Incidence of Nosocomial COVID-19 in Patients Hospitalized at a Large US Academic Medical Center

Rhee, Chanu; Baker, Meghan A; Vaidya, Vineeta; Tucker, Robert; Resnick, Andrew S.; Morris, Charles A.; Klompas, Michael; Program, Cdc Prevention Epicenters

doi:10.1001/jamanetworkopen.2020.20498

Cited by 208 publications

(212 citation statements)

References 25 publications

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“…Recently, a large observational study including the analysis 9149 patients supported the findings of Sánchez et al ., 4 showing that hospital‐acquired SARS‐CoV‐2 infection is rare when proper infection control measures are implemented 5 . Similarly, Carter et al .…”

mentioning

confidence: 53%

Editorial Comment to Nosocomial SARS‐CoV‐2 infection in urology departments: Results of a prospective multicentric study

Puliatti

Eissa

2020

Int J of Urology

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mentioning

confidence: 53%

Editorial Comment to Nosocomial SARS‐CoV‐2 infection in urology departments: Results of a prospective multicentric study

Puliatti

Eissa

2020

Int J of Urology

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“…According to the meta-analysis by Zhou et al [ 15 ], the rate of HAIs (of inpatients) is 2% but the overall proportion of Coronavirus 2 infections contracted in hospitals (all cases, including healthcare personnel) is 44%. Notwithstanding, in other studies such as the one by Rhee et al [ 24 ], the incidence of hospital-acquired COVID-19 is low and negligible.…”

Section: Discussionmentioning

confidence: 77%

“…Rhee et al [ 24 ] analyzed hospital-acquired COVID-19 at a United States Academic Medical Center. According to the cohort study, “9149 inpatients were admitted to a large US academic medical center for a period of 12 weeks.…”

Section: Literature Datamentioning

confidence: 99%

Hospital-Acquired SARS-Cov-2 Infections in Patients: Inevitable Conditions or Medical Malpractice?

Barranco

Tremoul

Ventura

2021

IJERPH

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Despite numerous measures to contain the infection and limit its spread, cases of SARS-CoV-2 infections acquired in hospitals have been reported consistently. In this paper, we will address issues of hospital-acquired COVID-19 in hospitalized patients as well as medico-legal implications. After having conducted a literature search, we will report on papers on hospital-acquired SARS-CoV-2 infections. Ten scientific papers were selected and considered suitable for further analysis. According to several reports, the SARS-CoV-2 hospital-acquired infection rate is 12–15%. Hospital-acquired COVID-19 represents a serious public health issue, which is a problem that could create reluctance of patients to seek hospital treatment for fear of becoming infected. Healthcare personnel should do all that is necessary to address the problem and prevent further spreading, such as rigorous compliance with all procedures for containing the spread. From a medical-legal point of view, multiple aspects must be considered in order to understand whether the infection is a result of “malpractice” or an inevitable condition.

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“…Nosocomial acquisition of SARS-CoV-2 can vary widely from 1.7-44%; we report 0.77% in the present study based in our classi cation. 7,11 Multiple factors in uence these proportions such as personal protective equipment, mandatory masking and visitor restrictions, 14 among others. Although in our series multiple-bed rooms probably played a negative role for in-hospital dissemination of SARS-CoV-2 since 44.8% of Hospital acquired/Hospital onset cases shared a room with at least one breakthrough positive case.…”

Section: Discussionmentioning

confidence: 99%

Hospital-acquired COVID-19: a New Dilemma for the Infection Control Practitioner

Pérez-Alba

Nuzzolo-Shihadeh

Padilla-Orozco

et al. 2020

Preprint

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BackgroundPreliminary reports show that nosocomial SARS-CoV-2 infection is not associated with increased mortality compared with community acquired infection.MethodsRetrospective comparison of COVID-19 adult patients who were classified according to probable time of acquisition of SARS-CoV-2 and symptom onset. Data from hospitalized patients that were hospitalized in non-COVID-19 areas were reviewed.All patients were classified as community-acquired/Community-onset (CA-CO), Community- acquired/hospital-onset (CA-HO) and Hospital-acquired/Hospital-onset (HA-HO) cases. All patients without respiratory symptoms were tested on day one and if negative, hospitalized in non-COVID-19 areas.Results We identified 59 patients that fulfilled the definition of CA-HO or HA-HO COVID-19. Patients in the CA-CO group were less likely to have multiple comorbidities than the patients in the CA-HO and HA-HO groups. Mortality was lower in the CA-CO group (21.8%) compared to the other groups, although it did not reach statistical significance. DiscussionWe identified 9 clusters of HA-HO cases arising from multiple-bed rooms from the non-COVID-19 areas. There was no significant difference for HA-HO COVID-19 between patients placed in a common-room bed compared to patients placed on single bed rooms (p=.19). Nevertheless, the RR for HA-HO COVID-19 was 105 (95% CI 62.9 to 177.6) for patients treated in a common-room allocating another COVID-19-detected patient within the immediate 24 h time frame (P=<0.01).ConclusionHospital-acquired COVID-19 is newly described and poses a challenge for infection control. We identified small clusters related to multiple-bed rooms from non-COVID-19 hospitalization wards and propose a simple time-based classification for hospital surveillance and isolation precautions.

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Incidence of Nosocomial COVID-19 in Patients Hospitalized at a Large US Academic Medical Center

Abstract: This cohort study evaluates the incidence of nosocomial coronavirus disease 2019 (COVID-19) among patients admitted to a US medical center in the context of a comprehensive and progressive infection control program.

Cited by 208 publications

References 25 publications

Editorial Comment to Nosocomial SARS‐CoV‐2 infection in urology departments: Results of a prospective multicentric study

Editorial Comment to Nosocomial SARS‐CoV‐2 infection in urology departments: Results of a prospective multicentric study

Hospital-Acquired SARS-Cov-2 Infections in Patients: Inevitable Conditions or Medical Malpractice?

Hospital-acquired COVID-19: a New Dilemma for the Infection Control Practitioner

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