtre, AP-HP, université Paris Sud, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie digestive, hôpital de Bicêtre, AP-HP, université Paris Sud, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Cabrit, N" sort="Cabrit, N" uniqKey="Cabrit N" first="N" last="Cabrit">N. Cabrit</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Clichy</settlement></placeName></affiliation></author><author><name sortKey="Hobeika, C" sort="Hobeika, C" uniqKey="Hobeika C" first="C" last="Hobeika">C. Hobeika</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Clichy</settlement></placeName></affiliation></author><author><name sortKey="Brouquet, A" sort="Brouquet, A" uniqKey="Brouquet A" first="A" last="Brouquet">A. Brouquet</name><affiliation wicri:level="4"><nlm:affiliation>Chirurgie digestive, hôpital de Bicêtre, AP-HP, université Paris Sud, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie digestive, hôpital de Bicêtre, AP-HP, université Paris Sud, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Le Kremlin-Bicêtre</settlement></placeName><orgName type="university">Université Paris-Sud</orgName></affiliation></author><author><name sortKey="Goere, D" sort="Goere, D" uniqKey="Goere D" first="D" last="Goéré">D. Goéré</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Sauvanet, A" sort="Sauvanet, A" uniqKey="Sauvanet A" first="A" last="Sauvanet">A. Sauvanet</name><affiliation wicri:level="3"><nlm:affiliation>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Clichy</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal de chirurgie viscerale</title><idno type="ISSN">1878-786X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Introduction</b></p><p>The COVID-19 pandemic imposed a drastic reduction in surgical activity in order to respond to the influx of hospital patients and to protect uninfected patients by avoiding hospitalization. However, little is known about the risk of infection during hospitalization or its consequences. The aim of this work was to report a series of patients hospitalized on digestive surgery services who developed a nosocomial infection with SARS-Cov-2 virus.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>This is a non-interventional retrospective study carried out within three departments of digestive surgery. The clinical, biological and radiological data of the patients who developed a nosocomial infection with SARS-Cov-2 were collected from the computerized medical record.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>From March 1, 2020 to April 5, 2020, among 305 patients admitted to digestive surgery departments, 15 (4.9 %) developed evident nosocomial infection with SARS-Cov-2. There were nine men and six women, with a median age of 62 years (35-68 years). All patients had co-morbidities. The reasons for hospitalization were: surgical treatment of cancer (</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>The risk of SARS-Cov-2 infection during hospitalization or following digestive surgery is a real and potentially serious risk. Measures are necessary to minimize this risk in order to return to safe surgical activity.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32341721</PMID><DateRevised><Year>2020</Year><Month>08</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1878-786X</ISSN><JournalIssue CitedMedium="Print"><Volume>157</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal de chirurgie viscerale</Title><ISOAbbreviation>J Chir Visc</ISOAbbreviation></Journal><ArticleTitle>[Nosocomial infection with SARS-Cov-2 within departments of digestive surgery].</ArticleTitle><Pagination><MedlinePgn>S13-S19</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jchirv.2020.04.012</ELocationID><Abstract><AbstractText Label="Introduction" NlmCategory="UNASSIGNED">The COVID-19 pandemic imposed a drastic reduction in surgical activity in order to respond to the influx of hospital patients and to protect uninfected patients by avoiding hospitalization. However, little is known about the risk of infection during hospitalization or its consequences. The aim of this work was to report a series of patients hospitalized on digestive surgery services who developed a nosocomial infection with SARS-Cov-2 virus.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">This is a non-interventional retrospective study carried out within three departments of digestive surgery. The clinical, biological and radiological data of the patients who developed a nosocomial infection with SARS-Cov-2 were collected from the computerized medical record.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">From March 1, 2020 to April 5, 2020, among 305 patients admitted to digestive surgery departments, 15 (4.9 %) developed evident nosocomial infection with SARS-Cov-2. There were nine men and six women, with a median age of 62 years (35-68 years). All patients had co-morbidities. The reasons for hospitalization were: surgical treatment of cancer (<i>n</i> = 5), complex emergencies (<i>n</i> = 5), treatment of complications linked to cancer or its treatment (<i>n</i> = 3), gastroplasty (<i>n</i> = 1), and stoma closure (<i>n</i> = 1). The median time from admission to diagnosis of SARS-Cov-2 infection was 34 days (5-61 days). In 12 patients (80%), the diagnosis was made after a hospital stay of more than 14 days (15-63 days). At the end of the follow-up, two patients had died, seven were still hospitalized with two of them on respiratory assistance, and six patients were discharged post-hospitalization.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">The risk of SARS-Cov-2 infection during hospitalization or following digestive surgery is a real and potentially serious risk. Measures are necessary to minimize this risk in order to return to safe surgical activity.</AbstractText><CopyrightInformation>© 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Luong-Nguyen</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hermand</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abdalla</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Chirurgie digestive, hôpital de Bicêtre, AP-HP, université Paris Sud, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cabrit</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hobeika</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brouquet</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Chirurgie digestive, hôpital de Bicêtre, AP-HP, université Paris Sud, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goéré</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Chirurgie digestive, oncologique et endocrinienne, hôpital Saint Louis, AP-HP, université de Paris, 1, rue Claude Vellefaux, 75010 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sauvanet</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Chirurgie hépatique et pancréatique, hôpital Beaujon, AP-HP, université de Paris, 100, boulevard du Général Leclerc, 92110 Clichy, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Infection nosocomiale à SARS-Cov-2 dans les services de chirurgie digestive.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>J Chir Visc</MedlineTA><NlmUniqueID>101530148</NlmUniqueID><ISSNLinking>1878-786X</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Digestive surgery</Keyword><Keyword MajorTopicYN="N">Nosocomial transmission</Keyword><Keyword MajorTopicYN="N">SARS-cov-2</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32341721</ArticleId><ArticleId IdType="doi">10.1016/j.jchirv.2020.04.012</ArticleId><ArticleId IdType="pii">S1878-786X(20)30100-5</ArticleId><ArticleId IdType="pmc">PMC7181987</ArticleId></ArticleIdList><pmc-dir>pmcsd</pmc-dir>
</PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Clichy</li><li>Le Kremlin-Bicêtre</li><li>Paris</li></settlement><orgName><li>Université Paris-Sud</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Luong Nguyen, M" sort="Luong Nguyen, M" uniqKey="Luong Nguyen M" first="M" last="Luong-Nguyen">M. Luong-Nguyen</name></region><name sortKey="Abdalla, S" sort="Abdalla, S" uniqKey="Abdalla S" first="S" last="Abdalla">S. Abdalla</name><name sortKey="Brouquet, A" sort="Brouquet, A" uniqKey="Brouquet A" first="A" last="Brouquet">A. Brouquet</name><name sortKey="Cabrit, N" sort="Cabrit, N" uniqKey="Cabrit N" first="N" last="Cabrit">N. Cabrit</name><name sortKey="Goere, D" sort="Goere, D" uniqKey="Goere D" first="D" last="Goéré">D. Goéré</name><name sortKey="Hermand, H" sort="Hermand, H" uniqKey="Hermand H" first="H" last="Hermand">H. Hermand</name><name sortKey="Hobeika, C" sort="Hobeika, C" uniqKey="Hobeika C" first="C" last="Hobeika">C. Hobeika</name><name sortKey="Sauvanet, A" sort="Sauvanet, A" uniqKey="Sauvanet A" first="A" last="Sauvanet">A. Sauvanet</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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