Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers

Höring, Steffen; Fussen, René; Neusser, Johannes; Kleines, Michael; Laurentius, Thea; Bollheimer, Leo Cornelius; Keller, Doris; Lemmen, Sebastian

doi:10.1007/s42399-020-00597-2

Cited by 14 publications

(19 citation statements)

References 9 publications

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“…Some recommendations for tailored NPPIs to maximize efforts to prevent HAIs were noted from the reviewed studies and could be adopted across the globe. These include the following: In all healthcare settings, adherence to strict spatial separation of patient beds and frequent intensified training of healthcare workers are recommended alongside the standard recommended prevention procedures [44]. Cleaning of touch surfaces was suggested to be as frequent as every two hours in order to be effective [45].…”

Section: Recommendations For Preventing Super-spreading Covid-19 In H...mentioning

confidence: 99%

Hospital acquired COVID-19 infections amongst patients before the rollout of COVID-19 vaccinations, a scoping review

et al. 2022

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Background Hospital settings are at increased risk of spreading Coronavirus Disease 2019 (COVID-19) infections, hence non-pharmaceutical prevention interventions (NPPIs) and prioritized vaccination of healthcare workers and resident patients are critical. The status of COVID-19 hospital acquired infections (HAIs) in low-income settings is unclear. We aimed to identify and summarize the existing evidence on COVID-19 HAIs amongst patients, prior to the rollout of vaccines in countries worldwide. Methods We conducted a scoping review of English peer-reviewed literature in PubMed, Web of Science and Scopus using a combination of selected search terms. Full texts articles presenting results on COVID-19 HAIs in hospitalised patients before the rollout of vaccines in countries worldwide were eligible. Data extracted from eligible articles included estimates of COVID-19 HAIs, country, and type of hospital setting, and was summarized narratively. Quality assessment of included articles was not possible. Results Literature searches generated a total of 5920 articles, and 45 were eligible for analysis. Eligible articles were from Europe, North America, Asia, and Brazil and none were from low-income countries. The proportion of COVID-19 HAIs ranged from 0% when strict NPPIs were applied, to 65% otherwise. The estimates of COVID-19 HAIs did not differ by country but were lower in studies conducted after implementation of NPPIs and in specialized hospital settings for operative surgery. Studies conducted before the implementation of NPPIs or in long-term care and psychiatric wards often reported high estimates of HAI. Although there was no clear trend in general wards, those situated in academic hospitals managed to reduce HAI rates under strict NPPI protocols. Operative surgery settings, unlike psychiatric settings, effectively prevented COVID-19 HAI using tailored NPPIs. Conclusion The available evidence shows a high risk of COVID-19 HAIs, the feasibility of preventing HAIs in different healthcare settings and the importance of appropriately tailored NPPIs. There were no data from low-income settings, therefore, it is unclear whether the reported NPPI approaches could be equally effective elsewhere. We recommend routine monitoring of COVID-19 HAIs in countries with low vaccination coverage, to identify and close gaps in NPPIs and understand gains made from vaccinating healthcare workers and hospitalized patients.

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Section: Recommendations For Preventing Super-spreading Covid-19 In H...mentioning

confidence: 99%

Hospital acquired COVID-19 infections amongst patients before the rollout of COVID-19 vaccinations, a scoping review

et al. 2022

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“…In the case of Hospitals A and B, it was noted that increased fatigue from heavy pressure to perform strict IPC allowed the virus to enter the wards. It was also observed that the infection was acquired in nonclinical settings (i.e., by crossing the lines of traffic between staff, and by conversations in changing rooms and cafeterias without wearing masks or not keeping enough distance) [ 2 , 40 , 44 ]. In Hospital C, it was pointed out that staff may have brought the virus in from outside.…”

Section: Discussionmentioning

confidence: 99%

Overcoming Current and Preventing Future Nosocomial Outbreaks during the COVID-19 Pandemic: Lessons Learned at Three Hospitals in Japan

Komasawa

Aung

Saito

et al. 2021

IJERPH

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Hospitals are increasingly challenged by nosocomial infection (NI) outbreaks during the ongoing coronavirus disease 2019 (COVID-19) pandemic. Although standardized guidelines and manuals regarding infection prevention and control (IPC) measures are available worldwide, case-studies conducted at specified hospitals that are required to cope with real settings are limited. In this study, we analyzed three hospitals in Japan where large-scale NI outbreaks occurred for hints on how to prevent NI outbreaks. We reviewed openly available information from each hospital and analyzed it applying a three domain framework: operation management; identification of infection status; and infection control measures. We learned that despite having authorized infection control teams and using existing standardized IPC measures, SARS-CoV-2 may still enter hospitals. Early detection of suspected cases and confirmation by PCR test, carefully dealing with staff-to-staff transmission were the most essential factors to prevent NI outbreaks. It was also suggested that ordinary training on IPC for staff does not always provide enough practical knowledge and skills; in such cases external technical and operational supports are crucial. It is expected that our results will provide insights into preventing NI outbreaks of COVID-19, and contribute to mitigate the damage to health care delivery systems in various countries.

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“…At the beginning of the Covid19 pandemic, patient care in hospitals jumped drastically, causing hospitals to be filled with patients infected with Covid19. Since the emergence of the virus, the handling of Covid19 in hospitals has become stricter, as demonstrated in April 2020, where one of the hospitals in Germany screened patients and workers, formed an infection control team, carried out patient separation and conducted hygiene training for health workers (2). The treatment of Covid19 in hospitals, as recommended by the World Health Organization (WHO), is through screening and triage for patients suspected of Covid19, the use of PPE (Personal Protective Equipment) for health workers as well as training, the implementation of disinfection and environmental sanitation in hospitals, waste management and separation of infected and uninfected patients (3).…”

Section: Introductionmentioning

confidence: 99%

Implementation of Environmental Sanitation and Disinfection in Hospitals to Reduce the Spread of Covid19: A Literature Review

Anggraini

Lestari

2022

JKL

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Introduction: SARS-CoV-2 is a new variant of virus that attacks the human respiratory tract which was declared by WHO as a Covid19 pandemic. Covid19 transmission through solid surfaces, air, and waste occurring in hospital areas require disinfection and sanitation monitoring to ensure that new clusters are not created and outpatients are not infected with the SARS-CoV-2 virus in hospitals. Discussion: Using literature review method, 11 relevant articles that meet the inclusion criteria were selected. In the results of the study, there was a collection of samples in the solid surfaces, air and waste in both medical and non-medical areas containing SARS-CoV-2 RNA. The common objects where SARS-CoV-2 was discovered include doorknobs, toilet bowls, toilet flush buttons, and medical devices. In non-medical areas, the objects include computer keyboards, mice, and monitors. Chlorine-based disinfection for surfaces, monitoring in environmental sanitation by changing pillow and bedsheets and cleaning tables regularly were subsequently implemented. Conclusion: The implementation of environmental sanitation and disinfection is effective in eliminating the SARS-CoV-2 virus in hospitals. Studies indicated that disinfection is 95% to 99.99% effective in eliminating the SARS-CoV-2 virus. In addition, the SARS-CoV-2 virus was not discovered in isolation rooms but was located in other public hospital areas.

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Management of a Hospital-Wide COVID-19 Outbreak Affecting Patients and Healthcare Workers

Cited by 14 publications

References 9 publications

Hospital acquired COVID-19 infections amongst patients before the rollout of COVID-19 vaccinations, a scoping review

Hospital acquired COVID-19 infections amongst patients before the rollout of COVID-19 vaccinations, a scoping review

Overcoming Current and Preventing Future Nosocomial Outbreaks during the COVID-19 Pandemic: Lessons Learned at Three Hospitals in Japan

Implementation of Environmental Sanitation and Disinfection in Hospitals to Reduce the Spread of Covid19: A Literature Review

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