Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation
Investigate an outbreak of coronavirus disease 2019 (COVID-19) among operating room staff utilizing contact tracing, mass testing for severe acute respiratory coronavirus virus 2 (SARS-CoV-2), and environmental sampling. Outbreak investigation. University-affiliated tertiary-care referral center. Op...
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| Veröffentlicht in: | Infection control and hospital epidemiology 2022-03, Vol.43 (3), p.319-325 |
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| creator | McDougal, April N Elhassani, Dana DeMaet, Mary Ann Shores, Shirley Plante, Kenneth S Plante, Jessica A Pyles, Richard Weaver, Scott C Williams-Bouyer, Natalie Tyler, Brenda J Davis, Hollie R Patel, Janak |
| description | Investigate an outbreak of coronavirus disease 2019 (COVID-19) among operating room staff utilizing contact tracing, mass testing for severe acute respiratory coronavirus virus 2 (SARS-CoV-2), and environmental sampling.
Outbreak investigation.
University-affiliated tertiary-care referral center.
Operating room staff with positive SARS-CoV-2 molecular testing.
Epidemiologic and environmental investigations were conducted including contact tracing, environmental surveys, and sampling and review of the operating room schedule for staff-to-staff, staff-to-patient, and patient-to-staff SARS-CoV-2 transmission.
In total, 24 healthcare personnel (HCP) tested positive for SARS-CoV-2, including nurses (29%), surgical technologists (25%), and surgical residents (16%). Moreover, 19 HCP (79%) reported having used a communal area, most commonly break rooms (75%). Overall, 20 HCP (83%) reported symptomatic disease. In total, 72 environmental samples were collected from communal areas for SARS-CoV-2 genomic testing; none was positive. Furthermore, 236 surgical cases were reviewed for transmission: 213 (90%) had negative preoperative SARS-CoV-2 testing, 21 (9%) had a positive test on or before the date of surgery, and 2 ( |
| doi_str_mv | 10.1017/ice.2021.116 |
| format | Article |
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Outbreak investigation.
University-affiliated tertiary-care referral center.
Operating room staff with positive SARS-CoV-2 molecular testing.
Epidemiologic and environmental investigations were conducted including contact tracing, environmental surveys, and sampling and review of the operating room schedule for staff-to-staff, staff-to-patient, and patient-to-staff SARS-CoV-2 transmission.
In total, 24 healthcare personnel (HCP) tested positive for SARS-CoV-2, including nurses (29%), surgical technologists (25%), and surgical residents (16%). Moreover, 19 HCP (79%) reported having used a communal area, most commonly break rooms (75%). Overall, 20 HCP (83%) reported symptomatic disease. In total, 72 environmental samples were collected from communal areas for SARS-CoV-2 genomic testing; none was positive. Furthermore, 236 surgical cases were reviewed for transmission: 213 (90%) had negative preoperative SARS-CoV-2 testing, 21 (9%) had a positive test on or before the date of surgery, and 2 (<1%) did not have a preoperative test performed. In addition, 40 patients underwent postoperative testing (mean, 13 days to postoperative testing), and 2 returned positive results. Neither of these 2 cases was linked to our outbreak.
Complacency in infection control practices among staff during peak community transmission of SARS-CoV-2 is believed to have driven staff-to-staff transmission. Prompt identification of the outbreak led to rapid interventions, ultimately allowing for uninterrupted surgical service.</description><identifier>ISSN: 0899-823X</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/ice.2021.116</identifier><identifier>PMID: 33736732</identifier><language>eng</language><publisher>United States: Cambridge University Press</publisher><subject>Algorithms ; Contact tracing ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 Testing ; Disease control ; Disease Outbreaks ; Disease transmission ; Employees ; Environmental monitoring ; Environmental surveys ; Genomes ; Humans ; Infections ; Medical personnel ; Medical referrals ; Operating Rooms ; Original ; Outbreaks ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Social distancing ; Surgery ; Tertiary Care Centers ; Women</subject><ispartof>Infection control and hospital epidemiology, 2022-03, Vol.43 (3), p.319-325</ispartof><rights>The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Society for Healthcare Epidemiology of America 2021 2021 The Society for Healthcare Epidemiology of America</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-8f0ee688aca3b81e1e284df029eaa7622531f3eb748bac3dc126a77d0210a51c3</citedby><cites>FETCH-LOGICAL-c439t-8f0ee688aca3b81e1e284df029eaa7622531f3eb748bac3dc126a77d0210a51c3</cites><orcidid>0000-0002-1581-5793</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2758516411/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2758516411?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,778,782,883,21371,21372,23239,27907,27908,33513,33514,33686,33687,33727,33728,43642,43770,43788,64366,64368,64370,72220,73855,74034,74053</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33736732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McDougal, April N</creatorcontrib><creatorcontrib>Elhassani, Dana</creatorcontrib><creatorcontrib>DeMaet, Mary Ann</creatorcontrib><creatorcontrib>Shores, Shirley</creatorcontrib><creatorcontrib>Plante, Kenneth S</creatorcontrib><creatorcontrib>Plante, Jessica A</creatorcontrib><creatorcontrib>Pyles, Richard</creatorcontrib><creatorcontrib>Weaver, Scott C</creatorcontrib><creatorcontrib>Williams-Bouyer, Natalie</creatorcontrib><creatorcontrib>Tyler, Brenda J</creatorcontrib><creatorcontrib>Davis, Hollie R</creatorcontrib><creatorcontrib>Patel, Janak</creatorcontrib><title>Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation</title><title>Infection control and hospital epidemiology</title><addtitle>Infect Control Hosp Epidemiol</addtitle><description>Investigate an outbreak of coronavirus disease 2019 (COVID-19) among operating room staff utilizing contact tracing, mass testing for severe acute respiratory coronavirus virus 2 (SARS-CoV-2), and environmental sampling.
Outbreak investigation.
University-affiliated tertiary-care referral center.
Operating room staff with positive SARS-CoV-2 molecular testing.
Epidemiologic and environmental investigations were conducted including contact tracing, environmental surveys, and sampling and review of the operating room schedule for staff-to-staff, staff-to-patient, and patient-to-staff SARS-CoV-2 transmission.
In total, 24 healthcare personnel (HCP) tested positive for SARS-CoV-2, including nurses (29%), surgical technologists (25%), and surgical residents (16%). Moreover, 19 HCP (79%) reported having used a communal area, most commonly break rooms (75%). Overall, 20 HCP (83%) reported symptomatic disease. In total, 72 environmental samples were collected from communal areas for SARS-CoV-2 genomic testing; none was positive. Furthermore, 236 surgical cases were reviewed for transmission: 213 (90%) had negative preoperative SARS-CoV-2 testing, 21 (9%) had a positive test on or before the date of surgery, and 2 (<1%) did not have a preoperative test performed. In addition, 40 patients underwent postoperative testing (mean, 13 days to postoperative testing), and 2 returned positive results. Neither of these 2 cases was linked to our outbreak.
Complacency in infection control practices among staff during peak community transmission of SARS-CoV-2 is believed to have driven staff-to-staff transmission. Prompt identification of the outbreak led to rapid interventions, ultimately allowing for uninterrupted surgical service.</description><subject>Algorithms</subject><subject>Contact tracing</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 Testing</subject><subject>Disease control</subject><subject>Disease Outbreaks</subject><subject>Disease transmission</subject><subject>Employees</subject><subject>Environmental monitoring</subject><subject>Environmental surveys</subject><subject>Genomes</subject><subject>Humans</subject><subject>Infections</subject><subject>Medical personnel</subject><subject>Medical referrals</subject><subject>Operating Rooms</subject><subject>Original</subject><subject>Outbreaks</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Social distancing</subject><subject>Surgery</subject><subject>Tertiary Care Centers</subject><subject>Women</subject><issn>0899-823X</issn><issn>1559-6834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkV9rFDEUxYModq2--SwBXyo4a_7MTBIfhLKtWijsi4pv4U7mzpo6k6zJzIJfxU9rltaiPiXk_jg55x5CnnO25oyrN97hWjDB15y3D8iKN42pWi3rh2TFtDGVFvLrCXmS8w1jTBnDH5MTKZVslRQr8mu7zF1C-E7jQF1MMcDBpyXT3meEjFQwbujZZvvl6qLi5hWFKYYdjXtMMPtySzFONM8wDEcFoDOm2UP6SRMOmBKM1GEoj2_peaC49z1OPo5x5x2F0FMM5bsYpsIU1IcD5tnvinQMT8mjAcaMz-7OU_L5_eWnzcfqevvhanN-XblamrnSA0NstQYHstMcOQpd9wMTBgFUK0Qj-SCxU7XuwMnecdGCUn1ZGYOGO3lK3t3q7pduwv5ot9i2--SnksNG8PbfSfDf7C4erGa1kFoWgbM7gRR_LCWAnXx2OI4QMC7ZiobJVjLRmIK-_A-9iUsKJZ4VqtENb2vOC_X6lnIp5lwWeW-GM3ss3ZbS7bF0W0ov-Iu_A9zDf1qWvwH59qpI</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>McDougal, April N</creator><creator>Elhassani, Dana</creator><creator>DeMaet, Mary Ann</creator><creator>Shores, Shirley</creator><creator>Plante, Kenneth S</creator><creator>Plante, Jessica A</creator><creator>Pyles, Richard</creator><creator>Weaver, Scott C</creator><creator>Williams-Bouyer, Natalie</creator><creator>Tyler, Brenda J</creator><creator>Davis, Hollie R</creator><creator>Patel, Janak</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1581-5793</orcidid></search><sort><creationdate>20220301</creationdate><title>Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation</title><author>McDougal, April N ; Elhassani, Dana ; DeMaet, Mary Ann ; Shores, Shirley ; Plante, Kenneth S ; Plante, Jessica A ; Pyles, Richard ; Weaver, Scott C ; Williams-Bouyer, Natalie ; Tyler, Brenda J ; Davis, Hollie R ; Patel, Janak</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-8f0ee688aca3b81e1e284df029eaa7622531f3eb748bac3dc126a77d0210a51c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Algorithms</topic><topic>Contact tracing</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Infection control and hospital epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McDougal, April N</au><au>Elhassani, Dana</au><au>DeMaet, Mary Ann</au><au>Shores, Shirley</au><au>Plante, Kenneth S</au><au>Plante, Jessica A</au><au>Pyles, Richard</au><au>Weaver, Scott C</au><au>Williams-Bouyer, Natalie</au><au>Tyler, Brenda J</au><au>Davis, Hollie R</au><au>Patel, Janak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation</atitle><jtitle>Infection control and hospital epidemiology</jtitle><addtitle>Infect Control Hosp Epidemiol</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>43</volume><issue>3</issue><spage>319</spage><epage>325</epage><pages>319-325</pages><issn>0899-823X</issn><eissn>1559-6834</eissn><abstract>Investigate an outbreak of coronavirus disease 2019 (COVID-19) among operating room staff utilizing contact tracing, mass testing for severe acute respiratory coronavirus virus 2 (SARS-CoV-2), and environmental sampling.
Outbreak investigation.
University-affiliated tertiary-care referral center.
Operating room staff with positive SARS-CoV-2 molecular testing.
Epidemiologic and environmental investigations were conducted including contact tracing, environmental surveys, and sampling and review of the operating room schedule for staff-to-staff, staff-to-patient, and patient-to-staff SARS-CoV-2 transmission.
In total, 24 healthcare personnel (HCP) tested positive for SARS-CoV-2, including nurses (29%), surgical technologists (25%), and surgical residents (16%). Moreover, 19 HCP (79%) reported having used a communal area, most commonly break rooms (75%). Overall, 20 HCP (83%) reported symptomatic disease. In total, 72 environmental samples were collected from communal areas for SARS-CoV-2 genomic testing; none was positive. Furthermore, 236 surgical cases were reviewed for transmission: 213 (90%) had negative preoperative SARS-CoV-2 testing, 21 (9%) had a positive test on or before the date of surgery, and 2 (<1%) did not have a preoperative test performed. In addition, 40 patients underwent postoperative testing (mean, 13 days to postoperative testing), and 2 returned positive results. Neither of these 2 cases was linked to our outbreak.
Complacency in infection control practices among staff during peak community transmission of SARS-CoV-2 is believed to have driven staff-to-staff transmission. Prompt identification of the outbreak led to rapid interventions, ultimately allowing for uninterrupted surgical service.</abstract><cop>United States</cop><pub>Cambridge University Press</pub><pmid>33736732</pmid><doi>10.1017/ice.2021.116</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1581-5793</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Infection control and hospital epidemiology, 2022-03, Vol.43 (3), p.319-325 |
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| subjects | Algorithms Contact tracing Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 Testing Disease control Disease Outbreaks Disease transmission Employees Environmental monitoring Environmental surveys Genomes Humans Infections Medical personnel Medical referrals Operating Rooms Original Outbreaks SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Social distancing Surgery Tertiary Care Centers Women |
| title | Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation |
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