SrasV1, Ncbi, Merge, bibRecord, 003B16

Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.

Identifieur interne : 003B16 ( Ncbi/Merge ); précédent : 003B15; suivant : 003B17

Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.

Auteurs : Amy Heinzerling ; Matthew J. Stuckey ; Tara Scheuer ; Kerui Xu ; Kiran M. Perkins ; Heather Resseger ; Shelley Magill ; Jennifer R. Verani ; Seema Jain ; Meileen Acosta ; Erin Epson

Source :

MMWR. Morbidity and mortality weekly report [ 1545-861X ] ; 2020.

RBID : pubmed:32298249

Descripteurs français

English descriptors

KwdEn :
- Adult, Betacoronavirus (isolation & purification), California (epidemiology), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Female, Hospitalization, Humans, Infectious Disease Transmission, Patient-to-Professional, Male, Middle Aged, Occupational Exposure, Pandemics, Personal Protective Equipment (statistics & numerical data), Personnel, Hospital (statistics & numerical data), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (transmission), Risk Assessment.
MESH :
- geographic , epidemiology : California.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- statistics & numerical data : Personal Protective Equipment, Personnel, Hospital.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Adult, Female, Hospitalization, Humans, Infectious Disease Transmission, Patient-to-Professional, Male, Middle Aged, Occupational Exposure, Pandemics, Risk Assessment.

Abstract

On February 26, 2020, the first U.S. case of community-acquired coronavirus disease 2019 (COVID-19) was confirmed in a patient hospitalized in Solano County, California (1). The patient was initially evaluated at hospital A on February 15; at that time, COVID-19 was not suspected, as the patient denied travel or contact with symptomatic persons. During a 4-day hospitalization, the patient was managed with standard precautions and underwent multiple aerosol-generating procedures (AGPs), including nebulizer treatments, bilevel positive airway pressure (BiPAP) ventilation, endotracheal intubation, and bronchoscopy. Several days after the patient's transfer to hospital B, a real-time reverse transcription-polymerase chain reaction (real-time RT-PCR) test for SARS-CoV-2 returned positive. Among 121 hospital A health care personnel (HCP) who were exposed to the patient, 43 (35.5%) developed symptoms during the 14 days after exposure and were tested for SARS-CoV-2; three had positive test results and were among the first known cases of probable occupational transmission of SARS-CoV-2 to HCP in the United States. Little is known about specific risk factors for SARS-CoV-2 transmission in health care settings. To better characterize and compare exposures among HCP who did and did not develop COVID-19, standardized interviews were conducted with 37 hospital A HCP who were tested for SARS-CoV-2, including the three who had positive test results. Performing physical examinations and exposure to the patient during nebulizer treatments were more common among HCP with laboratory-confirmed COVID-19 than among those without COVID-19; HCP with COVID-19 also had exposures of longer duration to the patient. Because transmission-based precautions were not in use, no HCP wore personal protective equipment (PPE) recommended for COVID-19 patient care during contact with the index patient. Health care facilities should emphasize early recognition and isolation of patients with possible COVID-19 and use of recommended PPE to minimize unprotected, high-risk HCP exposures and protect the health care workforce.

DOI: 10.15585/mmwr.mm6915e5
PubMed: 32298249

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Le document en format XML

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<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (transmission)</term>
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<term>Infections à coronavirus (épidémiologie)</term>
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<term>Pneumopathie virale (épidémiologie)</term>
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<front><div type="abstract" xml:lang="en">On February 26, 2020, the first U.S. case of community-acquired coronavirus disease 2019 (COVID-19) was confirmed in a patient hospitalized in Solano County, California (1). The patient was initially evaluated at hospital A on February 15; at that time, COVID-19 was not suspected, as the patient denied travel or contact with symptomatic persons. During a 4-day hospitalization, the patient was managed with standard precautions and underwent multiple aerosol-generating procedures (AGPs), including nebulizer treatments, bilevel positive airway pressure (BiPAP) ventilation, endotracheal intubation, and bronchoscopy. Several days after the patient's transfer to hospital B, a real-time reverse transcription-polymerase chain reaction (real-time RT-PCR) test for SARS-CoV-2 returned positive. Among 121 hospital A health care personnel (HCP) who were exposed to the patient, 43 (35.5%) developed symptoms during the 14 days after exposure and were tested for SARS-CoV-2; three had positive test results and were among the first known cases of probable occupational transmission of SARS-CoV-2 to HCP in the United States. Little is known about specific risk factors for SARS-CoV-2 transmission in health care settings. To better characterize and compare exposures among HCP who did and did not develop COVID-19, standardized interviews were conducted with 37 hospital A HCP who were tested for SARS-CoV-2, including the three who had positive test results. Performing physical examinations and exposure to the patient during nebulizer treatments were more common among HCP with laboratory-confirmed COVID-19 than among those without COVID-19; HCP with COVID-19 also had exposures of longer duration to the patient. Because transmission-based precautions were not in use, no HCP wore personal protective equipment (PPE) recommended for COVID-19 patient care during contact with the index patient. Health care facilities should emphasize early recognition and isolation of patients with possible COVID-19 and use of recommended PPE to minimize unprotected, high-risk HCP exposures and protect the health care workforce.</div>
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<tree><noCountry><name sortKey="Acosta, Meileen" sort="Acosta, Meileen" uniqKey="Acosta M" first="Meileen" last="Acosta">Meileen Acosta</name>
<name sortKey="Epson, Erin" sort="Epson, Erin" uniqKey="Epson E" first="Erin" last="Epson">Erin Epson</name>
<name sortKey="Heinzerling, Amy" sort="Heinzerling, Amy" uniqKey="Heinzerling A" first="Amy" last="Heinzerling">Amy Heinzerling</name>
<name sortKey="Jain, Seema" sort="Jain, Seema" uniqKey="Jain S" first="Seema" last="Jain">Seema Jain</name>
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<name sortKey="Resseger, Heather" sort="Resseger, Heather" uniqKey="Resseger H" first="Heather" last="Resseger">Heather Resseger</name>
<name sortKey="Scheuer, Tara" sort="Scheuer, Tara" uniqKey="Scheuer T" first="Tara" last="Scheuer">Tara Scheuer</name>
<name sortKey="Stuckey, Matthew J" sort="Stuckey, Matthew J" uniqKey="Stuckey M" first="Matthew J" last="Stuckey">Matthew J. Stuckey</name>
<name sortKey="Verani, Jennifer R" sort="Verani, Jennifer R" uniqKey="Verani J" first="Jennifer R" last="Verani">Jennifer R. Verani</name>
<name sortKey="Xu, Kerui" sort="Xu, Kerui" uniqKey="Xu K" first="Kerui" last="Xu">Kerui Xu</name>
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   |type=    RBID
   |clé=     pubmed:32298249
   |texte=   Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.
}}

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HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i   -Sk "pubmed:32298249" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd   \
       | NlmPubMed2Wicri -a SrasV1

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Data generation: Tue Apr 28 14:49:16 2020. Site generation: Sat Mar 27 22:06:49 2021

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Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.

Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.

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