Lessons learned from an outbreak of COVID-19 in the head and neck surgery ward of a Japanese cancer center during the sixth wave by Omicron.
In: Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, Jg. 28 (2022-12-01), Heft 12, S. 1610
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Zugriff:
Introduction: We describe a coronavirus disease (COVID-19) outbreak in a cancer center's head and neck surgery ward and the interventions to halt ongoing exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among healthcare workers and patients with cancer.
Methods: Case definition included all healthcare workers and all patients associated to the ward from January 27 to January 31, 2022 with a positive SARS-COV-2 antigen test. This retrospective descriptive study was conducted between January 27, 2022, and February 14, 2022.
Results: From January 28, 2022, to February 9, 2022, 84 cases (36 healthcare workers, 48 patients) were screened, and 26 (12 healthcare workers, 14 patients) were identified as SARS-CoV-2-positive. The proportion of healthcare providers who performed aerosol generating procedures on positive patients was 91% for positive cases and 49% for non-cases. Room sharing with patients with COVID-19 was 64% for positive cases and 21% for non-cases (57% vs. 21% with positive tracheostomy patients; 43% vs. 9% with positive cases using a nebulizer; 50% vs. 15% with positive cases requiring sputum suctioning, respectively). Compliance with the universal masking policy for patients was 36% of positive cases and 79% of non-cases.
Conclusions: This is the first report of a nosocomial outbreak of COVID-19 in a head and neck surgery ward during the Omicron pandemic. Notably, there were a high number of positive cases among healthcare workers who performed aerosol generating procedures for positive patients and patients who shared the room with a patient with COVID-19 with the potential to generate aerosols.
Competing Interests: Declarations of competing interest None.
(Copyright © 2022 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.)
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Lessons learned from an outbreak of COVID-19 in the head and neck surgery ward of a Japanese cancer center during the sixth wave by Omicron.
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Autor/in / Beteiligte Person: | Itoh, N ; Akazawa, N ; Ishikane, M ; Kawabata, T ; Kawamura, D ; Chikusa, T ; Kodama, EN ; Ohmagari, N |
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Zeitschrift: | Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, Jg. 28 (2022-12-01), Heft 12, S. 1610 |
Veröffentlichung: | 2014- : Amsterdam : Elsevier ; <i>Original Publication</i>: Tokyo : New York : Published for the Society by Churchill Livingstone, c1995-, 2022 |
Medientyp: | academicJournal |
ISSN: | 1437-7780 (electronic) |
DOI: | 10.1016/j.jiac.2022.08.010 |
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