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Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation.


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.

SUBMITTER: McDougal AN 

PROVIDER: S-EPMC8042383 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Publications

Outbreak of coronavirus disease 2019 (COVID-19) among operating room staff of a tertiary referral center: An epidemiologic and environmental investigation.

McDougal April N AN   Elhassani Dana D   DeMaet Mary Ann MA   Shores Shirley S   Plante Kenneth S KS   Plante Jessica A JA   Pyles Richard R   Weaver Scott C SC   Williams-Bouyer Natalie N   Tyler Brenda J BJ   Davis Hollie R HR   Patel Janak J  

Infection control and hospital epidemiology 20210319 3


<h4>Objective</h4>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.<h4>Design</h4>Outbreak investigation.<h4>Setting</h4>University-affiliated tertiary-care referral center.<h4>Patients</h4>Operating room staff with positive SARS-CoV-2 molecular testing.<h4>Methods</h4>Epidemiologic and environmental investigations were conduct  ...[more]

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