دورية أكاديمية
أعرض في EDS

Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities.

التفاصيل البيبلوغرافية
العنوان: Statewide evaluation of infection control measures for preventing coronavirus disease 2019 in hemodialysis facilities.
المؤلفون: Guedes AR; Departamento de Controle de Infeccao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Tavares BM; Departamento de Controle de Infeccao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Assis DB; Divisao de Infeccoes Hospitares, Centro de Vigilancia Epidemiologica 'Prof. Alexandre Vranjac', Centro de Controle de Doencas, Secretaria de Estado da Saude, Sao Paulo, SP, BR., Freire MP; Departamento de Controle de Infeccao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Madalosso G; Divisao de Infeccoes Hospitares, Centro de Vigilancia Epidemiologica 'Prof. Alexandre Vranjac', Centro de Controle de Doencas, Secretaria de Estado da Saude, Sao Paulo, SP, BR., Levin AS; Departamento de Controle de Infeccao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.; Departamento de Doencas Infecciosas, Laboratorio de Investigacao Medica - LIM 49 e Instituto de Medicina Tropical, Universidade de Sao Paulo, Sao Paulo, SP, BR., Perdigão Neto LV; Departamento de Controle de Infeccao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Oliveira MS; Departamento de Controle de Infeccao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
المصدر: Clinics (Sao Paulo, Brazil) [Clinics (Sao Paulo)] 2021 Oct 11; Vol. 76, pp. e3299. Date of Electronic Publication: 2021 Oct 11 (Print Publication: 2021).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101244734 Publication Model: eCollection Cited Medium: Internet ISSN: 1980-5322 (Electronic) Linking ISSN: 18075932 NLM ISO Abbreviation: Clinics (Sao Paulo) Subsets: MEDLINE
أسماء مطبوعة: Publication: 2022- : [New York] : Elsevier
Original Publication: São Paulo, SP : Hospital das Clínicas, Faculty of Medicine, University of São Paulo, [2005]-
مواضيع طبية MeSH: COVID-19* , Pandemics*, Brazil/epidemiology ; Cross-Sectional Studies ; Humans ; Infection Control ; Renal Dialysis ; SARS-CoV-2
مستخلص: Objective: This study aimed to evaluate the occurrence of coronavirus disease 2019 (COVID-19) in hemodialysis facilities and the occurrence of and risk factors for clustering of COVID-19 cases.
Methods: We conducted a cross-sectional online survey between March and July 2020, in all dialysis facilities in São Paulo state, using Google Forms. The online questionnaire contained questions addressing specific components of infection prevention and control practices and the number of cases during the COVID-19 pandemic.
Results: A total of 1,093 (5%) COVID-19 cases were reported among 20,984 patients; approximately 56% of the facilities had ≥1 cluster. Most facilities implemented various measures (such as allocation of dedicated COVID-19 areas/shifts, symptom screening, environmental disinfection, and maintenance of adequate ventilation) to prevent the transmission of severe acute respiratory syndrome coronavirus 2. Clustering of COVID-19 cases was suspected in only 7% of dialysis facilities. The only variable associated with this event was the performance of aerosol-generating procedures (odds ratio: 4.74; 95% confidence interval: 1.75-12.86).
Conclusion: Attention should be paid to avoiding the performance of aerosol-generating procedures in dialysis facilities and monitoring the clustering of cases.
References: MMWR Recomm Rep. 2003 Jun 6;52(RR-10):1-42. (PMID: 12836624)
Am J Kidney Dis. 2020 Jul;76(1):1-3. (PMID: 32217082)
Clin Infect Dis. 2021 Jun 15;72(12):2225-2240. (PMID: 33104186)
JAMA Surg. 2021 Feb 1;156(2):113-114. (PMID: 33320188)
Lancet Respir Med. 2021 Jul;9(7):687-689. (PMID: 33965002)
Kidney Int. 2020 Dec;98(6):1519-1529. (PMID: 32858081)
Kidney Int. 2020 Dec;98(6):1402-1404. (PMID: 33065131)
تواريخ الأحداث: Date Created: 20211013 Date Completed: 20211018 Latest Revision: 20220629
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8478131
DOI: 10.6061/clinics/2021/e3299
PMID: 34644739
قاعدة البيانات: MEDLINE
الوصف
تدمد:1980-5322
DOI:10.6061/clinics/2021/e3299