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Tag: health care setting
November 19, 2020
Low Incidence of Airborne SARS-CoV-2 in Acute Care Hospital Rooms with Optimized Ventilation
Out of 100 air samples collected over 2 months in acute care hospital rooms hosting COVID-19 patients, 11 samples were confirmed positive via PCR and 0 samples were infectious via viral cultures. No correlation between patient clinical characteristics (e.g., length of hospital stay) and detection of airborne viral RNA was observed. Dumont-Leblond et al. (Nov…
November 18, 2020
Prevalence of SARS-CoV-2 Infection in Previously Undiagnosed Health Care Workers in New Jersey, at the Onset of the U.S. COVID-19 Pandemic
In the early phase of the COVID-19 pandemic, non-ICU healthcare workers had higher rates of SARS-CoV2 when compared to the general population. A cross-sectional study conducted in a university and two affiliated university hospitals in New Jersey found that healthcare workers had a higher rate of SARS-CoV-2 seropositivity when compared to non-healthcare workers (40/546 [7.3%]…
November 16, 2020
Critical Care Workers Have Lower Seroprevalence of SARS-CoV-2 IgG Compared with Non-Patient Facing Staff in First Wave of COVID19
[Pre-print, not peer-reviewed] Loss of smell was a reliable predictor of SARS-CoV-2 seropositivity in a study that screened over 500 healthcare workers at a regional critical care center in the UK. While 45% of participants reported symptoms potentially consistent with COVID-19, the overall seroprevalence was 14%. There was a significant difference in seropositivity between staff…
November 13, 2020
Nothing Much Has Changed: COVID‐19 Nursing Home Cases and Deaths Follow Fall Surges
Surges in nursing home-associated SARS-CoV-2 infections occurred in hotspot states during the end of October. Data were collected from 778 facilities in Idaho, Montana, North and South Dakota, Utah, and Wisconsin regarding community spread, testing, and PPE and staffing shortages. Across the six states, weekly cases among staff members tripled from September to October and…
November 10, 2020
Association Between Nursing Home Crowding and COVID-19 Infection and Mortality in Ontario, Canada
Among 618 nursing homes in Canada, those that were crowded were more likely to experience COVID-19 outbreaks with worse outcomes. Nursing homes were classified according to a crowding index defined as themean number of residents per bedroom and bathroom. While the likelihood of SARS-CoV-2 introduction did not differ between homes with a low or high…
November 9, 2020
US Clinicians’ Experiences and Perspectives on Resource Limitation and Patient Care During the COVID-19 Pandemic
A qualitative study with 61 clinicians involved in institutional planning during the COVID-19 pandemic in the US between April-May 2020 described their experience providing care in settings with limited resources. While clinician leaders planned to avoid decision-making at bedside, unanticipated forms of resource limitations could compromise care and require difficult allocation decisions. The need to…
Containment of a COVID-19 Outbreak in an Inpatient Geriatric Psychiatry Unit
An inpatient geriatric psychiatry unit in King County, Washington reported a SARS-CoV-2 outbreak between March 11-18, 2020, with 9 inpatients and 7 staff members with confirmed SARS-CoV-2 infection. Enhanced infection prevention interventions and engagement of frontline psychiatric care staff following the outbreak effectively contained the outbreak, with no further patients and only one staff member…
November 6, 2020
Incidence of COVID-19 Virus Transmission in Three Dental Offices: A 6-Month Retrospective Study
There was no evidence for transmission of SARS-CoV2 in dental patients undergoing procedures in New York during a period that included the peak of the pandemic. A prospective study of dental patients (n =2,810) in New York treated in three different dental offices over a 6 months period of March 15-September 15 found that there…
COVID-19 Seropositivity and Asymptomatic Rates in Healthcare Workers Are Associated with Job Function and Masking.
A study of frontline healthcare workers in Michigan found that having direct contact with patients who were positive for SARS-CoV-2 increased the likelihood of seropositivity but masks were protective. Of those who reported direct contact with SARS-CoV-2-infected patients, seropositivity rates were 10% with an N95 mask, 13% with surgical mask, and 18% with no mask. Among…
November 2, 2020
Hospital and ICU Patient Volume per Physician at Peak of COVID Pandemic: State-Level Estimates
A study that used results from the Institute of Health Metrics and Evaluation model to estimate the number of hospitalized and ICU patients per physician expected at the peak of the pandemic in each state found that while most states should have sufficient physician capacity to handle the surge, some states in the Midwest will…
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