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A Universal Screening Strategy for SARS-CoV-2 Infection in Intensive Care Units: Korean Experience in a Single Hospital

Infection & Chemotherapy 2020년 52권 3호 p.352 ~ 359
장의진, 최재성, 박태연, Kim Seung-Bin, 고수희, 권양선, 김은진, 송현주, 노화경, 박상원,
소속 상세정보
장의진 ( Chang Eui-Jin ) - Seoul National University College of Medicine Department of Internal Medicine
최재성 ( Choi Jae-Sung ) - Seoul National University Boramae Medical Center Intensive Care Units
박태연 ( Park Tae-Yun ) - Seoul National University Boramae Medical Center Intensive Care Units
 ( Kim Seung-Bin ) - Seoul National University Boramae Medical Center Intensive Care Units
고수희 ( Ko Su-Hui ) - Seoul National University Boramae Medical Center Infection Control Office
권양선 ( Kwon Yang-Sun ) - Seoul National University Boramae Medical Center Infection Control Office
김은진 ( Kim Eun-Jin ) - Seoul National University Boramae Medical Center Infection Control Office
송현주 ( Song Hyun-Ju ) - Seoul National University Boramae Medical Center Intensive Care Units
노화경 ( Noh Hwa-Kyung ) - Seoul National University Boramae Medical Center Intensive Care Units
박상원 ( Park Sang-Won ) - Seoul National University College of Medicine Department of Internal Medicine

Abstract


Background: Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection is not differentiated clinically from other respiratory infections, and intensive care units (ICUs) are vulnerable to in-hospital transmission due to interventions inducing respiratory aerosols. This study evaluated the effectiveness of universal SARS-CoV-2 screening in ICUs in terms of screened-out cases and reduction in anxiety of healthcare personnel (HCP).

Materials and Methods: This prospective single-armed observational study was conducted in 2 ICUs of a single hospital. The number of patients diagnosed with SARS-CoV-2 infection by the screening program and healthcare workers in ICUs that visited the SARS-CoV-2 screening clinic or infection clinic were investigated.

Results: During the 7-week study period, no positive screening case was reported among a total of 142 patients. Among 86 HCP in the ICUs, only 2 HCP sought medical consultation for SARS-CoV-2 infection during the initial 2 weeks.

Conclusion: A universal screening program for SARS-CoV-2 infection in ICUs with the coordination of other countermeasures in the hospital was reasonably effective in preventing in-hospital transmission in a pandemic situation and making clinical practices and HCP stable.

키워드

SARS-CoV-2; COVID; Screening; Intensive care unit; Nosocomial infection

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