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Tag: health care setting
February 24, 2021
Invasive Pulmonary Aspergillosis in COVID-19 Critically Ill Patients: Results of a French Monocentric Cohort
The prevalence of invasive pulmonary aspergillosis (IPA) was not higher for mechanically ventilated COVID-19 patients compared to what has been described in other populations with acute respiratory distress syndrome (ARDS), according to a retrospective cohort study. The prevalence of IPA among non-immunocompromised patients in this cohort (n=52 patients) was 3.7%. Most (71%) of the patients…
February 9, 2021
A SARS-CoV-2 Cluster in an Acute Care Hospital
Despite mature infection control policies, a cluster of SARS-CoV-2 infections among 14 patients and 38 staff members at Brigham and Women’s Hospital in Boston was confirmed using whole-genome sequencing. The index patient was admitted for an elective procedure and tested PCR-negative twice, then was removed from isolation and subsequently infected roommates and staff in the…
February 1, 2021
Quantification of Occupational and Community Risk Factors for SARS-CoV-2 Seropositivity Among Health Care Workers in a Large U.S. Health Care System
Adjusted SARS-CoV-2 seropositivity was estimated to be 3.8% among healthcare workers (n=10,275) at a large Atlanta health care center who participated in a survey from April-June 2020. Odds of infection were higher among those with community contact with a person known or suspected to have COVID-19 (aOR = 1.9), community COVID-19 incidence (aOR = 1.5),…
January 29, 2021
Outcomes of COVID-19 Among Hospitalized Health Care Workers in North America
Health care workers (HCWs) hospitalized with COVID-19 were less likely to require admission to an intensive care unit (aOR, 0.6; 95% CI, 0.3-0.9) and less likely to be admitted for 7 days or longer (aOR, 0.5; 95% CI, 0.3-0.8) when compared to matched non-healthcare workers in a retrospective, observational cohort involving 36 North American centers….
January 20, 2021
Association of Intensive Care Unit Patient Load and Demand With Mortality Rates in US Department of Veterans Affairs Hospitals During the COVID-19 Pandemic
Periods of increased ICU demand were associated with increased COVID-19 mortality in a cohort of 8,516 patients admitted to Veteran’s hospitals. Compared to periods of low ICU demand (<25%), the adjusted hazard ratio for all-cause mortality was 0.99 for patients treated when COVID-19 ICU demand was 25%-50%, 1.19 when demand was 50%-75%, and 1.94 when…
January 12, 2021
The Burden of the Pandemic on the Non-SARS-CoV-2 Emergencies: A Multicenter Study
A decrease in total weekly emergency medical visits was observed following social distancing mandates in Sao Paolo, Brazil in March 2020. While emergency medical visits due to trauma, abdominal plain, chest pain, and the common cold saw a decrease, emergency medical visits due to other conditions such as acute appendicitis, acute myocardial infarction, and stroke…
January 8, 2021
Candida Auris Outbreak in a COVID-19 Specialty Care Unit — Florida, July–August 2020
A dedicated COVID-19 specialty care unit at an acute care hospital in Florida reported four fungal infections with Candida auris, which is often resistant to several anti-fungal medications, in July 2020. An additional 35 patients were found to be colonized with C. auris during testing between August 4 and 18. During that time, investigators observed…
January 6, 2021
Risk Factors for Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Hospital Workers: Results From a Screening Study in New Jersey, United States in Spring 2020
A study of SARS-CoV-2 seroprevalence in hospital workers in New Jersey found that healthcare workers at highest risk for infection included support staff and people from underrepresented minority populations, with and without patient care responsibilities. The proportion of participants testing positive was highest for phlebotomists (23.9%), maintenance/housekeeping (17.3%), dining/food services (16.9%), and interpersonal/support roles (13.7%)…
January 5, 2021
A National US Survey of Pediatric Emergency Department Coronavirus Pandemic Preparedness
Pediatric emergency departments (PEDs) experienced decreases of non-COVID-19 patients and implemented modifications to staffing, workflow and clinical practice. According to a survey of 25 departments, 60% had COVID-19-dedicated units and 32% modified their pediatric patient age to include adults. All PEDs changed their staffing model, with 80% of PEDs implementing changes affecting physicians. 62% reported…
December 30, 2020
COVID‐19 Infection Prevention and Control Adherence in Long‐term Care Facilities, Atlanta, Georgia
Long-term care facilities (LTCF) with greater implementation of infection prevention and control (IPC) had a lower prevalence of COVID-19, according to analysis of 24 facilities in Fulton County, GA. Specifically, significant differences were observed in prevalence of implementation of IPCs belonging to the social distancing category (high prevalence LTCF, 54% vs low prevalence LTCFs, 74%)…
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