Serveur d'exploration sur la COVID chez les séniors

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Air and Environmental Contamination Caused by COVID-19 Patients: a Multi-Center Study.

Identifieur interne : 000948 ( Main/Exploration ); précédent : 000947; suivant : 000949

Air and Environmental Contamination Caused by COVID-19 Patients: a Multi-Center Study.

Auteurs : Uh Jin Kim [Corée du Sud] ; Seung Yeob Lee [Corée du Sud] ; Ji Yeon Lee [Corée du Sud] ; Ahrang Lee [Corée du Sud] ; Seung Eun Kim [Corée du Sud] ; Ok Ja Choi [Corée du Sud] ; Ji Suk Lee [Corée du Sud] ; Seung Jung Kee [Corée du Sud] ; Hee Chang Jang [Corée du Sud]

Source :

RBID : pubmed:32959546

Descripteurs français

English descriptors

Abstract

BACKGROUND

The purpose of this study was to determine the extent of air and surface contamination of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in four health care facilities with hospitalized coronavirus disease 2019 (COVID-19) patients.

METHODS

We investigated air and environmental contamination in the rooms of eight COVID-19 patients in four hospitals. Some patients were in negative-pressure rooms, and others were not. None had undergone aerosol-generating procedures. On days 0, 3, 5, and 7 of hospitalization, the surfaces in the rooms and anterooms were swabbed, and air samples were collected 2 m from the patient and from the anterooms.

RESULTS

All 52 air samples were negative for SARS-CoV-2 RNA. Widespread surface contamination of SARS-CoV-2 RNA was observed. In total, 89 of 320 (27%) environmental surface samples were positive for SARS-CoV-2 RNA. Surface contamination of SARS-CoV-2 RNA was common in rooms without surface disinfection and in rooms sprayed with disinfectant twice a day. However, SARS-CoV-2 RNA was not detected in a room cleaned with disinfectant wipes on a regular basis.

CONCLUSION

Our data suggest that remote (> 2 m) airborne transmission of SARS-CoV-2 from hospitalized COVID-19 patients is uncommon when aerosol-generating procedures have not been performed. Surface contamination was widespread, except in a room routinely cleaned with disinfectant wipes.


DOI: 10.3346/jkms.2020.35.e332
PubMed: 32959546
PubMed Central: PMC7505729


Affiliations:


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Le document en format XML

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<term>Aged, 80 and over (MeSH)</term>
<term>Air (MeSH)</term>
<term>Air Microbiology (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>China (MeSH)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Disinfection (MeSH)</term>
<term>Environmental Exposure (MeSH)</term>
<term>Equipment Contamination (MeSH)</term>
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<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
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<term>Chambre de patient (MeSH)</term>
<term>Chine (MeSH)</term>
<term>Contamination de matériel (MeSH)</term>
<term>Désinfection (MeSH)</term>
<term>Exposition environnementale (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hôpitaux (MeSH)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Jeune adulte (MeSH)</term>
<term>Microbiologie de l'air (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Sujet âgé (MeSH)</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Air</term>
<term>Air Microbiology</term>
<term>Betacoronavirus</term>
<term>Disinfection</term>
<term>Environmental Exposure</term>
<term>Equipment Contamination</term>
<term>Female</term>
<term>Hospitals</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Patients' Rooms</term>
<term>Time Factors</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Air</term>
<term>Aérosols</term>
<term>Betacoronavirus</term>
<term>Chambre de patient</term>
<term>Chine</term>
<term>Contamination de matériel</term>
<term>Désinfection</term>
<term>Exposition environnementale</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hôpitaux</term>
<term>Infections à coronavirus</term>
<term>Jeune adulte</term>
<term>Microbiologie de l'air</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
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<b>BACKGROUND</b>
</p>
<p>The purpose of this study was to determine the extent of air and surface contamination of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in four health care facilities with hospitalized coronavirus disease 2019 (COVID-19) patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We investigated air and environmental contamination in the rooms of eight COVID-19 patients in four hospitals. Some patients were in negative-pressure rooms, and others were not. None had undergone aerosol-generating procedures. On days 0, 3, 5, and 7 of hospitalization, the surfaces in the rooms and anterooms were swabbed, and air samples were collected 2 m from the patient and from the anterooms.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>All 52 air samples were negative for SARS-CoV-2 RNA. Widespread surface contamination of SARS-CoV-2 RNA was observed. In total, 89 of 320 (27%) environmental surface samples were positive for SARS-CoV-2 RNA. Surface contamination of SARS-CoV-2 RNA was common in rooms without surface disinfection and in rooms sprayed with disinfectant twice a day. However, SARS-CoV-2 RNA was not detected in a room cleaned with disinfectant wipes on a regular basis.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Our data suggest that remote (> 2 m) airborne transmission of SARS-CoV-2 from hospitalized COVID-19 patients is uncommon when aerosol-generating procedures have not been performed. Surface contamination was widespread, except in a room routinely cleaned with disinfectant wipes.</p>
</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The purpose of this study was to determine the extent of air and surface contamination of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in four health care facilities with hospitalized coronavirus disease 2019 (COVID-19) patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We investigated air and environmental contamination in the rooms of eight COVID-19 patients in four hospitals. Some patients were in negative-pressure rooms, and others were not. None had undergone aerosol-generating procedures. On days 0, 3, 5, and 7 of hospitalization, the surfaces in the rooms and anterooms were swabbed, and air samples were collected 2 m from the patient and from the anterooms.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All 52 air samples were negative for SARS-CoV-2 RNA. Widespread surface contamination of SARS-CoV-2 RNA was observed. In total, 89 of 320 (27%) environmental surface samples were positive for SARS-CoV-2 RNA. Surface contamination of SARS-CoV-2 RNA was common in rooms without surface disinfection and in rooms sprayed with disinfectant twice a day. However, SARS-CoV-2 RNA was not detected in a room cleaned with disinfectant wipes on a regular basis.</AbstractText>
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<Affiliation>Department of Infectious Diseases, Chonnam National University Medical School, Gwangju, Korea.</Affiliation>
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<Affiliation>Department of Infectious Diseases, Chonnam National University Medical School, Gwangju, Korea. haroc153@naver.com.</Affiliation>
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<Agency>Chonnam National University Hwasun Hospital</Agency>
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<Year>2020</Year>
<Month>09</Month>
<Day>21</Day>
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<MedlineTA>J Korean Med Sci</MedlineTA>
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<Keyword MajorTopicYN="N">SARS-CoV-2</Keyword>
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<CoiStatement>The authors have no potential conflicts of interest to disclose.</CoiStatement>
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<Reference>
<Citation>Emerg Infect Dis. 2020 Jul;26(7):1583-1591</Citation>
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<ArticleId IdType="pubmed">32275497</ArticleId>
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</Reference>
<Reference>
<Citation>Nature. 2020 Jun;582(7813):557-560</Citation>
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<ArticleId IdType="pubmed">32340022</ArticleId>
</ArticleIdList>
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<Reference>
<Citation>Infect Control Hosp Epidemiol. 2020 Jun 08;:1-8</Citation>
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<ArticleId IdType="pubmed">32507114</ArticleId>
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<Reference>
<Citation>Int J Environ Res Public Health. 2020 Apr 23;17(8):</Citation>
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<ArticleId IdType="pubmed">32340347</ArticleId>
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</Reference>
<Reference>
<Citation>J Travel Med. 2020 Mar 13;27(2):</Citation>
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<ArticleId IdType="pubmed">32052846</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>JAMA. 2020 Apr 28;323(16):1610-1612</Citation>
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<ArticleId IdType="pubmed">32129805</ArticleId>
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</Reference>
<Reference>
<Citation>Nat Commun. 2020 May 29;11(1):2800</Citation>
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<ArticleId IdType="pubmed">32472043</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>N Engl J Med. 2020 Apr 16;382(16):1564-1567</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">32182409</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>J Infect Dis. 2020 Apr 16;:</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">32301491</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Ann Intern Med. 2020 Aug 4;173(3):240-242</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">32236490</ArticleId>
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<li>Corée du Sud</li>
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<name sortKey="Kim, Uh Jin" sort="Kim, Uh Jin" uniqKey="Kim U" first="Uh Jin" last="Kim">Uh Jin Kim</name>
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<name sortKey="Choi, Ok Ja" sort="Choi, Ok Ja" uniqKey="Choi O" first="Ok Ja" last="Choi">Ok Ja Choi</name>
<name sortKey="Jang, Hee Chang" sort="Jang, Hee Chang" uniqKey="Jang H" first="Hee Chang" last="Jang">Hee Chang Jang</name>
<name sortKey="Kee, Seung Jung" sort="Kee, Seung Jung" uniqKey="Kee S" first="Seung Jung" last="Kee">Seung Jung Kee</name>
<name sortKey="Kim, Seung Eun" sort="Kim, Seung Eun" uniqKey="Kim S" first="Seung Eun" last="Kim">Seung Eun Kim</name>
<name sortKey="Lee, Ahrang" sort="Lee, Ahrang" uniqKey="Lee A" first="Ahrang" last="Lee">Ahrang Lee</name>
<name sortKey="Lee, Ji Suk" sort="Lee, Ji Suk" uniqKey="Lee J" first="Ji Suk" last="Lee">Ji Suk Lee</name>
<name sortKey="Lee, Ji Yeon" sort="Lee, Ji Yeon" uniqKey="Lee J" first="Ji Yeon" last="Lee">Ji Yeon Lee</name>
<name sortKey="Lee, Seung Yeob" sort="Lee, Seung Yeob" uniqKey="Lee S" first="Seung Yeob" last="Lee">Seung Yeob Lee</name>
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