Surfaces and equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the emergency department at a university hospital.
Identifieur interne : 000551 ( Main/Exploration ); précédent : 000550; suivant : 000552Surfaces and equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the emergency department at a university hospital.
Auteurs : Olivier Peyrony [France] ; Sami Ellouze [France] ; Jean-Paul Fontaine [France] ; Micheline Thegat-Le Cam [France] ; Maud Salmona [France] ; Linda Feghoul [France] ; Nadia Mahjoub [France] ; Séverine Mercier-Delarue [France] ; Audrey Gabassi [France] ; Constance Delaugerre [France] ; Jérôme Le Goff [France]Source :
- International journal of hygiene and environmental health [ 1618-131X ] ; 2020.
Abstract
OBJECTIVES
Environmental contamination by patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through respiratory droplets suggests that surfaces and equipment could be a medium of transmission. We aimed to assess the surface and equipment contamination by SARS-COV-2 of an emergency department (ED) during the coronavirus infectious disease-2019 (COVID-19) outbreak.
METHODS
We performed multiple samples from different sites in ED patients care and non-patient care areas with sterile premoistened swabs and used real-time reverse transcriptase polymerase chain reaction (RT-PCR) to detect the presence of SARS-CoV-2 ribonucleic acid (RNA). We also sampled the personal protective equipment (PPE) from health care workers (HCWs).
RESULTS
Among the 192 total samples, 10 (5.2%) were positive. In patient care areas, 5/46 (10.9%) of the surfaces directly in contact with COVID-19 patients revealed the presence of SARS-CoV-2 RNA, and 4/56 (7.1%) of the surfaces that were not directly in contact with COVID-19 patients were positive. SARS-CoV-2 RNA was present only in the patients' examination and monitoring rooms. Before decontamination SARS-CoV-2 RNA was present on the saturation clip, the scuff for blood pressure measurement, the stretcher, the plastic screens between patients and the floor. After decontamination, SARS-CoV-2 RNA remained on the scuff, the stretcher and the trolleys. All samples from non-patient care areas or staff working rooms were negative. Only one sample from the PPE of the HCWs was positive.
CONCLUSIONS
Our findings suggest that surfaces and equipment contamination by SARS-CoV-2 RNA in an ED during the COVID-19 outbreak is low and concerns exclusively patients' examination and monitoring rooms, preserving non-patient care areas.
DOI: 10.1016/j.ijheh.2020.113600
PubMed: 32799101
PubMed Central: PMC7413114
Affiliations:
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Electronic address: audrey.gabassi@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Virology Department, Saint-Louis Hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Delaugerre, Constance" sort="Delaugerre, Constance" uniqKey="Delaugerre C" first="Constance" last="Delaugerre">Constance Delaugerre</name><affiliation wicri:level="3"><nlm:affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U944, Paris, France. 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Electronic address: olivier.peyrony@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Emergency Department, Saint-Louis Hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Ellouze, Sami" sort="Ellouze, Sami" uniqKey="Ellouze S" first="Sami" last="Ellouze">Sami Ellouze</name><affiliation wicri:level="3"><nlm:affiliation>Emergency Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: sami.ellouze@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Emergency Department, Saint-Louis Hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Fontaine, Jean Paul" sort="Fontaine, Jean Paul" uniqKey="Fontaine J" first="Jean-Paul" last="Fontaine">Jean-Paul Fontaine</name><affiliation wicri:level="3"><nlm:affiliation>Emergency Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: jean-paul.fontaine@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Emergency Department, Saint-Louis Hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Thegat Le Cam, Micheline" sort="Thegat Le Cam, Micheline" uniqKey="Thegat Le Cam M" first="Micheline" last="Thegat-Le Cam">Micheline Thegat-Le Cam</name><affiliation wicri:level="3"><nlm:affiliation>Infection Control Team, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: micheline.thegat@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Infection Control Team, Saint-Louis Hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Salmona, Maud" sort="Salmona, Maud" uniqKey="Salmona M" first="Maud" last="Salmona">Maud Salmona</name><affiliation wicri:level="3"><nlm:affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U976, Paris, France. Electronic address: maud.salmona@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U976, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Feghoul, Linda" sort="Feghoul, Linda" uniqKey="Feghoul L" first="Linda" last="Feghoul">Linda Feghoul</name><affiliation wicri:level="3"><nlm:affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U944, Paris, France. Electronic address: linda.feghoul@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U944, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Mahjoub, Nadia" sort="Mahjoub, Nadia" uniqKey="Mahjoub N" first="Nadia" last="Mahjoub">Nadia Mahjoub</name><affiliation wicri:level="3"><nlm:affiliation>Virology Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: nadia.mahjoub@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Virology Department, Saint-Louis Hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Mercier Delarue, Severine" sort="Mercier Delarue, Severine" uniqKey="Mercier Delarue S" first="Séverine" last="Mercier-Delarue">Séverine Mercier-Delarue</name><affiliation wicri:level="3"><nlm:affiliation>Virology Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: severine.mercier-delarue@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Virology Department, Saint-Louis Hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Gabassi, Audrey" sort="Gabassi, Audrey" uniqKey="Gabassi A" first="Audrey" last="Gabassi">Audrey Gabassi</name><affiliation wicri:level="3"><nlm:affiliation>Virology Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: audrey.gabassi@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Virology Department, Saint-Louis Hospital, AP-HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Delaugerre, Constance" sort="Delaugerre, Constance" uniqKey="Delaugerre C" first="Constance" last="Delaugerre">Constance Delaugerre</name><affiliation wicri:level="3"><nlm:affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U944, Paris, France. Electronic address: constance.delaugerre@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U944, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Le Goff, Jerome" sort="Le Goff, Jerome" uniqKey="Le Goff J" first="Jérôme" last="Le Goff">Jérôme Le Goff</name><affiliation wicri:level="3"><nlm:affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U976, Paris, France. Electronic address: jerome.le-goff@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U976, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">International journal of hygiene and environmental health</title><idno type="eISSN">1618-131X</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>OBJECTIVES</b></p><p>Environmental contamination by patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through respiratory droplets suggests that surfaces and equipment could be a medium of transmission. We aimed to assess the surface and equipment contamination by SARS-COV-2 of an emergency department (ED) during the coronavirus infectious disease-2019 (COVID-19) outbreak.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We performed multiple samples from different sites in ED patients care and non-patient care areas with sterile premoistened swabs and used real-time reverse transcriptase polymerase chain reaction (RT-PCR) to detect the presence of SARS-CoV-2 ribonucleic acid (RNA). We also sampled the personal protective equipment (PPE) from health care workers (HCWs).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Among the 192 total samples, 10 (5.2%) were positive. In patient care areas, 5/46 (10.9%) of the surfaces directly in contact with COVID-19 patients revealed the presence of SARS-CoV-2 RNA, and 4/56 (7.1%) of the surfaces that were not directly in contact with COVID-19 patients were positive. SARS-CoV-2 RNA was present only in the patients' examination and monitoring rooms. Before decontamination SARS-CoV-2 RNA was present on the saturation clip, the scuff for blood pressure measurement, the stretcher, the plastic screens between patients and the floor. After decontamination, SARS-CoV-2 RNA remained on the scuff, the stretcher and the trolleys. All samples from non-patient care areas or staff working rooms were negative. Only one sample from the PPE of the HCWs was positive.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Our findings suggest that surfaces and equipment contamination by SARS-CoV-2 RNA in an ED during the COVID-19 outbreak is low and concerns exclusively patients' examination and monitoring rooms, preserving non-patient care areas.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32799101</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1618-131X</ISSN><JournalIssue CitedMedium="Internet"><Volume>230</Volume><PubDate><Year>2020</Year><Month>Aug</Month><Day>07</Day></PubDate></JournalIssue><Title>International journal of hygiene and environmental health</Title><ISOAbbreviation>Int J Hyg Environ Health</ISOAbbreviation></Journal><ArticleTitle>Surfaces and equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the emergency department at a university hospital.</ArticleTitle><Pagination><MedlinePgn>113600</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1438-4639(20)30546-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijheh.2020.113600</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Environmental contamination by patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through respiratory droplets suggests that surfaces and equipment could be a medium of transmission. We aimed to assess the surface and equipment contamination by SARS-COV-2 of an emergency department (ED) during the coronavirus infectious disease-2019 (COVID-19) outbreak.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We performed multiple samples from different sites in ED patients care and non-patient care areas with sterile premoistened swabs and used real-time reverse transcriptase polymerase chain reaction (RT-PCR) to detect the presence of SARS-CoV-2 ribonucleic acid (RNA). We also sampled the personal protective equipment (PPE) from health care workers (HCWs).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Among the 192 total samples, 10 (5.2%) were positive. In patient care areas, 5/46 (10.9%) of the surfaces directly in contact with COVID-19 patients revealed the presence of SARS-CoV-2 RNA, and 4/56 (7.1%) of the surfaces that were not directly in contact with COVID-19 patients were positive. SARS-CoV-2 RNA was present only in the patients' examination and monitoring rooms. Before decontamination SARS-CoV-2 RNA was present on the saturation clip, the scuff for blood pressure measurement, the stretcher, the plastic screens between patients and the floor. After decontamination, SARS-CoV-2 RNA remained on the scuff, the stretcher and the trolleys. All samples from non-patient care areas or staff working rooms were negative. Only one sample from the PPE of the HCWs was positive.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our findings suggest that surfaces and equipment contamination by SARS-CoV-2 RNA in an ED during the COVID-19 outbreak is low and concerns exclusively patients' examination and monitoring rooms, preserving non-patient care areas.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier GmbH. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Peyrony</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Emergency Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: olivier.peyrony@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ellouze</LastName><ForeName>Sami</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Emergency Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: sami.ellouze@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fontaine</LastName><ForeName>Jean-Paul</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>Emergency Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: jean-paul.fontaine@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thegat-Le Cam</LastName><ForeName>Micheline</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Infection Control Team, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: micheline.thegat@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Salmona</LastName><ForeName>Maud</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U976, Paris, France. Electronic address: maud.salmona@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Feghoul</LastName><ForeName>Linda</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U944, Paris, France. Electronic address: linda.feghoul@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mahjoub</LastName><ForeName>Nadia</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Virology Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: nadia.mahjoub@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mercier-Delarue</LastName><ForeName>Séverine</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Virology Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: severine.mercier-delarue@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gabassi</LastName><ForeName>Audrey</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Virology Department, Saint-Louis Hospital, AP-HP, Paris, France. Electronic address: audrey.gabassi@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delaugerre</LastName><ForeName>Constance</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U944, Paris, France. Electronic address: constance.delaugerre@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Le Goff</LastName><ForeName>Jérôme</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Université de Paris, Virology Department, Saint-Louis Hospital, AP-HP, INSERM U976, Paris, France. 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sort="Mercier Delarue, Severine" uniqKey="Mercier Delarue S" first="Séverine" last="Mercier-Delarue">Séverine Mercier-Delarue</name><name sortKey="Salmona, Maud" sort="Salmona, Maud" uniqKey="Salmona M" first="Maud" last="Salmona">Maud Salmona</name><name sortKey="Thegat Le Cam, Micheline" sort="Thegat Le Cam, Micheline" uniqKey="Thegat Le Cam M" first="Micheline" last="Thegat-Le Cam">Micheline Thegat-Le Cam</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|wiki= Sante
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|flux= Main
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|texte= Surfaces and equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the emergency department at a university hospital.
}}
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