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Containment of a Large SARS-CoV-2 Outbreak Among Healthcare Workers in a Pediatric Intensive Care Unit.
Pediatr Infect Dis J. 2020 11; 39(11):e336-e339.PI

Abstract

OBJECTIVE

Healthcare workers (HCWs) are particularly exposed SARS-CoV-2 because they are critical in preventing viral transmission and treating COVID-19 patients. Within HCWs, personnel of intensive care units (ICUs) are at the forefront of treating patients with a severe course of COVID-19 infection and therefore represent an extremely vulnerable group. Thus, our objective is to contribute to establish means of infection control protecting HCWs in the frontline of the current pandemic.

DESIGN

An outbreak of SARS-CoV-2 was detected and contained in a pediatric ICU (PICU). The first positive case was identified with a point-of-care diagnostic system on site. Real-time PCR-based testing systems from self-collected nasopharyngeal samples swabs were used to test for viral RNA of SARS-CoV-2 in the follow-up.

SETTING

PICU within a tertiary university hospital in Germany.

PARTICIPANTS

Healthcare workers of the PICU.

INTERVENTIONS

Positive HCWs were sent into quarantine. Containment measures were implemented including wearing of surgical-masks, physical distancing and systematic testing.

RESULTS

Among 432 HCWs, 91 (25%) were tested. Forty-five percent reported symptoms corresponding to characteristics of COVID-19. Of those, only 19,5% (8 HCWs) were tested positive for SARS-CoV-2. No infection occurred outside the PICU. After the implementation of containment measures, viral transmission was stopped.

CONCLUSIONS

In the present study, a large outbreak within a team of healthcare workers of a PICU, affecting almost one fifth of the entire personnel is documented, along with detailed insights about how the outbreak was contained and how operability of the unit was maintained.

Authors+Show Affiliations

From the Children's Hospital.From the Children's Hospital.From the Children's Hospital.From the Children's Hospital.From the Children's Hospital.Department of Medical Microbiology and Hygiene.Institute for Virology.Institute for Virology.Blood Transfusion Center, University Medical Center of the Johannes-Gutenberg University, Mainz, Germany.From the Children's Hospital.Blood Transfusion Center, University Medical Center of the Johannes-Gutenberg University, Mainz, Germany.From the Children's Hospital.From the Children's Hospital.From the Children's Hospital.From the Children's Hospital.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32826719

Citation

Knoll, Rebecca Luise, et al. "Containment of a Large SARS-CoV-2 Outbreak Among Healthcare Workers in a Pediatric Intensive Care Unit." The Pediatric Infectious Disease Journal, vol. 39, no. 11, 2020, pp. e336-e339.
Knoll RL, Klopp J, Bonewitz G, et al. Containment of a Large SARS-CoV-2 Outbreak Among Healthcare Workers in a Pediatric Intensive Care Unit. Pediatr Infect Dis J. 2020;39(11):e336-e339.
Knoll, R. L., Klopp, J., Bonewitz, G., Gröndahl, B., Hilbert, K., Kohnen, W., Weise, K., Plachter, B., Hitzler, W., Kowalzik, F., Runkel, S., Zepp, F., Winter, J., Cacicedo, M. L., & Gehring, S. (2020). Containment of a Large SARS-CoV-2 Outbreak Among Healthcare Workers in a Pediatric Intensive Care Unit. The Pediatric Infectious Disease Journal, 39(11), e336-e339. https://doi.org/10.1097/INF.0000000000002866
Knoll RL, et al. Containment of a Large SARS-CoV-2 Outbreak Among Healthcare Workers in a Pediatric Intensive Care Unit. Pediatr Infect Dis J. 2020;39(11):e336-e339. PubMed PMID: 32826719.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Containment of a Large SARS-CoV-2 Outbreak Among Healthcare Workers in a Pediatric Intensive Care Unit. AU - Knoll,Rebecca Luise, AU - Klopp,Jonas, AU - Bonewitz,Gloria, AU - Gröndahl,Britta, AU - Hilbert,Katja, AU - Kohnen,Wolfgang, AU - Weise,Kerstin, AU - Plachter,Bodo, AU - Hitzler,Walter, AU - Kowalzik,Frank, AU - Runkel,Stefan, AU - Zepp,Fred, AU - Winter,Julia, AU - Cacicedo,Maximiliano Luis, AU - Gehring,Stephan, PY - 2020/8/23/pubmed PY - 2020/11/5/medline PY - 2020/8/23/entrez SP - e336 EP - e339 JF - The Pediatric infectious disease journal JO - Pediatr Infect Dis J VL - 39 IS - 11 N2 - OBJECTIVE: Healthcare workers (HCWs) are particularly exposed SARS-CoV-2 because they are critical in preventing viral transmission and treating COVID-19 patients. Within HCWs, personnel of intensive care units (ICUs) are at the forefront of treating patients with a severe course of COVID-19 infection and therefore represent an extremely vulnerable group. Thus, our objective is to contribute to establish means of infection control protecting HCWs in the frontline of the current pandemic. DESIGN: An outbreak of SARS-CoV-2 was detected and contained in a pediatric ICU (PICU). The first positive case was identified with a point-of-care diagnostic system on site. Real-time PCR-based testing systems from self-collected nasopharyngeal samples swabs were used to test for viral RNA of SARS-CoV-2 in the follow-up. SETTING: PICU within a tertiary university hospital in Germany. PARTICIPANTS: Healthcare workers of the PICU. INTERVENTIONS: Positive HCWs were sent into quarantine. Containment measures were implemented including wearing of surgical-masks, physical distancing and systematic testing. RESULTS: Among 432 HCWs, 91 (25%) were tested. Forty-five percent reported symptoms corresponding to characteristics of COVID-19. Of those, only 19,5% (8 HCWs) were tested positive for SARS-CoV-2. No infection occurred outside the PICU. After the implementation of containment measures, viral transmission was stopped. CONCLUSIONS: In the present study, a large outbreak within a team of healthcare workers of a PICU, affecting almost one fifth of the entire personnel is documented, along with detailed insights about how the outbreak was contained and how operability of the unit was maintained. SN - 1532-0987 UR - https://www.unboundmedicine.com/medline/citation/32826719/Containment_of_a_Large_SARS_CoV_2_Outbreak_Among_Healthcare_Workers_in_a_Pediatric_Intensive_Care_Unit_ L2 - https://doi.org/10.1097/INF.0000000000002866 DB - PRIME DP - Unbound Medicine ER -