Article ; Online: Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation.
Infection control and hospital epidemiology
2021 Volume 43, Issue 3, Page(s) 319–325
Abstract: Objective: Investigate an outbreak of coronavirus disease 2019 (COVID-19) among operating room ... affiliated tertiary-care referral center.: Patients: Operating room staff with positive SARS-CoV-2 ... contact tracing, environmental surveys, and sampling and review of the operating room schedule for staff-to-staff ...
| Abstract | Objective: 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. Design: Outbreak investigation. Setting: University-affiliated tertiary-care referral center. Patients: Operating room staff with positive SARS-CoV-2 molecular testing. Methods: 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. Results: 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. Conclusions: 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. |
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| MeSH term(s) | COVID-19/epidemiology ; COVID-19 Testing ; Disease Outbreaks ; Humans ; Operating Rooms ; SARS-CoV-2 ; Tertiary Care Centers | |||||
| Language | English | |||||
| Publishing date | 2021-03-19 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 639378-0 | |||||
| ISSN | 1559-6834 ; 0195-9417 ; 0899-823X | |||||
| ISSN (online) | 1559-6834 | |||||
| ISSN | 0195-9417 ; 0899-823X | |||||
| DOI | 10.1017/ice.2021.116 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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