Inpatient psychiatry response to the SARS-CoV-2 Omicron variant surge

Russ, Mark J.; Sombrotto, Lisa B.; Brody, Benjamin D.

doi:10.1016/j.psychres.2022.114746

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…Our findings that asymptomatic testing is likely an effective tool to mitigate the risk of transmission in inpatient psychiatric settings when incorporated as part of a comprehensive and risk-oriented prevention program is consistent with previous studies. 8 , 16 , 17 , 18 Uniquely, our study describes in detail the ways in which asymptomatic (and symptomatic transmission risk was identified.…”

Section: Discussionmentioning

confidence: 99%

A retrospective review of COVID-19 testing and mitigation strategies at a psychiatric hospital and subsequent COVID-19 acquisition

Klousnitzer¹,

Tatar²,

Snyder³

2023

American Journal of Infection Control

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Section: Discussionmentioning

confidence: 99%

A retrospective review of COVID-19 testing and mitigation strategies at a psychiatric hospital and subsequent COVID-19 acquisition

Klousnitzer¹,

Tatar²,

Snyder³

2023

American Journal of Infection Control

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“… 15 In 1 psychiatric hospital alone, 62% of all psychiatric units closed at the beginning of the Omicron surge as opposed to 38% during the Delta variant surge. 16 …”

Section: Introductionmentioning

confidence: 99%

“…15 In 1 psychiatric hospital alone, 62% of all psychiatric units closed at the beginning of the Omicron surge as opposed to 38% during the Delta variant surge. 16 During the Omicron surge in Chicago, Illinois, an outbreak occurred in the BHU at Northwestern Memorial Hospital (NMH), affecting both inpatients and HCWs. We established an outbreak investigation with 3 objectives: (1) to describe the outbreak and the COVID-19 mitigation measures implemented in regard to the BHU-specific physical infrastructure and standard of care, (2) to use molecular epidemiology and viral whole-genome sequencing (WGS) to elucidate SARS-CoV-2 transmission patterns within the BHU, and (3) to identify areas of improvement for future outbreak control plans in psychiatric care units.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 outbreak and genomic investigation in an inpatient behavioral health unit

Rios-Guzman,

Stancovici,

Simons

et al. 2024

ASHE

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Background: Inpatient behavioral health units (BHUs) had unique challenges in implementing interventions to mitigate coronavirus disease 2019 (COVID-19) transmission, in part due to socialization in BHU settings. The objective of this study was to identify the transmission routes and the efficacy of the mitigation strategies employed during a COVID-19 outbreak in an inpatient BHU during the Omicron surge from December 2021 to January 2022. Methods: An outbreak investigation was performed after identifying 2 COVID-19-positive BHU inpatients on December 16 and 20, 2021. Mitigation measures involved weekly point prevalence testing for all inpatients, healthcare workers (HCWs), and staff, followed by infection prevention mitigation measures and molecular surveillance. Whole-genome sequencing on a subset of COVID-19-positive individuals was performed to identify the outbreak source. Finally, an outbreak control sustainability plan was formulated for future BHU outbreak resurgences. Results: We identified 35 HCWs and 8 inpatients who tested positive in the BHU between December 16, 2021, and January 17, 2022. We generated severe acute respiratory coronavirus virus 2 (SARS-CoV-2) genomes from 15 HCWs and all inpatients. Phylogenetic analyses revealed 3 distinct but genetically related clusters: (1) an HCW and inpatient outbreak likely initiated by staff, (2) an HCW and inpatient outbreak likely initiated by an inpatient visitor, and (3) an HCW-only cluster initiated by staff. Conclusions: Distinct transmission clusters are consistent with multiple, independent SARS-CoV-2 introductions with further inpatient transmission occurring in communal settings. The implemented outbreak control plan comprised of enhanced personal protective equipment requirements, limited socialization, and molecular surveillance likely minimized disruptions to patient care as a model for future pandemics.

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Inpatient psychiatry response to the SARS-CoV-2 Omicron variant surge

Cited by 2 publications

References 6 publications

A retrospective review of COVID-19 testing and mitigation strategies at a psychiatric hospital and subsequent COVID-19 acquisition

A retrospective review of COVID-19 testing and mitigation strategies at a psychiatric hospital and subsequent COVID-19 acquisition

COVID-19 outbreak and genomic investigation in an inpatient behavioral health unit

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