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Factors preventing nosocomial outbreak following a single case of COVID-19 diagnosed during hospitalization: A retrospective review

Published online by Cambridge University Press:  10 January 2022

Ho Kee Yum
Affiliation:
Department of Respiratory and Critical Care Medicine, Inje University Seoul Paik Hospital, Seoul, Korea
I-Nae Park*
Affiliation:
Department of Respiratory and Critical Care Medicine, Inje University Seoul Paik Hospital, Seoul, Korea
*
* Corresponding author: I-Nae Park; E-mail: eanee@hanmail.net
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Abstract

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Objective:

Our hospital experienced a hospital shutdown and quarantine for two weeks after one case of COVID-19 was diagnosed during hospitalization. We analyzed the reopening process following hospital closure and possible factors that prevented hospital spread.

Methods:

We retrospectively reviewed the confirmed patient’s medical records and results of epidemiological survey available from the infection control team of our hospital.

Results:

A total of 117 hospital staff members were tested, 26 of whom were self-isolated. Of the 54 inpatients tested, 28 on the same floor and two close contacts in the endoscopic room were quarantined in a single room. Finally, all quarantined hospital staff, inpatients and outpatients were tested for COVID-19 on the 14th day of close contact. The results were all negative, and the hospital work completely resumed.

Conclusion:

Although closing and isolating the hospital appeared to have played a useful role in preventing the spread of COVID-19 inside the hospital and to the local community, it is still debated whether or not the duration of hospital closure or quarantine was appropriate. The lessons from the two-week hospital closure suggest that wearing a mask, hand hygiene and the ward environment are important factors in preventing nosocomial outbreaks of COVID-19.

Type
Original Research
Copyright
© 2022 Society for Disaster Medicine and Public Health, Inc.
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